What is the reason for frequent dysmenorrhea? Is frequent dysmenorrhea related to submucosal uterine fibroids?

Dysmenorrhea refers to lower abdominal or back pain, or even lumbar pain, during and before and after menstruation. Whenever it occurs during the menstrual cycle, severe cases may be accompanied by nausea and vomiting, cold sweats, hand and foot cramps, and even fainting, affecting work and life.

Characteristics of dysmenorrhea caused by submucosal uterine fibroids: compression pain

Submucosal fibroids are a type of uterine fibroid that suddenly grows in the uterine cavity. As the surface of the fibroids covers the endometrium, the endometrium increases in area, occupies the uterine cavity, and affects the discharge of menstrual blood, it can cause abnormal uterine contraction, dysmenorrhea, and is accompanied by heavy menstrual flow and irregular periods. As the fibroids develop into the uterine cavity, the adjacent organs will experience compression symptoms. When the fibroids become red or the pedicles of the subserosal fibroids twist, severe abdominal pain may occur. One-third of patients may be accompanied by infertility.

Uterine fibroids are benign tumors, and the occurrence of uterine fibroids is generally believed to be related to estrogen and progesterone. In addition, it may be related to other factors, but it is not clear.

Strategies

1. Drug treatment. Take drugs as prescribed by the doctor to inhibit the growth of fibroids and make them shrink gradually, such as mifepristone.

2. Surgical treatment.

Myomectomy: Submucosal myomas can be removed through the abdomen, preserving the uterus; pedunculated submucosal myomas can be cut through the vagina, and the stumps can be sutured.

Total hysterectomy: If the fibroids are gestating in the uterus for more than 3 months; or if the symptoms are severe and non-surgical treatment is ineffective; or if there is suspected malignant change, a total hysterectomy should be performed.