How to treat severe dysmenorrhea, is medication or surgery better?

If you suffer from severe dysmenorrhea, you can choose appropriate drugs to treat it according to your condition. Commonly used drugs are prostaglandin synthase inhibitors, contraceptives and hormone drugs. For patients with more serious conditions, timely surgical treatment is very necessary. Commonly used surgical methods are neurectomy and hysterectomy.

Many female friends have the trouble of menstrual pain, which is called dysmenorrhea, and is a very common gynecological disease. If it is only mild dysmenorrhea, it will not have a big impact on daily life, but some people have very severe dysmenorrhea, and they are in excruciating pain every time. In this case, timely treatment is necessary. So how to treat severe dysmenorrhea?
1. Drug treatment for severe dysmenorrhea
1. Prostaglandin synthase inhibitors <br/>Prostaglandin synthase inhibitors are a commonly used class of drugs for the treatment of severe dysmenorrhea. The more common ones are ibuprofen, meclofenamic acid and diclofenac sodium. This class of drugs is suitable for patients with primary dysmenorrhea who do not require contraception or who have poor results with contraceptives. It is recommended to take it when menstrual cramps begin to hurt. If you take it for 2 to 3 consecutive days, the symptoms will be improved to a certain extent.
2. Contraceptive pills <br/>Contraceptive pills can also be used to treat severe dysmenorrhea. Proper use of contraceptive pills can inhibit ovulation and thus relieve the degree of pain. If you need contraception or the treatment with prostaglandin synthase inhibitors is ineffective, you can consider taking this drug.
3. Hormone drugs <br/>Hormonal drugs can also be used to treat severe dysmenorrhea, mainly including estrogen and progesterone, and then the complex of estrogen and progesterone. The specific conditions of different patients are different, and the choice of which hormone drug to choose needs to be followed according to the doctor's advice.
2. Surgical treatment of severe dysmenorrhea
1. Nerve resection <br/>If the dysmenorrhea is too severe, surgery can be considered for treatment. The most commonly used surgical method is neurectomy. Nerve resection mainly includes presacral ganglionectomy and partial uterine nerve resection. The latter is more commonly used, but each patient's condition is different, and ultimately it still needs to be selected according to the condition.
2. Hysterectomy <br/>Hysterectomy is also a common surgical method for treating severe dysmenorrhea. If the condition is too severe and always recurs, the general treatment method is not effective, and there is no desire to have children, hysterectomy can be considered.