Diagnosis of dysmenorrhea in Chinese and Western medicine

Women will have some troubles during menstruation. If they have dysmenorrhea during this period, it will become a torture. Most dysmenorrhea patients will choose to endure it silently, and rarely go to the hospital for examination, so that dysmenorrhea occurs more and more frequently and the degree continues to deepen. The following medical experts will introduce the diagnosis of dysmenorrhea in detail.

Western Medical Diagnosis of Dysmenorrhea

Secondary dysmenorrhea, patients with obvious organic lesions in the reproductive organs, gynecological examination, B-ultrasound imaging, laparoscopy and other technical examinations have shown that pelvic inflammatory disease, uterine tumors, endometriosis lesions cause dysmenorrhea. Diagnosis of secondary dysmenorrhea: history of repeated pelvic inflammatory disease, irregular menstrual cycle, menorrhagia, intrauterine device placement, infertility and other medical history are helpful for the diagnosis of secondary dysmenorrhea.

Primary dysmenorrhea refers to the condition in which there is no obvious organic lesion in the reproductive organs after gynecological examination. It often occurs in adolescent girls or young women who have given birth 2-3 years after menarche. The diagnosis of primary dysmenorrhea is mainly to exclude the possibility of secondary dysmenorrhea. The patient's medical history should be taken in detail, and the time, type and characteristics of the pain should be noted.

TCM Diagnosis of Dysmenorrhea

The main symptom of dysmenorrhea is lower abdominal pain that occurs during the menstrual cycle. Therefore, when making a syndrome differentiation in traditional Chinese medicine, the first thing to do is to identify the properties of the pain, and then identify the cold, heat, deficiency and excess according to the time, nature, location and degree of the pain, combined with the period, color, amount, quality, concurrent symptoms, tongue, pulse, and the patient's physical condition. For example, if the menstrual blood volume is small, thick, and clots are present, and the pain occurs before the menstrual period, it is mostly excess; if the menstrual blood volume is small, dark red, thin, and the pain occurs after the menstrual period, it is mostly deficiency; if the pain is pulling pain, colic, burning pain, stabbing pain, and refusal to press, it is excess; if the pain is dull pain, falling pain, and likes to rub and press, it is deficiency. In addition, abdominal pain syndrome caused by diseases such as intestinal carbuncle, mass, and epigastric pain can also occur during the menstrual period or worsen during the menstrual period. Therefore, in clinical practice, detailed outpatient examination and auxiliary means are required for differentiation.