Clinical manifestations of patients with primary dysmenorrhea

Primary dysmenorrhea is also called functional dysmenorrhea. Dysmenorrhea refers to menstrual pain, which is often spasmodic and concentrated in the lower abdomen. Other symptoms include headache, fatigue, dizziness, nausea, vomiting, diarrhea, and back and leg pain. It is a very common disease in young women. Primary dysmenorrhea is not accompanied by obvious pelvic organic diseases.

Clinical manifestations of patients with primary dysmenorrhea

Primary pain often occurs in young women, starting 6 to 12 months after menarche, and the incidence begins to decrease after the age of 30. The pain often begins just before or after the onset of menstruation and lasts for the first 48 to 72 hours of the menstrual period. The pain is often spasmodic and sometimes so severe that the patient needs to stay in bed for hours or days. The patient's pain is concentrated in the middle of the lower abdomen, sometimes accompanied by low back pain or radiation to the inner thigh. There are no positive findings on pelvic examination.

Determination of the degree of dysmenorrhea: Generally, it is determined comprehensively based on the degree of pain and the impact on daily activities, systemic symptoms, and the use of analgesics. Mild: There is pain, but it does not affect daily activities, work is rarely affected, there are no systemic symptoms, and analgesics are rarely used; Moderate: The pain affects daily activities and work ability to a certain extent, there are rarely systemic symptoms, and analgesics are needed and effective; Severe: The pain significantly affects daily activities and work, systemic symptoms are obvious, and analgesics are not effective.