Clinically, dysmenorrhea is divided into primary dysmenorrhea and secondary dysmenorrhea according to the different causes of dysmenorrhea. The incidence of primary dysmenorrhea is relatively high. What are the common diagnostic bases for primary dysmenorrhea ? The following will tell you about the common diagnostic bases for primary 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. Primary pain often occurs during ovulatory menstruation, so there are usually no symptoms or only mild discomfort in the first 1-2 years after menarche. Severe spasmodic pain often occurs in young women 1-2 years after menarche. If regular dysmenorrhea occurs at the beginning or spasmodic dysmenorrhea occurs as late as after the age of 25, other abnormal conditions should be considered. Primary pain often disappears on its own after childbirth, or gradually disappears with age after marriage. The diagnosis of primary dysmenorrhea is mainly to exclude the possibility of secondary dysmenorrhea. The diagnosis of primary dysmenorrhea should be based on a detailed medical history, paying attention to the time, type and characteristics of the pain. Based on: ① Onset within 1 to 2 years after menarche; ② Pain begins a few hours before or after the appearance of menstrual blood, and the pain lasts no longer than 48 to 72 hours; ③ The nature of the pain is spasmodic or similar to labor pain; ④ Negative results of gynecological bimanual examination or rectal examination. The above is an introduction to the diagnosis basis of common primary dysmenorrhea, I hope it will be helpful to everyone. Once you suffer from primary dysmenorrhea, you must go to the hospital for treatment in time to avoid serious delays in the disease. |
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