What are the clinical characteristics of primary dysmenorrhea?

Primary dysmenorrhea is a type of dysmenorrhea. There are many clinical characteristics of primary dysmenorrhea. Do you know the clinical characteristics of primary dysmenorrhea? Primary dysmenorrhea has been affecting the normal life of patients. Now, let the experts introduce the clinical characteristics of primary dysmenorrhea to you.

Primary dysmenorrhea usually occurs within 1-2 days after the onset of menstruation, and the pain disappears when the menstrual blood flows out smoothly. Membranous dysmenorrhea usually causes severe pain when the endometrium is discharged on the 3rd-4th day after the onset of menstruation, and the pain gradually disappears after the endometrium is discharged. The pain is mostly in the lower abdomen, and in severe cases it can radiate to the lumbosacral region, vulva and anus. In a few patients, the pain can be directed to the inner thigh, and there are often paroxysmal colic pains. When it is severe, the patient's face is pale, cold sweats, cold hands and feet, nausea, vomiting, and even fainting. This is the clinical feature of primary dysmenorrhea.

The clinical characteristics of primary dysmenorrhea are that after the onset of severe abdominal pain, it gradually turns into paroxysmal moderate pain, which gradually subsides after about 12-14 hours, and occasionally requires bed rest for 2-3 days. Some people also have lower abdominal pain, discomfort or back pain 1-2 days before menstruation, and severe pain occurs before menstruation or during menstruation. Since pain is a subjective feeling, it is difficult to measure the severity of pain. Therefore, clinical reference standards for judging the degree of pain are often based on the presence or absence of vomiting, syncope, whether one can persist in work or must stay in bed, etc.

What are the other clinical characteristics of primary dysmenorrhea? In addition to the above-mentioned gastrointestinal symptoms such as nausea and vomiting, some patients may also experience constipation, diarrhea, colon flatulence, and spasmodic pain in the ileum or descending colon. Due to pelvic congestion during menstruation, the original lesions of the pelvic cavity and surrounding organs such as cystitis, colitis, chronic appendicitis, etc. often worsen during menstruation and are easily confused with dysmenorrhea, so it is necessary to distinguish them.

The above content is the clinical characteristics of primary dysmenorrhea introduced by experts. Please pay attention to it. I hope it will be helpful to you. If you have other questions about the clinical characteristics of primary dysmenorrhea, please consult online experts and they will give you detailed answers.