Introduction to the diagnosis method of dysmenorrhea from the perspective of Western medicine

Western medicine divides dysmenorrhea into primary dysmenorrhea and secondary dysmenorrhea according to the different causes of dysmenorrhea. The diagnosis of dysmenorrhea should be carried out separately in order to diagnose dysmenorrhea more accurately. What are the common diagnostic methods for dysmenorrhea? Here I will tell you about the common diagnostic methods for dysmenorrhea from the perspective of Western medicine.

In general, the common diagnosis methods for dysmenorrhea are:

1. Primary dysmenorrhea refers to those who have no obvious organic lesions 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. When diagnosing primary dysmenorrhea, you should ask about the medical history in detail, and pay attention to the time, type and characteristics of the onset of pain. According to: 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 more than 48 to 72 hours; ③ The nature of the pain is spasmodic or similar to labor pain; ④ Negative gynecological bimanual examination or anal examination. These are common diagnostic methods for primary dysmenorrhea.

2. Secondary dysmenorrhea: patients with obvious organic lesions in the reproductive organs may be diagnosed with pelvic inflammatory disease, uterine tumors, and endometriosis through gynecological examination, B-ultrasound imaging, laparoscopy and other technical examinations. A history of repeated pelvic inflammatory disease, irregular menstrual cycles, menorrhagia, intrauterine device placement, infertility and other medical histories are helpful for the diagnosis of secondary dysmenorrhea. Through bimanual and trimanual examinations, some causes of dysmenorrhea can be found, such as uterine malformation, uterine fibroids, ovarian tumors, pelvic inflammatory masses, etc., which are very important for the correct diagnosis of secondary dysmenorrhea.

The above is an introduction to the common diagnosis methods of dysmenorrhea. I believe everyone has some understanding of the diagnosis of dysmenorrhea. Once you suffer from dysmenorrhea, you must go to the hospital for treatment in time to avoid missing the best time for treatment.