What tests should be done for dysmenorrhea?

The causes of dysmenorrhea are complex and not as simple as the pain that appears. Therefore, the examination for dysmenorrhea must find the right cause in order to prescribe the right medicine. So what examinations should be done to treat dysmenorrhea?

1. Laparoscopic examination: This is the key to finding the cause of dysmenorrhea. It can determine the location and extent of the lesion, such as pelvic inflammation; it can also diagnose endometriosis or take a biopsy; it can identify uterine malformations such as unicornuate uterus, rudimentary horn uterus, bicornuate uterus, etc.; it can identify pelvic masses such as inflammatory masses, uterine fibroids and ovarian tumors.

2. Physical examination: Pay attention to the overall health, birth type, development and nutritional status. During the gynecological examination, pay attention to the size, position, texture and mobility of the uterus, whether there are protrusions or nodules, whether there are adhesions, thickening, nodules or lumps, tenderness, etc. of the uterine cuboid ligament and both sides of the uterus. Most patients can be diagnosed through medical history and gynecological examination.

3. Medical history: Detailed inquiry of menstrual history including cycle, menstrual period, menstrual volume, whether there is tissue discharge, etc. It is essential for the examination of dysmenorrhea. Through inquiry, we can understand whether there are any inducements of pain, such as excessive tension, anxiety, sadness, overwork or cold, and the whole process of pain, including the time, nature, degree and whether there is gradual aggravation of dysmenorrhea.

There are so many tests for dysmenorrhea because there are many factors that cause it. Usually, there are primary and secondary dysmenorrhea. The cause of primary dysmenorrhea is a narrow uterine opening, uterine hypoplasia, or large pieces of endometrium in the menstrual blood. The latter is called membranous dysmenorrhea. Sometimes menstrual blood contains blood clots, which can also cause lower abdominal pain.

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