Stop taking it for dysmenorrhea! This gynecologist has a headache

Picture: Huang Tsai| Written by: Six-Story Demon Tower| Editor-in-Chief: Pea

Hello everyone, I am the six-story demon tower. Welcome to the new issue of Shudong Reply. Today, the friend who came to Shudong to talk is very young, but she encountered a problem that made her feel Very confused, troubled and even desperate gynecological health problem – adenomyosis.

▲ “Eleventh Clinic” tree hole contribution

After reading this tree hole, the demon tower concluded that there are actually about 3 problems that plagued this girl. Next, the demon tower will answer one by one. I hope that the tree hole reply in this issue can help this girl get out of the predicament and help many fairies who face the same problem as her to a certain extent.

Not much to say, keep reading~

Why do I get adenomyosis at such a young age?

To answer this question, we must first understand what “adenomyosis” is. In essence, adenomyosis is a disease state caused by the invasion of endometrial glands and stroma into the myometrium. It stayed in the uterine cavity, but burrowed into the muscle cells of the myometrium.

Adenomyosis mostly occurs in women of childbearing age between 30 and 50 years old, especially among mothers who have given birth to a baby, the incidence rate will be higher. Like the little fairy asked by Shudong, cases of adenomyosis at such a young age are indeed relatively rare in clinical practice.

At present, the cause of adenomyosis has not been clearly studied, so we can only try to analyze it. It may be that she has high risk such as hyperestrogenemia or genetic factors. Factors lead to the early onset of adenomyosis.

What are the symptoms of adenomyosis?

Key symptoms of adenomyosis include:

Irregular menstrual periods

Nearly half of patients with adenomyosis will have abnormal performance of increased, prolonged or inexhaustible menstruation, which may be serious due to Anemia due to excessive and prolonged periods.

Yaota has encountered many cases of anemia caused by adenomyosis in clinical practice. One of the most exaggerated patients was brought to the emergency room by 120 after syncope at home, and the hemoglobin was low enough to measure If it does not come out, the blood drawn out is as thin as blood, not as red and viscous as the blood of a normal person.

▲Image source: soogif


Although one of the most typical clinical symptoms in patients with adenomyosis is called “progressive dysmenorrhea”, the incidence of this symptom is not Not high (about 15%~30%); in addition to dysmenorrhea, some patients have chronic pelvic pain or pain during intercourse.


In patients with adenomyosis, fertility can occur due to the effect of invasion of endometrial tissue on the myometriumReduced ability, prone to infertility. And even if you are pregnant, it will lead to adverse pregnancy outcomes such as a decrease in the success rate of embryo implantation and an increase in the incidence of miscarriage.

How should adenomyosis be treated?

Although the cause of adenomyosis has not yet been understood, it is clear that it is a estrogen-dependent disease. That said, as long as estrogen is present, it can grow wildly and misbehave, which is the main reason why adenomyosis is called the “undead cancer”.

So, in the face of such a tenacious enemy, do we have to wait for menopause or hysterectomy?

Of course not!

Pregnancy is a natural remedy

If you have some clinical manifestations of adenomyosis, you must actively seek medical attention at this time to achieve early detection, early diagnosis, and early treatment. If there happens to be a fertility plan, then through a certain method, natural or passive conception, during the whole pregnancy and breastfeeding for a long time, due to our the decline in the level of estrogen in the body, for Adenomyosis can be said to be a very good natural treatment.


Gestrigenone, GnRh-a, Danazol and other drugs can also be used to treat adenomyosis, and their principle is nothing more than creating a pseudopregnancy or pseudomenopause By reducing the level of estrogen in the body, it can alleviate the development of adenomyosis and achieve the effect of treatment.

▲Image source: soogif


In addition to radical surgery such as removal of the uterus, a contraceptive device called the Levonorgestrel Sustained-Release System can be placed in the uterine cavity. strong>To achieve the purpose of relieving and treating adenomyosis.

Yaota once treated a young patient with adenomyosis. Her dysmenorrhea, in her own words, was “extraordinarily painful”. Through learning popular science, she learned that there is such a The way to treat adenomyosis, but because she has never had sex, she went to many hospitals, and no doctor was willing to operate on her. In the end, the demon tower also successfully helped her through hysteroscopy.

Of course, placing this contraceptive device to treat adenomyosis also has certain prerequisites. Generally speaking, the depth of the uterine cavity should be <10cm, Otherwise, even if it is successfully placed in, it will fall off due to heavy menstrual flow and other reasons.

What other diseases can cause dysmenorrhea?

Okay, after talking so much, is everyone’s dysmenorrhea the same? Is it okay to take painkillers such as ibuprofen as long as we have dysmenorrhea?

Clearly, no.

Yaota often encounters patients with dysmenorrhea in the emergency department who need 120 pulls to the hospital for help. After giving them certain basic treatment, Yaota will ask them to complete procedures such as gynecology. Some basic laboratory tests such as B-ultrasound and blood drawing are aimed at helping our doctors to determine the cause of dysmenorrhea in patients through these auxiliary tests.

So what other diseases can cause dysmenorrhea?

▲Image source: soogif


Endometriosis is simply the presence of endometrial tissue outside a woman’s uterus. Its main symptoms are lower abdominal pain and dysmenorrhea, the most typical of which are secondary dysmenorrhea, progressive aggravation.

Pain is often concentrated in the lower abdomen, waist and the middle of the pelvis, and sometimes radiates to the perineum and anus. The severity of pain is often related to the size of the lesion, and is related to the location of the lesion and whether it invades or compresses the nerve.


Maybe you have seen popular science before and know that uterine fibroids are one of the most common benign gynecological tumors in women. It seems that only when the fibroids degenerate or reverse cause abdominal pain. But there is another clinical situation, that is, uterine submucosal fibroids. With the increase of fibroids, the uterus will have a tendency to exclude foreign bodies from the body. Every time the menstrual cramps, the uterus is congested, and the lower abdomen will appear. Painful discomfort.

Yin tract dysplasia

Many abnormal development of the female reproductive system can also lead to dysmenorrhea, such as yin tract atresia, yin tract diaphragm, yin tract oblique septum, etc. during the development of yin tract. These abnormal development of the yin tract can lead to women’s menstrual blood being unable to be discharged, thereby causing symptoms such as periodic dysmenorrhea.

The most common manifestation of this developmental abnormality is delayed menstrual periods during puberty, accompanied by periodic lower abdominal pain. In many cases, it is accidentally discovered when a mother brings her daughter to diagnose and treat abdominal pain.

Uterine dysplasia

Similar to the principle of abdominal pain caused by abnormal development of the yin tract, abnormal uterine development such as congenital cervical atresia, immature uterus, stump uterus, etc. will also cause menstrual blood to fail to be discharged during puberty, resulting in Induce periodic lower abdominal pain.

Through the introduction of the demon tower, I believe that readers and friends can also understand Why it is just dysmenorrhea, and the doctor has to prescribe a lot of examinations, instead of simply using a The reason why the box of painkillers sent you away.

If no abnormality is found after the inspection, we can provide symptomatic pain relief treatment, but it is also necessary to revisit the hospital frequently to avoid missed diagnosis. situation happens.

However, if organic lesions are found after examination, I hope everyone will not be afraid of the disease, let alone don’t think “dysmenorrhea! I’ll just endure it” , and lost the best time for treatment.

Thanks for reading my friends, that’s all for today’s article. I hope the contributors of this tree hole can see the answer from Teacher Yaota, things are not as bad as you think, let go of your worries and fears, actively cooperate with the treatment, and everything will be fine~ p>

Finally, I hope everyone can actively forward and click “Like” to spread popular science articles farther and help more anxious people Women solve puzzles, break fears, and seek solutions.

I love the world!