secondary dysmenorrhea
Introduction
Introduction Secondary dysmenorrhea is often caused by abnormal dysmenorrhea and other auxiliary examinations caused by pelvic organic diseases, and the cause of secondary dysmenorrhea can be found. More common in postpartum and middle-aged women, caused by pelvic inflammatory disease, tumor or endometriosis. Endometriosis is the endometrial tissue that grows outside the uterine cavity, such as the myometrium, ovaries, or other parts of the pelvic cavity. It also has periodic changes and bleeding. During menstruation, blood can not be exuded, causing pain, and because of the surrounding Adjacent tissue and organ adhesions, and gradually increase the dysmenorrhea, internal diagnosis can be found that the uterus is harder, less active, or in the uterine rectal sinus and hard irregular nodules or masses, tenderness is obvious.
Cause
Cause
Caused by pelvic organic diseases, such as pelvic inflammation, tumor or endometriosis.
Endometriosis is a common cause of dysmenorrhea, and a small number of women can also have cervical stenosis (secondary to conical resection, freezing or electrocautery), caused by uterine muscle adenopathy, pain occurs in the uterus trying to expel tissue from the cervix When a pedicled submucosal fibroid or an endometrial polyp is excreted from the uterus, it sometimes causes spastic pain. Pelvic inflammation can cause extensive, persistent pain in the lower abdomen and tend to worsen during menstruation. Other causes of dysmenorrhea are unknown.
Examine
an examination
Related inspection
Gynecological ultrasound examination hysteroscopic gynecological routine examination
Ultrasound, hysterosalpingography, hysteroscopy, laparoscopy and histopathology.
Diagnosis
Differential diagnosis
Primary dysmenorrhea: primary dysmenorrhoea (functional dysmenorrhea). Dysmenorrhea refers to menstrual pain, often spasmodic, concentrated in the lower abdomen, other symptoms include headache, fatigue, dizziness, nausea, vomiting, diarrhea, low back pain. It is a very common condition among young women. Primary dysmenorrhea is not associated with significant pelvic organic disease.
Secondary dysmenorrhea symptoms can occur cyclical lower abdominal pain, cold pain, burning pain, tingling, dull pain, falling pain, cramps, spastic pain, tearing pain and so on. In addition, some patients are often accompanied by systemic symptoms, such as breast pain, anal bulge, chest tightness, irritability, irritability, apnea, headache, dizziness, nausea and vomiting, stomach pain, diarrhea, fatigue, pale, pale limbs, cold sweats Secondary symptoms of dysmenorrhea such as vaginal discharge.
