no menstrual cramps
Introduction
Introduction No menstrual cramps refer to women of normal reproductive age who have not had menstruation once a month. The main causes include severe tuberculosis, severe anemia, malnutrition, etc., endocrine diseases, such as "obesity reproductive incompetent malnutrition disease", etc.; some endocrine disorders in the body, such as the adrenal gland, prostate gland, pancreas and other dysfunction. The effects of these reasons may not come to menstruation. However, amenorrhea caused by these kinds of conditions, as long as the disease is cured, menstruation will naturally come.
Cause
Cause
(1) Diseases: mainly include consumptive diseases, such as severe tuberculosis, severe anemia, malnutrition, etc., endocrine diseases, such as "obesity reproductive incompetent malnutrition disease", etc.; some endocrine disorders in the body, such as the adrenal gland, A dysfunction of the prostate gland and pancreas. The effects of these reasons may not come to menstruation. However, amenorrhea caused by these kinds of conditions, as long as the disease is cured, menstruation will naturally come.
(2) Lower genital tract atresia: such as the cervix, vagina, hymen, labia, etc., there is a part of congenital atresia, or acquired damage caused by adhesive atresia, although menstruation, but menstrual blood can not flow out. This condition is called recessive or pseudo-menopause. The lower part of the reproductive tract is closed and can be cured by doctors.
(3) The Department of Reproductive Organs is not sound or stunted: some people have congenital absence of ovaries, or ovarian malnutrition, or ovarian sputum, can not produce estrogen and progesterone, so the endometrium can not undergo periodic changes, also There will be no endometrial shedding, so there will be no menstrual cramps. There are also congenital absence of uterus, or endometrial dysplasia, or endometrial damage, even if the ovarian function is sound, the secretion of estrogen and progesterone is normal, it will not come to menstruation.
Examine
an examination
Related inspection
Trace element examination in human body gynecological ultrasound examination female sexual development self-examination
1, uterine examination:
(1) Hysteroscopy: to understand whether the depth, width, and shape of the official cavity are deformed, whether there is adhesion, and whether there is pathological change in the endometrium.
(2) Laparoscopy: direct view of the appearance of the uterus and gonads, except for congenital dysplasia, ovarian biopsy if necessary.
(3) uterine axial tube iodine oil angiography: to understand the shape of the uterine cavity, with or without deformity, whether the fallopian tube is smooth, except for tuberculosis.
(4) drug test: progesterone and estrogen test, observe whether the endometrium reacts.
2, ovarian function check:
(1) vaginal mucus crystallization check: understand estrogen levels.
(2) Cervical mucus crystallization examination: to understand the level of estrogen and the presence or absence of progesterone.
(3) Determination of basal body temperature: to understand whether there is ovulation and corpus luteum function.
(4) Determination of estrogen and progesterone levels: understanding ovarian function.
3, pituitary function check:
(1) Determination of PSH and LH content in blood: If it is higher than normal level, it indicates that ovarian function is low; if it is lower than normal level, it indicates pituitary function or higher central function.
(2) pituitary stimulation test: 15-30 minutes after general administration, the LH value is higher than 2-4 times before administration, and the pituitary function is good. If it is not elevated or elevated, it indicates that the disease may be in the pituitary.
(3) Determination of prolactin (PRL) in blood: If PRL <50ug/ml, further PRL. Excitatory or inhibition test should be performed to identify the increased functional secretion of PRL and pituitary adenoma.
(4) Sella x-ray film, sputum, nuclear magnetic resonance and other examinations: in addition to pituitary tumors.
Diagnosis
Differential diagnosis
No differential diagnosis of menstrual cramps:
1, menstrual cycle changes: If your normal menstrual cycle changes, menstrual blood volume increased, menstrual period and irregular menstruation need to consider uterine fibroids. Myoma of uterus, also known as uterine leiomyoma, is the most common benign tumor of the female genitalia. More asymptomatic, a small number of vaginal bleeding, abdominal mass and compression symptoms. Pain can occur if pedicle torsion or other conditions occur. Multiple uterine fibroids are common. The exact cause of the disease is unknown. Modern western medicine adopts sex hormone or surgical treatment, and there is no other ideal therapy. Uterine fibroids occur in women with 30-45 years of age with ovarian function. After 50 years of age, most of the fibroids shrink by themselves due to the obvious decline of ovarian function.
2, late menstruation: In general, girls do not come to menstruation after the age of 18 or a second sexual trait called late menstruation.
3, menstrual disorders: menstrual disorders are also called menstrual irregular gynecological common diseases. It is characterized by an abnormality in the menstrual cycle or the amount of bleeding, or abdominal pain and systemic symptoms before and during menstruation. The cause may be organic lesions or dysfunction. Many systemic diseases such as blood diseases, hypertension, liver disease, endocrine diseases, miscarriage, ectopic pregnancy, hydatidiform mole, reproductive tract infections, tumors (such as ovarian tumors, uterine fibroids) can cause menstrual disorders.
