Dysmenorrhea (Cramps) 痛經

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Dysmenorrhea means that women have periodic pain during or prior to or after menstrual period in the lower abdomen or faint in severe cases.

It has been customary to classify cases of dysmenorrheal into two main group:

Primary or functional dysmenorrheal referring to the one which is not caused by organic diseases,

And secondary dysmenorrheal referring to the one caused by organic diseases in reproductive system.

Main points of diagnosis:

1 Distending pain and tenderness in the lower abdomen one or two days prior to or during menstruation accompanied with fullness sensation in the chest, hypochondrium and breast, deep-purple blood with clots, relief of pain after discharge of clots.

2 The pain can spread over the whole abdomen, lumbosacral region or there is dragging pain in the vulva and anus. It varies in degrees and can be relieved when the menstrual blood flows smoothly.


婦女正值經期或行經前后,出現週期性小腹疼痛,或痛引腰骶,甚至劇痛昏厥者,稱為痛經,亦稱經行腹痛.

生殖器官無器質性病變者,稱原發性痛經或功能性痛經;

因生殖器官無器質性病變所引起痛經,稱為繼發性痛經.

診斷要點:

1 經前1~2日或經期小腹脹疼痛拒按,伴胸胁乳房作脹,經血紫暗有塊,塊下痛減.

2 疼痛可引及全腹或腰骶部,或外陰,肛門墮痛,有輕有重,經血排出流暢時,疼痛可緩解.


妇女正值经期或行经前后,出现周期性小腹疼痛,或痛引腰骶,甚至剧痛昏厥者,称为痛经,亦称经行腹痛.

生殖器官无器质性病变者,称原发性痛经或功能性痛经;

因生殖器官无器质性病变所引起痛经,称为继发性痛经.

诊断要点:

1经前1~2日或经期小腹胀疼痛拒按,伴胸胁乳房作胀,经血紫暗有块,块下痛减.

2疼痛可引及全腹或腰骶部,或外阴,肛门堕痛,有轻有重,经血排出流畅时,疼痛可缓解.


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