Source: her
Abstract: The pain of scientific warfare, to be happy, to be happy!
“People who haven’t cried bitterly in the long night are not enough to talk about life.”
Goethe’s words tell us that people struggle with pain all their lives.
Growing up is also a journey full of “pain”.
The female college students who are youthful and sensitive and thoughtful have a deep understanding of this.
I thought I had passed the college entrance examination, but I fell in the final exam of the university.
Compared with the pain of failing a class, the graduation thesis is more desperate.
What’s more heartbreaking is that at the moment of graduation, the breakup season also came together.
Some pains are part of growing up, and they can make us a better version of ourselves.
But some pain is really “can have, but not necessary.”
such as dysmenorrhea.
It’s 2202 years, and there is really no need for a girl with dysmenorrhea to be a “ninja”.
Knowing yourself clearly, dysmenorrhea does not have to be hard, scientific treatment is the correct solution.
Part01
Painful “dysmenorrhea” for a long time
Dysmenorrhea is one of the most common gynecological symptoms [1], and the discomfort symptoms vary from month to month.
Female college students are even worse, and they are more likely to be “patronized” by dysmenorrhea than women of other age groups [2].
As a group with a high incidence of dysmenorrhea, what will they experience during menstruation?
It’s not just that the body continues to bleed for 5-7 days every month.
For those who are lucky, it may just be a constant cramping in the abdomen, a weak body, and no serious problems.
“Unfortunate” people will experience vomiting, diarrhea, dizziness, back pain, and general weakness when their menstrual period comes every month [3]…..
It is no exaggeration to say that. An intern sister of our company almost fainted every time because of dysmenorrhea, her face turned pale, her whole body was sweating.
“The one who has just finished the pain has the right to speak. First, the lower abdomen cramps, and the whole body becomes weak. Then, he lies on the workstation and breaks out in a cold sweat. He continues to have colic pain and shivering all over his body. Tossing me back and forth for an entire afternoon. Hot water and ginger soup fly together. , but with little success, the above description is not exaggerated in the slightest, and I beg for menstrual leave.”
The point is, girls endure menstrual cramps and the misunderstandings that come with them.
I believe that many girls with dysmenorrhea have heard these words: “Everyone is like this” “Just bear with it”…
Therefore, “sensible” girls will subconsciously not talk about this kind of pain and choose to endure it silently.
Even embarrassed to ask for leave due to dysmenorrhea, dragging a weak body, suffering from the pain of ten thousand arrows piercing the stomach, but also gritted his teeth and insisted on work or study.
Otherwise, it may be subject to “big fuss” and “hypocritical” discussions.
Even more paradoxically, most women around me, especially young women, rely on hardships and rarely choose to take medication or seek help from doctors, even if the pain is excruciatingly painful.
In the face of dysmenorrhea, is patience really the only solution?
Part02
Dysmenorrhea may be a disease
The teacher on the sixth floor that her sister once interviewed just recently released a popular science video about dysmenorrhea.
The deepest impression is that he mentioned a concept: dysmenorrhea may be a disease. There is no need to carry it hard, and it can be treated or relieved by drugs [3].
“Dysmenorrhea may be a disease”, this view also made me rethink.
It’s not that Chinese women are not afraid of pain, they just don’t realize that they don’t have to endure pain.
Lack of understanding of the principle of dysmenorrhea, blindness to the harm of pain, and disregard for one’s own health.
I believe many of you have heard the saying “it’s good to get married and have children”.
However, I don’t want girls to pin their hopes on such uncertain factors and experience unnecessary pain in the midst of others.
So, today, her sister decided to have a good chat with everyone – how to manage pain with scientific methods?
First, you need to know what type of dysmenorrhea you have and what it means.
In fact, there are two types of dysmenorrhea: one is “primary dysmenorrhea” and the other is “secondary dysmenorrhea”.
Secondary dysmenorrhea is caused by definite diseases of the reproductive system, such as uterine fibroids, endometriosis, etc. [3]. Such dysmenorrhea is relatively rare, and if it is this type of dysmenorrhea, it is necessary to identify the cause and carry out targeted treatment [3].
The vast majority of women’s dysmenorrhea basically belong to the former – primary dysmenorrhea [1].
The main culprit is something called “prostaglandin” [1].
Simply put, prostaglandins increase the day before and during menstruation.
During the entire menstrual period, the uterus will contract, but excessive prostaglandins can lead to excessive contraction of uterine smooth muscle, ischemia, and hypoxia, causing discomfort and pain [4].
Regarding the specific pain, it can be divided into three grades: mild, moderate and severe [2]:
Dysmenorrhea will not only bring physical discomfort, but even affect the concentration and mental state [5], affecting the normal study and life of girls.
How can we relieve these pains?
If it is a “mild” condition, you can try hot compress, rest, exercise, etc. to improve [5].
If it is “moderate to severe”, the pain lasts for a long time, or the pain is severe, and even affects normal study or work, you can seek professional advice and help.
Part03
to be happy, to be happy
For girls who are suffering to death, they can try drug treatment under professional guidance.
Speaking of drugs.
Due to the lack of popular science and traditional misconceptions, many women have a misunderstanding:
I am worried that taking too much medicine will not be good for my health, it will have side effects, and I am also afraid of becoming dependent.
There are also many girls who simply “medicine is not symptomatic”, do not say that there is no effect, and may also induce other diseases.
Source: Official Weibo of Henan TV Minsheng Channel “Little Li Helps”
But in fact, “using the right medicine” can relieve pain in a timely and scientific way.
Her sister summarized two drug treatment methods, hoping that sisters can find the most suitable one for themselves:
One is non-steroidal anti-inflammatory drugs.
The principle is very simple, it mainly exerts analgesic effect by reducing the synthesis of prostaglandins, and will not produce drug resistance and addiction [6].
Moreover, side effects are generally uncommon and mild [7].
Some sisters may report that the gastrointestinal tract is uncomfortable after taking the medicine [5].
In fact, these drugs can be divided into selective and non-selective, and they have different risks of gastrointestinal complications [8].
The other is, calcium channel blockers.
It can inhibit the influx of calcium ions through the uterine smooth muscle cell membrane into the cells, thereby inhibiting smooth muscle contraction, relieving uterine spasmodic contraction, dilating blood vessels, improving uterine blood supply, and treating dysmenorrhea [9].
Here, it is also necessary to remind everyone that you should listen to professional advice to assess the risks before taking drugs, and do not use drugs by yourself.
Now, there are many online and offline channels for consultation with medical professionals. Everyone can choose a suitable plan according to their own pain level, as well as their needs for onset time and gastrointestinal safety, and more accurately relieve pain.
Knock on the blackboard at the end of the text
Finally, you can poke the popular science video of the teacher on the sixth floor to get more scientific dry goods for dysmenorrhea~
If you would like to learn more about disease knowledge, please consult a healthcare professional.
Data reference:
[1] Xie Xing et al. Obstetrics and Gynecology (8th Edition) [M]. People’s Health Publishing House, 2013.
[2] Pan Jiayan, Zhang Xianlai, Wen Yufeng. Investigation on dysmenorrhea status of newly admitted female college students and analysis of related factors [J]. Continuing Medical Education, 2010 (4): 73-76.
[3] Cao Zeyi. Chinese Obstetrics and Gynecology (2nd Edition) [M]. People’s Health Publishing House. 2004. Chapter 6 Dysmenorrhea. P2482.
[4] Sun Xiaoli, Du Caisu. Research progress on the influencing factors and intervention of primary dysmenorrhea [J]. Chinese Journal of Social Medicine, 2017, 34(03): 262-264.
[5] Liang Yongqi, Yang Xiaojun, Wen Jing, Yuan Mingyue, Jiao Yaqi, Zhang Xiaoqian, Wang Shiqi. Research progress on the intervention and treatment of primary dysmenorrhea in female college students [J]. Modern Medicine and Health, 2020, 36(23): 3805-3808.
[6] Rao Yuefeng, Wang Rongrong, Lu Xiaoyang, et al. Application progress of non-steroidal anti-inflammatory drugs in perioperative pain management in enhanced recovery after surgery [J]. Chinese Journal of General Surgery, 2017.
[7] Qi Jun, & Teng Xiuxiang. (2010). Problems related to painkillers in the treatment of dysmenorrhea. Chinese Clinicians, (2), 20-21.
[8] Day Richard O and Graham Garry G. The vascular effects of COX-2 selective inhibitors[J]. Australian Prescriber, 2004, 27(6) : 142-145.
[9] Xiong Yali. Progress in the treatment of primary dysmenorrhea [J]. Journal of Medicine, 2011, 30(2): 232-234.