Feeling of dysmenorrhea but no period

Having dysmenorrhea but not having your period may be related to pregnancy, endocrine disorders, pelvic inflammatory disease, endometriosis, uterine fibroids and other factors. It is recommended to seek medical treatment promptly to determine the cause of the disease and avoid self-medication that may delay the condition.

1. Pregnancy

If women of childbearing age have a history of sexual intercourse, priority should be given to ruling out the possibility of pregnancy. After the fertilized egg implants, there may be dull pain in the lower abdomen and other symptoms similar to premenstrual discomfort, but accompanied by symptoms of menopause. It can be confirmed through early pregnancy test paper test or blood HCG test. After diagnosis, you need to follow the doctor's advice for pregnancy management.

2. Endocrine disorders

Factors such as staying up late for a long time and being too stressed may cause hormone levels to be disrupted and cause pseudodysmenorrhea. The common manifestation is abnormal menstrual cycle accompanied by bloating in the lower abdomen, which can be diagnosed through six sex hormone tests. Adjust your work and rest with oryzanol tablets, progesterone capsules and other medications while maintaining emotional stability.

3. Pelvic inflammatory disease

Pelvic inflammation caused by ascending infection of pathogens can cause persistent pain in the lower abdomen during non-menstrual periods, which may be accompanied by fever and abnormal secretions. Gynecological examination showed tenderness in the appendage area, and B-ultrasound showed pelvic effusion. Antibiotic treatments such as levofloxacin hydrochloride capsules and metronidazole tablets need to be used in a standardized manner.

4. Endometriosis

Endometriosis lesions may also cause periodic bleeding stimulation outside menstruation, causing progressively worsening pelvic pain. Laparoscopy is the gold standard for diagnosis. Treatment options include dienogest tablets, ibuprofen sustained-release capsules and other drugs to control the progression of the disease.

5. Uterine fibroids

When intramural fibroids compress or submucosal fibroids twist, severe abdominal pain may occur suddenly without vaginal bleeding. Ultrasound examination can determine the location and size of fibroids. If the symptoms are mild, you can take Guizhi Fuling capsules to control them. If the symptoms are larger, uterine myomectomy should be considered.

It is recommended to record the time, nature and accompanying symptoms of pain attacks, and avoid strenuous exercise and cold foods during menstruation. Keep your vulva clean and choose pure cotton breathable underwear. If the pain lasts for more than 3 days or symptoms such as syncope and vomiting occur, you need to see a gynecologist immediately for pelvic ultrasound, internal gynecological examination and other examinations. Daily discomfort can be relieved by applying hot compress to the lower abdomen, and regular work and rest can help maintain endocrine homeostasis.