“Top Questions and Answers about Menstrual Pain: A Czech Perspective”

Czech ! Top questions about menstrual pain

1. How do we notice that Our menstrual pain is likely to be abnormal. until having to see a doctor

➲ Abdominal pain is characterized by more menstrual cramps. and longer pain until having to take more medicines which from the beginning may not require medication Or the pain is so severe that you have to come to the hospital for injections to relieve pain. by pain that looks like a rupture, such as pain that radiates through the back, coccyx, anus, or radiates down to the groin on both sides, and in addition, there may be pain outside the menstrual cycle as well, such as pain after the end of the menstrual cycle already that is not related to menstruation or chronic lower abdominal pain and may have other symptoms In addition to joint pain, for example, the amount of menstruation is higher than usual, for example, from using 2-3 sanitary napkins per day, but having to change to use 5-7 pads per day or having a large clot coming out

➲ have abnormal excretion And often only during the menstrual period, such as abnormal urination It may be frequent urination or incontinence. Difficulty passing stools during menstruation or bloody stools

➲ Feel the lump in the lower abdomen. making it possible to notice that urination is more frequent

➲ chronic vaginal discharge

➲ having a history of gynecological diseases, such as having had pelvic inflammatory disease or have ever had a uterine fibroid mass detected or ovarian cyst which had previously been cured But again and again can cause menstrual pain

2. When you see a doctor There will be a way to search. How to treat the initial to know the disease
➲ history taking The obstetrician will ask questions about the pain. and other symptoms According to the symptoms in item 1. About 70-80% of the history can be predicted to be a disease that causes menstrual pain.

➲ Physical examination and internal examination for patients who have had sexual intercourse To check for abnormalities of the uterus and ovaries on both sides, pelvic exams at the back of the uterus junction with the lower intestine that may find lesions in that location which is a common disease endometriosis

➲ Pelvic ultrasound examination to detect abnormalities of the uterus and ovaries on both sides There will be an ultrasound through the abdomen and the vagina.

3. What is the most common disease? What are the predominant symptoms? and what kind of treatment is available
endometriosis which can be found about 10 -20% in adolescents, working age or reproductive age with chronic lower abdominal pain But for those who have menstrual pain endometriosis The more the percentage or chances are up to about 50-70%, which is the dominant symptom of endometrial hyperplasia. aching back pain during intercourse It is a common symptom of endometrial hyperplasia. The initial treatment will be drug therapy. This can be done without biopsy confirmation or surgical treatment. The drug used to treat it will be a group of oral contraceptives or progestin hormones that have been taken before. and follow-up appointments according to symptoms continuously to monitor the treatment results if symptoms improve The doctor will recommend that the patient take the drug continuously for at least 18-24 months, but if the symptoms do not improve will consider changing to another group of drugs or treated by surgery

however Endometriosis Treatment The main aim is to reduce pain. Inhibiting lesions so that they do not multiply, that is, inhibiting or reducing menstrual pain and preserving fertility. There is generally no best treatment option. But it will depend on each patient, taking into account factors such as the need for contraception. the desire to have children Contraindications for taking the drug and side effects of the drug A history of drug use is important.

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