What's wrong with the feeling of dysmenorrhea but no menstruation?

The feeling of dysmenorrhea without menstruation may be related to factors such as premenstrual syndrome, ovulation pain, pelvic inflammatory disease, endometriosis, and urinary tract infection. It can be relieved through hot compresses, drug intervention, and adjustment of living habits. It is recommended to seek medical treatment to determine the cause.

1. Premenstrual syndrome

Premenstrual syndrome may cause lower abdominal bloating, backache and other symptoms similar to dysmenorrhea before menstruation, which are usually related to fluctuations in hormone levels. Symptoms include mood swings, breast swelling and pain, etc. It can be relieved by local hot compress and vitamin B6 supplement. In severe cases, you can use ibuprofen sustained-release capsules, Dan'e Fukang decoction or progesterone capsules as directed by your doctor.

2. Ovulation pain

Follicle rupture during ovulation may stimulate the peritoneum and cause unilateral lower abdominal pain, which lasts from several hours to 2-3 days and may be accompanied by a small amount of vaginal bleeding. It is related to the release of prostaglandins and can be relieved by using Nuan Gong Patch. When the pain is obvious, acetaminophen tablets or celecoxib capsules can be taken for a short period of time.

3. Pelvic inflammatory disease

Pelvic inflammatory disease may cause persistent lower abdominal pain, often accompanied by abnormal discharge and fever. It is related to bacterial ascending infection and requires medical treatment with antibiotics such as cefixime dispersible tablets combined with metronidazole tablets. In the chronic stage, Fuke Qianjin Capsules can be used.

4. Endometriosis

Ectopic endometrium may cause cyclic pelvic pain that is not synchronized with the menstrual cycle. It may be accompanied by painful sexual intercourse and painful defecation, and laparoscopy is required for diagnosis. Treatment includes dienogest tablets, Guizhi Fuling capsules and other drugs or laparoscopic surgery.

5. Urinary system infection

Cystitis or urethritis may present as lower abdominal discomfort with frequency and urgency of urination and is associated with bacterial infection. It can be diagnosed through urine routine. Commonly used drugs include levofloxacin tablets, Sanjin tablets or Relinqing granules. During treatment, you need to drink more water.

It is recommended to record the time of occurrence, duration and accompanying symptoms of pain, and avoid overexertion and cold food. If symptoms recur or worsen, gynecological examination, ultrasound, etc. are required to check for organic diseases. You can practice abdominal breathing every day to relieve pain, keep your perineum clean, and choose breathable cotton underwear. Note that strenuous exercise and bathing are prohibited during pain. If the body temperature exceeds 38°C, seek medical attention promptly.