Dysmenorrhea but no period

Dysmenorrhea without menstruation may be related to ovulation pain, abnormal luteal function, pelvic inflammatory disease, endometriosis, uterine fibroids and other factors. It is recommended to seek medical treatment to identify the cause and then treat it accordingly.

1. Pain during ovulation

Follicle rupture in the middle of menstruation may stimulate the peritoneum and cause dull pain in the lower abdomen. The pain usually lasts from several hours to 2-3 days, and some people are accompanied by slight vaginal bleeding. It can be relieved by hot compress. If the pain is severe, you can use ibuprofen sustained-release capsules as directed by your doctor.

2. Abnormal luteal function

Insufficient secretion of progesterone during the luteal phase may lead to abnormal uterine contractions, causing periodic abdominal pain but no menstrual blood discharge. It may be accompanied by breast swelling and pain and mood swings. It needs to be diagnosed through progesterone testing. You can use progesterone soft capsules as directed by your doctor.

3. Pelvic inflammatory disease

Ascending infection by pathogens may cause chronic pelvic pain. The pain is persistent and has nothing to do with the menstrual cycle. It is often accompanied by lumbosacral pain and abnormal secretions. Gynecological examination and secretion culture are required, and doxycycline hydrochloride tablets combined with gynecological Qianjin tablets can be used as directed by the doctor.

4. Endometriosis

Ectopic endometrial tissue changes with the hormonal cycle may cause progressively worsening pain, which may be accompanied by deep dyspareunia or infertility. Ultrasound and CA125 testing need to be combined, and norethindrone tablets or goserelin sustained-release implants can be used to control the lesions as directed by the doctor.

5. Uterine fibroids

Submucosal fibroids may compress the uterine cavity causing spasmodic pain without bleeding, or may present with intermenstrual bleeding with abdominal pain. Ultrasound examination can determine the location and size of fibroids. If the size is larger, laparoscopic myomectomy should be considered.

Daily attention should be paid to recording the time, degree and accompanying symptoms of pain, and avoiding stimulation by strenuous exercise or raw or cold food. It is recommended to wear loose clothing, use a hot water bottle to apply heat to the lower abdomen, and maintain a regular schedule. If pain recurs or affects life, timely gynecological ultrasound, six hormone tests and other tests are needed to rule out organic diseases.