Stasis dysmenorrhea

Introduction Blood stasis dysmenorrhea is one of the symptoms of pelvic congestion syndrome. Pelvic congestion syndrome (also known as pelvic septicemia) is a special condition caused by chronic pelvic venous stasis and is one of the main causes of chronic pelvic pain in gynecology. It is more common in women aged 30-50 years.

Cause

1. Any factor that causes the pelvic vein to flow out of the pelvis is poor or blocked, can cause pelvic venous stasis.

2, compared with men, gynecological pelvic circulation in anatomy, circulatory dynamics and mechanics are very different, is easy to form the basis of pelvic blood stasis.

3, because women do not pay attention to diet, rest during the menstrual period, often eat cold food, etc., may cause congestion.

an examination

Related inspection

Gynecological ultrasound examination of gynecological routine examination

First, the basic inspection

1. Vagina: B-ultrasound is helpful in diagnosing this disease.

2. Pelvic venography: can clearly and dynamically display pelvic varicose images, objectively prove the existence of pelvic venous stasis.

Second, further inspection

Laparoscopy: the uterus is enlarged, the surface is purple-blue or the surface of the uterus is "spotted". The ovary on one or both sides is cystic enlargement edema, varicose veins in the ovary, and the vascular stenosis in the broad ligament is distorted. Form a venous tumor or sputum.

Third, the diagnosis points

1. Patients with or with partial clinical manifestations mentioned above, especially those with lower abdominal or pelvic bulge and signs.

2. Pelvic venography can be diagnosed with varicose veins.

3. Difficult cases can be further laparoscopic.

Differential diagnosis

Differential diagnosis:

Secondary dysmenorrhea: more common in postpartum and middle-aged women, caused by pelvic inflammatory disease, tumor or endometriosis. Symptoms can have periodic lower abdominal pain, cold pain, burning pain, tingling, dull pain, falling pain, cramps, cramps, tearing pain and so on. In addition, some patients are often accompanied by systemic symptoms, such as breast pain, anal bulge, chest tightness, irritability, irritability, apnea, headache, dizziness, nausea and vomiting, stomach pain, diarrhea, fatigue, pale, pale limbs, cold sweats Secondary symptoms of dysmenorrhea such as vaginal discharge.

Primary dysmenorrhea: functional dysmenorrhea. Dysmenorrhea refers to menstrual pain, often spasmodic, concentrated in the lower abdomen, other symptoms include headache, fatigue, dizziness, nausea, vomiting, diarrhea, low back pain. It is a very common condition among young women. Primary dysmenorrhea is not associated with significant pelvic organic disease.

Dysmenorrhea: refers to the lower abdominal abdomen pain before and after menstruation or menstruation, and there is general malaise, severe cases affect daily life and work. Dysmenorrhea is divided into primary and secondary dysmenorrhea. After detailed gynecological clinical examination, there was no obvious abnormality in the basin. It was called primary dysmenorrhea, also called functional dysmenorrhea. Secondary dysmenorrhea refers to those with obvious lesions in the reproductive organs, such as endometriosis and pelvic inflammatory tumors. This classification method gives clinicians a more concise concept of two types of dysmenorrhea.

diagnosis:

1. Chronic pelvic fall or falling pain, gradually increased from the middle of menstruation, menstrual cramps or fatigue after aggravation, accompanied by deep pain and low back pain, sometimes unbearable, cyclical.

2. Extreme fatigue, the doctor can not find the relevant lesions.

3. Blood stasis dysmenorrhea: more than half of these symptoms, the day before menstruation or the first day of menstruation is the heaviest, the second day after menstrual blood increased significantly reduced and disappeared.

4. Too much vaginal discharge: mostly transparent mucus or watery leucorrhea.

5. Menstrual changes: menstrual cycle elements change significantly, but there may be an increase in menstrual flow, menstrual blood is a paste color, a quarter of patients ovulation a small amount of bleeding.

6. Breast pain: Before menstruation, the pain is quickly relieved after menstruation, or completely disappeared.

7. Vulvar swelling, falling pain, vaginal wall can be purple blue, swelling of the labia and venous filling.

8. Urinary tract symptoms: About 1/3 of patients have obvious symptoms of frequent urination and dysuria before menstruation, and are suspected of urinary tract infection.

9. Anal bulge: obvious in defecation and premenstrual, especially in the uterus.

10. Symptoms of autonomic dysfunction: neurasthenia, irritability, insomnia, headache, nausea in the precordial area or palpitations, body aches and discomfort.

L1. Abdominal examination: mild deep tenderness in the lower abdomen.

12. Women's check: vulvar vein filling, vaginal and cervical mucosa are often purple-blue, the uterus is mostly soft, and the accessory area around the palace has obvious tenderness and fullness, but there is no obvious thickening and mass.

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