Why do you still have dysmenorrhea after giving birth?

Dysmenorrhea after giving birth may be related to factors such as hormonal changes, changes in uterine position, pelvic inflammation, endometriosis, adenomyosis, etc. It can be relieved by hot compresses, drug conditioning, and traditional Chinese medicine treatment.

1. Hormone changes

Fluctuations in hormone levels during postpartum lactation may affect prostaglandin secretion, leading to increased uterine contractions and dysmenorrhea. This type of dysmenorrhea is usually accompanied by a decrease in menstrual flow and can be treated with local hot compress or the use of Tianqi Dysmenorrhea Capsules as directed by your doctor.

2. Change in uterine position

Pregnancy and childbirth may cause the uterus to bend backwards, and poor discharge of menstrual blood may stimulate uterine contractions. This type of dysmenorrhea usually worsens on the second day of menstruation, manifesting as bloating in the lower abdomen. It is recommended to exercise in the knee-chest position and drink brown sugar ginger tea.

3. Pelvic inflammation

Infection during the puerperium may cause chronic pelvic inflammatory disease, leading to pelvic congestion and pain during menstruation. It may be accompanied by abnormal secretions, and you need to seek medical attention for a gynecological examination. After diagnosis, you can follow the doctor's instructions and use Fuke Qianjin Tablets combined with Levofloxacin Tablets for treatment.

4. Endometriosis

Cesarean section surgery may cause endometriosis implantation, resulting in progressively worsening dysmenorrhea. Typical symptoms are dyspareunia and painful defecation, which require ultrasound examination for diagnosis. You can use gestrinone capsules or injected goserelin sustained-release implants as directed by your doctor.

5. Adenomyosis

Multiple pregnancies and childbirth may induce the endometrium to invade the myometrium, manifesting as heavy menstrual flow accompanied by severe dysmenorrhea. Ultrasound shows that the uterus is uniformly enlarged, and dienogest tablets can be used as directed by the doctor. In severe cases, uterine artery embolization needs to be considered.

It is recommended to record the duration and pain level of dysmenorrhea and avoid strenuous exercise during menstruation. Keeping the abdomen warm every day and properly supplementing calcium and magnesium can help relieve muscle spasms. If the pain affects daily life or is accompanied by fever, abnormal bleeding and other symptoms, gynecological ultrasound and six hormone examinations should be carried out promptly. After organic diseases are ruled out, short-acting contraceptive pills and other programs can be used for cycle conditioning. You can drink rose tea before and after menstruation to help soothe your mood and avoid consuming cold and irritating foods.