Is it dysmenorrhea if I have dysmenorrhea without menstruation?

Feeling dysmenorrhea without menstruation may be a symptom of dysmenorrhea or other diseases. Dysmenorrhea is usually related to endometrial shedding, but pain without bleeding should consider factors such as pelvic inflammatory disease, endometriosis, ovarian cysts, or gastrointestinal disorders. It is recommended to seek medical treatment promptly for a clear diagnosis.

1. Pelvic inflammatory disease

Pelvic inflammatory disease may cause dull pain or bloating in the lower abdomen. The nature of the pain is similar to dysmenorrhea but without the discharge of menstrual blood. It is common when bacterial infection ascends to the pelvic cavity, accompanied by abnormal leucorrhea or fever. Diagnosis needs to be confirmed through gynecological examination and ultrasound. Ceftriaxone sodium injection, metronidazole tablets combined with doxycycline capsules can be used to treat the infection. If the pain is obvious, ibuprofen sustained-release capsules can be used for a short period of time.

2. Endometriosis

Ectopic endometrial tissue grows in the ovary or pelvic cavity, and may cause periodic bleeding and irritation to the peritoneum in the absence of menstruation, causing dysmenorrhea-like pain. Typical symptoms are dyspareunia and painful defecation, which can be diagnosed through laparoscopy. Drug treatments include ethinyl estradiol, cyproterone tablets, dienogest tablets, etc. Severe cases require lesion resection.

3. Ovarian cysts

When a corpus luteum cyst or chocolate cyst ruptures, it can cause sudden lower abdominal pain that may be more severe than ordinary dysmenorrhea. Ultrasound examination can detect pelvic masses, and small cysts can be observed. Larger cysts require ovarian cyst removal. Celecoxib capsules can be used to relieve acute pain attacks.

4. Gastrointestinal dysfunction

Irritable bowel syndrome or constipation may cause cramping pain in the lower abdomen, which can be confused with dysmenorrhea. Symptoms are mostly related to diet and may be accompanied by constipation or diarrhea. It is recommended to adjust the diet structure and increase dietary fiber intake. If necessary, use Bifidobacterium triple live bacteria capsules to adjust the flora. If the pain is obvious, belladonna tablets can be used to relieve spasm.

5. Pain during ovulation

Some women will experience unilateral pain in the lower abdomen during ovulation, which lasts from several hours to 2-3 days. This is a physiological phenomenon. The pain is caused by the rupture of follicles irritating the peritoneum, which can be determined by recording the menstrual cycle. Treatment is usually not required. For severe pain, heat compresses or acetaminophen tablets can be used.

It is recommended to record the time, intensity and accompanying symptoms of pain, and avoid taking painkillers to cover up the condition. Maintaining a regular schedule and moderate exercise can help relieve functional pain. If the pain lasts for more than 3 days or is accompanied by fever, vomiting and other symptoms, you need to see a gynecologist or gastroenterologist immediately. Before and after menstruation, keep your abdomen warm and reduce your intake of raw and cold foods. You can drink ginger tea to help relieve smooth muscle spasms.