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Tuesday, February 13, 2018

Menstrual Disorder - Dysmenorrhea - The Diagnosis

Dysmenorrhea (painful menstruation) is defined as a condition of severe uterine pain during menstruation. Some women may experience periodic pains during or prior to, or after menstrual periods in the lower abdomen as resulting of over production of certain hormones in the prostaglandins family. In traditional Chinese medicine, dysmenorrhea is defined as a pain in the lower abdomen, appearing with menstrual cycle that can spread over to the whole abdomen and lumbosacral region, depending to diagnosis.

Diagnosis 
After taking a brief family history and the physical exam including the Abdominal, pelvic, and rectal examinations to check any abnormality of which may be the underlined causes. Diagnosis in general includes
A. In primary dysmenorrhea
If the secondary dysmenorrhea underlined causes (See below) are rule out. No further test will be required.

B. In secondary dysmenorrhea
A. Blood test
1. Erythrocyte sedimentation rate (ESR)
The test is to rule out any inflammation is present in the body. The higher the level of ESR may be an indication of inflammation.
2. Electrolytes
The aim of the test is to determine the levels of Electrolytes, including Sodium, Chloride, Potassium, calcium, etc. to rule out the imbalanced electrolytes cause of dysmenorrhea.
3. Pregnancy test
The test is to rule out the ectopic pregnancy cause of the condition.
4. Tumor markers
The blood test of tumor markers is to rule out the malignant or benign tumor cause of dysmenorrhea.
5. Etc.

B. Swab of vaginal discharge
The aim of the test is to rule out any sexual transmitting diseases cause of the problem.

C. Other tests
1. Laparoscopy
Laparoscopy is a long, thin like tube with light and camera at the end insert into a woman abdomen to allow her doctor to visualize and abnormality in the abdomen region in the computer screen to rule out the cause of dysmenorrhea, such as ectopic pregnancy, endometriosis and pelvic inflammatory disease.

2. Dilatation and curettage
Dilatation and curettage (D & C) is procedure in which the cervix is dilated (expanded) and the lining of the uterus (endometrium) is scraped away to allow a visualization of the uterine cavity.

3. Pelvic ultrasound
Pelvic ultrasound allows your doctor to visualize the ovaries and around structures to check for any abnormality in the pelvic region, including uterus or fallopian tube, ovaries and ectopic pregnancy.



Author Biography
Kyle J. Norton (Scholar, Master of Nutrition, All right reserved)
Health article writer and researcher; Over 10.000 articles and research papers have been written and published on line, including world wide health, ezine articles, article base, healthblogs, selfgrowth, best before it's news, the karate GB daily, etc.,.
Named TOP 50 MEDICAL ESSAYS FOR ARTISTS & AUTHORS TO READ by Disilgold.com Named 50 of the best health Tweeters Canada - Huffington Post
Nominated for shorty award over last 4 years
Some articles have been used as references in medical research, such as international journal Pharma and Bio science, ISSN 0975-6299.

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