Dysmenorrhea means that women have periodic pain during or prior to or after menstrual period in the lower abdomen or faint in severe cases.
It has been customary to classify cases of dysmenorrheal into two main group:
Primary or functional dysmenorrheal referring to the one which is not caused by organic diseases,
And secondary dysmenorrheal referring to the one caused by organic diseases in reproductive system.
Main points of diagnosis:
1 Distending pain and tenderness in the lower abdomen one or two days prior to or during menstruation accompanied with fullness sensation in the chest, hypochondrium and breast, deep-purple blood with clots, relief of pain after discharge of clots.
2 The pain can spread over the whole abdomen, lumbosacral region or
there is dragging pain in the vulva and anus. It varies in degrees and
can be relieved when the menstrual blood flows smoothly.