Can secondary dysmenorrhea resolve on its own?
Secondary dysmenorrhea usually does not resolve on its own. Patients should promptly visit a hospital for relevant examinations to identify the underlying cause and receive targeted treatment, thereby alleviating menstrual pain.
Dysmenorrhea is classified into primary and secondary types. Primary dysmenorrhea refers to menstrual pain that begins with the first menstruation, while secondary dysmenorrhea develops gradually several years after the onset of menstruation. Common symptoms include lower abdominal pain, a sensation of heaviness in the lower abdomen, anal pressure, and painful intercourse. If a patient has secondary dysmenorrhea, it typically does not resolve spontaneously. However, medical treatment can effectively relieve discomfort. Secondary dysmenorrhea may be caused by conditions such as endometriosis or chronic pelvic inflammatory disease. For cases caused by endometriosis, patients are advised to take medications such as ethinylestradiol/cyproterone acetate tablets or drospirenone and ethinylestradiol tablets under a doctor's guidance. If due to chronic pelvic inflammatory disease, oral medications like Fuke Qianjin tablets or Gongyan Kang granules may help improve symptoms.
Patients should maintain regular sleep habits, avoid strenuous exercise, eat a light diet, and refrain from overeating or binge eating.