What tests are better?

If severe dysmenorrhea is present, it is necessary to trace whether it is caused by primary dysmenorrhea or secondary dysmenorrhea. Primary dysmenorrhea refers to a series of gynecological examinations that do not reveal the existence of any organic lesions. In this case, it is considered primary dysmenorrhea. Primary dysmenorrhea accounts for about 90% of all dysmenorrhea patients. After ultrasound detection, no ovarian, pelvic, and uterine endometriosis or inflammation, while vaginal diagnosis, there is no sign of pelvic endometriosis, can be considered primary dysmenorrhea. The rest because in the gynecological examination, if the internal examination found that there are uterine rectal fossa such palpable nodules, the first consideration is pelvic endometriosis, will also cause more serious dysmenorrhea. When B-ultrasound and gynecological examination show that the uterus is spherical, this is a typical manifestation of adenomyosis. Dysmenorrhea caused by adenomyosis can be particularly severe and will worsen year by year with time, so it is recommended to give certain medical intervention. In rare cases, there are some dysmenorrhea caused by ovarian endometriosis, etc. Therefore, what kind of examination needs to be done for dysmenorrhea, or need to seek professional gynecologist to carry out relevant diagnosis and treatment, at least need to carry out ultrasound and gynecological internal examination, if necessary, also need to combine tumor markers, such as CA12 -5 detection.