Is the pain of labor the same as menstrual cramps?

Patient's question:

What is the feeling of pre-labor contractions? Are they the same as menstrual cramps? Since 2:00 PM, I've been gradually feeling something like menstrual cramps, where it hurts for a bit, then stops, and then hurts again later. It's not very painful yet! I'm 39+5 weeks pregnant. Is this pre-labor contractions?

Doctor's answer:

Guidance: Dysmenorrhea can be divided into two types: primary dysmenorrhea and secondary dysmenorrhea. The most common type among women is primary dysmenorrhea, which begins after menarche and is usually functional, more prevalent in unmarried, childless young women. The causes are many, such as psychological factors, intense physical activity, neglecting warmth or cold, and endocrine disorders. However, the main reason is still the excessive production of prostaglandin F2α in the endometrium. Secondary dysmenorrhea typically appears after a period of menstruation and is usually organic, with common causes including endometriosis, pelvic inflammatory disease, or the use of an intrauterine device.
During menstruation, it is important to keep warm, avoid cold, cool, raw, and cold stimuli; pay attention to rest, reduce fatigue, enhance nutrition, and strengthen the body; avoid psychological stress and maintain a cheerful mood; and prevent excessive sexual activity in daily life.

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