Patient's question:
I am 18 years old. I got my period at the age of 13, but I have never experienced any menstrual cramps. Except that my menstrual flow is a bit light, there are no other problems. Is it normal for some girls not to have menstrual cramps?Doctor's answer:
There are many reasons for menstrual cramps. They are mainly divided into two types: primary dysmenorrhea and secondary dysmenorrhea. Primary dysmenorrhea is more common in women who have not had sexual activity, and no organic diseases are found upon examination. Even primary dysmenorrhea is influenced by environmental and psychological factors, such as catching a cold, eating cold and irritating foods, or experiencing mental stress, which can all lead to the occurrence of menstrual cramps. Additionally, there is secondary dysmenorrhea, which may appear after marriage and is often associated with conditions such as adenomyosis, endometritis, uterine adhesions, pelvic inflammatory disease, or endometriosis. It is recommended to undergo a color Doppler ultrasound examination of the uterine appendages at the hospital to identify the cause and receive further treatment.