Does primary dysmenorrhea affect pregnancy?

Patient's question:

I recently had a thorough examination at the hospital and found out that I have primary dysmenorrhea. I want to know if primary dysmenorrhea interferes with getting pregnant.

Doctor's answer:

Primary dysmenorrhea can also affect fertility, but the risk of infertility recurrence is relatively lower compared to secondary dysmenorrhea. The causes of infertility associated with primary dysmenorrhea are related to the reasons for its recurrence. Uterine abnormalities, cervical canal deformities leading to poor menstrual blood flow can easily cause infertility. Additionally, long-term interference from dysmenorrhea causing endometrial shedding in patchy form can also damage the endometrium, leading to infertility. Therefore, regardless of the type of dysmenorrhea, active treatment is necessary to prevent the condition from worsening.

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