Can uterine malposition cause dysmenorrhea?

Patient's question:

Detailed medical condition and consultation purpose: Hello! Doctor, I am a working professional, and I also experience menstrual cramps every time I have my period, but my uterus feels very cold. I have read some books that mention uterine displacement as one of the causes of menstrual cramps. In marriage, does this condition lead to infertility?

Doctor's answer:

Hello, based on your analysis, menstrual pain can be roughly divided into two types: One type is where there are no obvious reproductive system abnormalities, which generally occurs at the onset of menstruation. It is mostly caused by neuro-psychological pain due to uterine contractions and local ischemia, or due to uterine malformation, cervical stenosis, improper uterine position, or endocrine disorders. The other type is caused by clear diseases, such as reproductive organ inflammation, uterine fibroids, or endometriosis. These reproductive organ diseases can all lead to secondary menstrual pain. It is recommended that you go to the hospital for a check-up for safety.

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