Patient's question:
I am 15 years old, and I experience severe abdominal pain on the first day of my menstrual period every time. I started menstruating at 13, and my period and flow are normal. Is this a medical condition? What should I do?Doctor's answer:
Hello, dysmenorrhea occurs due to excessively high levels of prostaglandins synthesized by the endometrium, leading to abnormal uterine contractions. Clinically, it is divided into primary dysmenorrhea and secondary dysmenorrhea. It is a common gynecological condition.Primary dysmenorrhea typically occurs within the first year after menarche and is not associated with pelvic organic lesions. It is also referred to as functional dysmenorrhea, such as: psychological factors, uterine developmental abnormalities, excessive anteroposterior flexion of the uterus, etc.
Secondary dysmenorrhea usually occurs more than 2 years after menarche and is caused by pelvic organic lesions, such as: pelvic inflammatory disease, adnexitis, parametritis, endometriosis, adenomyosis, uterine fibroids.
It is recommended that you seek medical attention promptly for examination and diagnosis, and actively treat the condition.