Severe cramps after miscarriage

Patient's question:

I have always had poor health, including asthma and heart problems. After being pregnant for 14 weeks, I had a miscarriage. After the miscarriage, I did not rest properly and had sexual activity about 10 days later. I also started exercising immediately after the miscarriage and did not rest or recuperate. Now, every time I have my period, I experience severe menstrual cramps. Why is this happening? Is this a?

Doctor's answer:

The answer to this question actually needs to be analyzed on a case-by-case basis. If the previous dysmenorrhea was caused by cervical stenosis, the process of miscarriage may potentially widen a woman's cervical canal. From this perspective, some women may not experience dysmenorrhea after miscarriage. However, some studies suggest that an increase in the content of endometrium and prostaglandins in the blood is the main culprit causing dysmenorrhea. Therefore, some women may still experience dysmenorrhea after miscarriage even after a period of recovery.

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