Patient's question:
Currently, under normal circumstances: Sometimes, it's several months apartDoctor's answer:
Endometriosis, adenomyosis, uterine fibroids, endometrial polyps, uterine adhesions, unicornuate uterus, pelvic inflammatory disease (acute, chronic), cervical stenosis, imperforate hymen, transverse vaginal septum.How to differentiate primary dysmenorrhea from secondary dysmenorrhea. A complete medical history, onset age, disease progression, nature of the condition, and accompanying symptoms are helpful in differential diagnosis. A negative gynecological examination is key to diagnosing primary dysmenorrhea, but early secondary dysmenorrhea may also show no positive findings. Ultrasound, hysterosalpingography, and hysteroscopy can assess the uterus and adnexa; laparoscopy allows direct visualization of pelvic lesions and can be used for biopsy.
It is recommended that you undergo relevant gynecological examinations at a hospital. Once the cause is identified, targeted treatment can be administered.