Can primary dysmenorrhea have sexual life?

Patient's question:

I have been experiencing menstrual cramps all the time.

Doctor's answer:

The causes of primary dysmenorrhea are varied, such as excessive retroversion and retroflexion of the uterus, uterine developmental abnormalities or malformations (such as bicornuate uterus, uterine septum, etc.), vaginal abnormalities, hymen, pelvic masses, adnexitis, and endometriosis, etc. Sexual life and primary dysmenorrhea have no direct relationship, but neglecting sexual hygiene can lead to infections that cause dysmenorrhea. Taking birth control pills can affect hormone levels in the body and also cause dysmenorrhea.

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