Dysmenorrhea is not simple. These types of dysmenorrhea can cause infertility!

When it comes to dysmenorrhea, many friends will silently endure the discomfort of those days, thinking that everything will be fine as long as they can get through these days. In fact, dysmenorrhea is not that simple! Abdominal pain during menstruation cannot be cured by just taking some painkillers. Dysmenorrhea not only affects women’s physical health, but in severe cases it can lead to female infertility!

In addition to primary dysmenorrhea, there is also secondary dysmenorrhea. Primary dysmenorrhea will not affect conception, while secondary dysmenorrhea is often related to organic pelvic diseases. The following diseases that cause secondary dysmenorrhea will affect conception.

Endometriosis: 50% of patients with endometriosis suffer from infertility, and more than 35% of infertility is caused by endometriosis. The main manifestations of endometriosis are secondary dysmenorrhea, progressive aggravation, infertility, discomfort during sexual intercourse, and menstrual abnormalities.

Pelvic infection: Mild cases of pelvic inflammatory disease are asymptomatic or have mild symptoms. Common symptoms include lower abdominal pain and increased vaginal discharge. The abdominal pain is persistent and worsens after activity or sexual intercourse. If the condition is serious, fever or even high fever, chills, headache, and lack of appetite may occur. If pelvic inflammatory disease is not diagnosed and treated promptly and correctly, pelvic inflammatory disease sequelae will occur, and the incidence of infertility among its clinical manifestations is 20~30%. The main causes of tubal infertility include pelvic infection, and the microorganisms that cause the infection mainly include Neisseria gonorrhoeae, Chlamydia trachomatis and aerobic and anaerobic bacteria infection of the vagina.

Endometrial polyps: Symptoms of endometrial polyps include menorrhagia, menstrual disorders, bleeding during sexual intercourse or intermenstrual bleeding. Symptoms do not correlate with the size, number, or location of the polyps. The incidence of endometrial polyps in infertile women with normal menstruation is 15.6%. The presence of polyps may have the following adverse effects on reproduction: irregular local endometrial bleeding; inflammatory endometrial reaction; blocking sperm transport; affecting embryo implantation, etc.

Submucosal uterine fibroids: Prolonged menstrual period and increased menstrual flow are the main manifestations. When submucosal fibroids are accompanied by necrotic infection, there may be irregular vaginal bleeding or bloody purulent discharge. Fibroids and submucosal fibroids that cause deformation of the uterine cavity have a negative impact on reproduction. Drug treatment of fibroids does not improve fertility.

Intrauterine adhesion: occurs in pregnancy endometrial damage. Non-pregnancy endometrial damage is seen in abortion, diagnostic curettage, cervical biopsy or polypectomy, after IUD removal, after endometrial resection, etc. Infection can also cause intrauterine adhesion. The incidence of uterine adhesion is positively correlated with the number of induced abortions. Chronic reproductive system inflammation is not treated before surgery, disinfection is not strict during surgery, and sexual intercourse is too early after surgery, which causes infection and promotes the formation of uterine adhesion. The pregnancy prognosis of patients with severe intrauterine adhesions is extremely poor. The main symptoms of intrauterine adhesions are amenorrhea with cyclical abdominal pain, oligomenorrhea, and secondary infertility after artificial abortion or curettage.

In summary, the symptoms of dysmenorrhea vary. When you have dysmenorrhea, through the above learning, if you find that you do not have primary dysmenorrhea, you need to go to the hospital for relevant examinations and necessary treatment, especially for the above-mentioned dysmenorrhea that affects conception. Active and effective treatment can not only treat dysmenorrhea, but also clear obstacles for smooth conception!