Menstruation can be painful, indicating the presence of dysmenorrhea, which may be caused by physiological factors, gynecological diseases, intrauterine placement of birth control devices, and medical factors.
1. Physiological factors: During menstruation, dysmenorrhea may occur due to the gradual increase in prostaglandin levels, which tends to cause abnormal contractions of the uterus.
2. Gynecological diseases: such as endometriosis, ovarian cysts, uterine fibroids, chronic pelvic inflammatory disease, etc., may cause dysmenorrhea at the time of menstruation, and the pain may be more serious.
3. Intrauterine birth control device: placing a birth control device in the uterus may cause damage to the uterus, which may also lead to dysmenorrhea at the time of menstruation, or worsen the dysmenorrhea.
4. Medical factors: Previous intrauterine operations, such as abortion and endometrial biopsy, are likely to cause damage to the uterus, which may lead to dysmenorrhea at the onset of menstruation.
Dysmenorrhea has more causes, if the pain is severe, it is recommended to consult a doctor in a timely manner, improve the relevant examination, under the guidance of a specialist to clarify the cause of the disease, targeted treatment.