Why do some people have painful menstrual cramps and some don’t?

Due to the differences in individual constitution, it is possible that some people have dysmenorrhea while others do not. Primary dysmenorrhea is associated with increased levels of prostaglandins in the patient’s endometrium.
Dysmenorrhea is a disease that affects women’s normal work and life when they are in the midst of their menstrual period or around the time of menstruation, when they experience cyclical pain in the abdomen, or with lumbosacral pain, or even fainting from severe pain. It usually leads to a feeling of falling abdomen and pain, accompanied by lumbar and back pain, pallor and other symptoms.
The occurrence of primary dysmenorrhea is mainly related to the increased prostaglandin content in the endometrium during menstrual flow. Studies have shown that prostaglandin levels in the endometrium and menstrual blood of patients with dysmenorrhea are significantly higher than those of normal women. In addition, primary dysmenorrhea is also influenced by mental and neurological factors, and the subjective perception of pain is related to the individual pain threshold.
Dysmenorrhea may also be secondary to pelvic disease. It is recommended to go to the hospital to clarify the nature of dysmenorrhea. Patients should pay attention to proper rest, ensure adequate sleep and mental relaxation in normal times.