Can dysmenorrhea cause infertility?

Dysmenorrhea usually does not directly lead to infertility, but if it is caused by diseases such as endometriosis and adenomyosis, it may increase the risk of infertility.

Primary dysmenorrhea is functional pain caused by increased secretion of prostaglandins during menstruation. This type of dysmenorrhea does not affect the structure of the reproductive organs and is not directly related to fertility. Symptoms can be relieved by applying hot compresses and taking painkillers such as ibuprofen sustained-release capsules or acetaminophen tablets. Maintaining moderate exercise every day and avoiding cold during menstruation can also help reduce discomfort.

Secondary pain is often related to pelvic pathologies. For example, endometriosis may cause pelvic adhesions and fallopian tube obstruction, and adenomyosis can change the intrauterine environment. These pathologies may affect pregnancy. Such patients need treatment for the primary disease, such as using dienogest tablets to inhibit intimal growth as directed by the doctor, or laparoscopic surgery to remove the lesions. If dysmenorrhea worsens and is combined with infertility, it is recommended to conduct timely gynecological ultrasound, hormone level and other tests.

Regardless of the type of dysmenorrhea, if it does not relieve for a long time, it is recommended to seek medical evaluation. During pregnancy preparation, menstrual cycles and pain characteristics can be recorded to avoid over-reliance on analgesics. Balanced supplementation of iron, vitamin E and other nutrients can help improve ovarian function. Avoid strenuous exercise during menstruation but engage in soothing activities such as walking. Reducing caffeine intake can also help relieve cramping pain.