Will there be pain after menarche if there is no pain?

Not having dysmenorrhea during menarche does not mean that you will not have dysmenorrhea in the future. The occurrence of dysmenorrhea is affected by many factors, such as hormone levels in the body, uterine structure, lifestyle habits, etc. It is recommended to maintain good living habits and pay attention to menstruation. If the symptoms of dysmenorrhea worsen, you should seek medical attention in time.

1 Influence of genetic factors

Dysmenorrhea has a certain genetic tendency. If a direct relative such as a mother or sister has a history of dysmenorrhea, the individual may be more likely to experience dysmenorrhea in the future. Although dysmenorrhea is not manifested at menarche, with the growth and development of puberty, the menstrual situation may gradually become consistent with the family gene expression. It is recommended to pay attention to family medical history and regularly evaluate menstrual health.

2. Changes in hormone levels

During puberty and adulthood, women's hormone levels fluctuate. The endocrine system is not fully mature at menarche, but as you age, estrogen and progesterone levels may change, which can cause more intense contractions of the uterine smooth muscle or increased prostaglandin levels, leading to dysmenorrhea. You can maintain hormone balance through dietary adjustments, such as consuming more foods rich in vitamin B and magnesium, such as bananas and nuts.

3. Uterine and pelvic health

Certain uterine structural problems, such as endometriosis, retroverted uterus, and cervical stenosis, often lead to severe dysmenorrhea. These problems may not be apparent at menarche, but will manifest as the menstrual cycle accumulates. If dysmenorrhea suddenly becomes obvious and severe, you need to see a doctor as soon as possible to screen for related pathological causes.

4. Influence of lifestyle

Irregular diet, lack of exercise and high mental stress can affect the smoothness of menstruation and may induce dysmenorrhea. It is recommended to maintain a regular schedule, avoid high-fat and high-sugar diets, and strengthen physical exercise, such as yoga, brisk walking and other exercises that can help relieve menstrual discomfort.

If dysmenorrhea occurs in subsequent menstrual cycles, clinical adjustments are generally made based on the severity of the symptoms: mild dysmenorrhea can be relieved by applying hot compresses to the abdomen or drinking brown sugar ginger water; moderate dysmenorrhea can be relieved by taking painkillers such as ibuprofen or acetaminophen; severe dysmenorrhea requires long-term treatment options under the guidance of a doctor, such as oral contraceptives to regulate hormone levels or surgery to correct organic lesions.

Not having dysmenorrhea at menarche does not mean that you will never have dysmenorrhea in the future. All aspects of the body may change with age and environment. It is recommended to record menstruation regularly. If dysmenorrhea affects your daily life, you should seek professional help as soon as possible to ensure your gynecological health.