Is It Normal to Start Experiencing Menstrual Cramps After Years?

Menstrual cramps begin?

I would like to ask the doctor, is it normal to suddenly start experiencing menstrual cramps when I didn't have them before? I started my period about 3 to 4 years ago, and I didn't feel anything during my menstrual cycle until I began experiencing cramps in the last two years.
Although the pain is not very severe and usually lasts only 1 to 2 days, I am still a bit worried if there is something wrong with my body.
Should I go to the hospital for an examination in this situation?

Nìmíng, 10~19 year old female. Ask Date: 2021/10/31

Dr. Wu Xianghui reply Obstetrics and Gynecology

Symptoms of premenstrual syndrome (PMS) vary from person to person, but it is not a malignant condition.
Treatment options differ based on individual needs.
It is recommended to consult with a specialist in obstetrics and gynecology for discussion and guidance.

Reply Date: 2021/10/31

More Info

Experiencing menstrual cramps after years of having painless periods can be concerning, but it is not uncommon. There are several factors that could contribute to the onset of menstrual cramps (dysmenorrhea) after a period of absence.
Firstly, it is important to understand that menstrual cramps are caused by the contraction of the uterus, which is a normal part of the menstrual cycle. These contractions are triggered by prostaglandins, which are hormone-like substances that increase during menstruation. In some women, the body may start producing higher levels of prostaglandins over time, leading to cramps that were not previously experienced.

There are also other potential reasons for the sudden onset of menstrual cramps. Conditions such as endometriosis, fibroids, or pelvic inflammatory disease can develop over time and may cause pain during menstruation. Endometriosis, for example, occurs when tissue similar to the lining of the uterus grows outside of it, leading to significant pain, especially during menstruation. Fibroids are non-cancerous growths in the uterus that can also lead to increased menstrual pain.
In your case, since you mentioned that the cramps are not severe and only last for 1-2 days, it may be a normal variation in your menstrual cycle. However, it is essential to monitor the situation. If the cramps become more intense, last longer, or are accompanied by other symptoms such as heavy bleeding, irregular periods, or pain during intercourse, it would be advisable to consult a healthcare provider.
Additionally, lifestyle factors such as stress, diet, and exercise can also influence menstrual symptoms. Regular physical activity and a balanced diet may help alleviate some menstrual discomfort. Over-the-counter pain relief medications, such as ibuprofen or naproxen, can also be effective in managing mild menstrual cramps.

In conclusion, while it is not unusual to start experiencing menstrual cramps after years of having none, it is important to pay attention to any changes in your menstrual cycle. If you have any concerns or if the cramps worsen, it is a good idea to schedule an appointment with a healthcare provider for a thorough evaluation. They may recommend a pelvic exam, ultrasound, or other diagnostic tests to rule out any underlying conditions. Taking proactive steps to understand your body and its changes is crucial for maintaining reproductive health.

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