What should I know about menstruations schmerzen?

The provided knowledge contexts do not contain specific information about menstrual pain. From a general medical perspective: primary dysmenorrhea (painful periods without underlying pathology) is driven by prostaglandins causing uterine contractions. NSAIDs like ibuprofen or naproxen are first-line treatments; heat and exercise may also help. Secondary dysmenorrhea (due to endometriosis, fibroids, etc.) requires medical diagnosis. MyBody-X offers hormone and genetic tests that could theoretically provide insights into hormone levels or pain sensitivity (e.g., COMT variants), but evidence for actionable guidance on menstrual pain is weak. Consumer tests alone are not clinically validated for this purpose. This answer is based on general medical knowledge, not the provided context. Therefore, the evidence rating is 'unclear'.