Question for ladies, as you get older(and not having any kids) do your monthlys get to be rougher?
If you have endometriosis, yes, it can since it tends to spread throughout your uterus and other abdominal organs overtime. You can slow it down if you have hormonal birth control though. Mother had to get a hysterectomy in her late 30s due to how bad it was. Having kids (if you are able to since it can cause infertility if not treated, aunt had to go through surgery just to have my cousin) can help alleviate it temporarily, but after you stop having kids, it can come back with a vengeance.
Nexplanon is a godsend and I am so thankful I was able to get diagnosed young due to my family history (mother, aunt and maternal grandmother all had it) because so many women often aren't taken seriously by doctors, even female doctors. I think it is due to having a bias with their own experiences thinking "Oh, pain is normal" without knowing the degree of pain ( and for some reason they don't do a Likert scale to rate the pain).
Pain during sex is also not taken really seriously usually they are like "Oh, just use lube and practice with a dildo" without getting to the underlying cause. It could be vaginismus (aka female ED essentially) and you would need to see a physical therapist and psychologist to retrain your pelvic floor muscles as well as dealing with the psychological causes like shame and anxiety, especially if abuse was involved. It could also be endometriosis which may require surgery and birth control or it could be an STD. It could also be a septate hymen or another unusual shaped hymen that needs corrected.
I mean, gynecology has always been extremely behind compare to other medical fields. Like, for example, the medical world is just starting to realize that clitoral phimosis is a thing where the hood doesn't retract or not all the way and can impact quality of life. Severe cases like the clit being completely inaccessible usually require surgery, but it quite risky and can possibly reduce sensitivity and cause nerve damage, usually done by plastic surgeons who don't know what they are doing (seriously, after seeing all the troon surgeries they do, do you really trust them?), and it isn't covered by insurance usually due to it being seen as "cosmetic"