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What is Secondary Dysmenorrhea?

Secondary dysmenorrhea refers to menstrual pain that is caused by an underlying condition, as opposed to primary dysmenorrhea which is typically linked to hormonal changes. It is often characterized by a more intense, chronic pain that may begin before menstruation and last throughout the menstrual period.

Causes

Common causes of secondary dysmenorrhea include pelvic inflammatory disease (PID), endometriosis, fibroids, adenomyosis, and pelvic adhesions. These conditions can create inflammation and pressure within the pelvic region, leading to significant discomfort.

Symptoms

Symptoms of secondary dysmenorrhea may include:

  • Severe cramping that may worsen over time
  • Pain during intercourse
  • Abnormal bleeding or spotting
  • Pain in the lower back or thighs

Management

Managing secondary dysmenorrhea often involves treating the underlying condition. This may include medications such as pain relievers, hormonal treatments, or surgery in severe cases. Consulting a healthcare professional is essential for accurate diagnosis and effective treatment options.

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