Secondary dysmenorrhoea describes painful menstruation which is attributed to pelvic pathology. It is uncommon before the age of 25 years.
The precise clinical picture is determined by the underlying cause. In general, change is noticed in the intensity and timing of menstrual pain, which is less related to the first day of bleeding and usually, is not limited to the menses.
It may be associated with menorrhagia, dyspareunia or infertility.
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