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Secondary Dysmenorrhea

Causes of secondary Dysmenorrhea (pelvic pathology)
1. Pelvic Inflammatory Disease (PID)
2. Endometriosis
3. Myomata, Adenomyosis or Endometrial polyps
4. Post-surgical adhesions
5. Congenital uterine anomalies
6. Cervical Stenosis
7. Intrauterine Device (IUD)
Management
1. Evaluate and treat the underlying cause
2. Symptomatic treatment as with Primary Dysmenorrhea

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This page was written by Scott Moses, MD. This page was last revised before 5/10/08, prior to consistent tracking of revision date. This page was last published on 5/10/2008. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.