Severe colicky pain associated with severe backache followed by passage of endometrial cast usually triangular in shape

Causes of secondary dysmenorrhea

Pain occurred at ovulation

Endometriosis pain

Endometriosis pain is called crescendo decrescendo pain

The most severe from PMS
Is called premenstrual dysphoric disorder(PMDD)

Underlying pelvic pathology causes secondary dysmenorrhoea ?

.... is a sever form of primary dysmenorrhoea.

Underlying pelvic pathology causes secondary dysmenorrhoea ?

.... is a sever form of primary dysmenorrhoea.