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• Pelvic pain occurring at or around the time of menses; a leading cause of absenteeism for women < 30 years
• Primary dysmenorrhea: Without pathologic physical findings
• Secondary dysmenorrhea: Often more severe than primary, having a secondary pathologic (structural) cause
• Classified by severity:
  • Mild: Pelvic discomfort, cramping, or heaviness on 1st day of bleeding with no associated symptoms
  • Moderate: Discomfort occurring on 1st 2–3 days of menses and accompanied by mild malaise, diarrhea, and headache
  • Severe: Intense, cramp-like pain lasting 2–7 days, often with nausea, diarrhea, back pain, thigh pain, and headache
• System(s) affected: Reproductive
• Synonym(s): Menstrual cramps

• Predominant age:
  • Primary: Teens to early 20s
  • Secondary: 20s–30s
• Predominant sex: Female only

• > 50% of adult ...

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