Which Patient Would the Nurse Document as Exhibiting Signs and Symptoms

Which patient would the nurse document as exhibiting signs and symptoms of primary dysmenorrhea?

A) 17-year-old, has never had a menstrual cycle
B) 16-year-old, had regular menses for 4 years, but has had no menses in 4 months
C) 19-year-old, regular menses for 5 years that have suddenly become painful
D) 14-year-old, irregular menses for 1 year, experiences cramping every cycle