A patient comes to the clinic complaining of severe menstrual cramps. She has never been pregnant, has been diagnosed with ovarian cysts, and has had an intrauterine device (IUD) for 2 years. The most likely cause for the patient's complaint is:

Question

Quizplus · Accepted Answer

The patient's history of ovarian cysts and use of an IUD increase the likelihood of secondary dysmenorrhea, which is caused by an underlying condition such as endometriosis, pelvic inflammatory disease, or adenomyosis. Primary dysmenorrhea typically begins in adolescence and is not associated with any underlying conditions. Menorrhagia is characterized by excessive or prolonged menstrual bleeding, and hypermenorrhea is characterized by abnormally heavy menstrual bleeding. These conditions are not necessarily associated with severe menstrual cramps.

A Patient Comes to the Clinic Complaining of Severe Menstrual