A Nurse Is Caring for a Patient Who Complains of Pain

A nurse is caring for a patient who complains of pain with menstruation.What is true regarding the etiology and pathophysiology of this condition?

A) Primary dysmenorrhea is caused by decreased levels of prostaglandins,causing the contractions of the uterus to increase in strength.
B) Primary dysmenorrhea begins within the first three or four menstrual periods after menarche and will occur with each ovulatory cycle during the teens and 20s of a woman's life.
C) Secondary dysmenorrhea is more common than primary dysmenorrhea.
D) Primary dysmenorrhea causes include endometriosis,tumors,cysts,pelvic adhesions,pelvic inflammatory disease,infections,cervical stenosis,uterine leiomyomas,and adenomyosis.