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symptom is a cramping type of pain in the lower tummy (abdomen); it may
in some cases spread to the lower back, or to the top of the legs. Pains
are generally worst in the first few years after starting your period, with
symptoms tending to improve with age or after childbirth.
Secondary dysmenorrhoea is less common and is more likely to occur
in women in their 30s and 40s. It is caused by a specific underlying
condition such as endometriosis (when cells that normally line the uterus
are found at other sites in the body – usually the ovaries and fallopian
tubes). Again, the main symptom is cramping pain in the lower tummy
during your periods. In some women with secondary dysmenorrhoea the
pain starts several days before the period begins and lasts all the way
through the period. (This is uncommon with primary dysmenorrhoea).
With secondary dysmenorrhoea it is likely to have other symptoms - for
example:
Irregular periods.
Bleeding between periods.
Pains between periods.
The bleeding becomes heavier than previously.
Vaginal discharge.
Pain during sex.
Pain in your back passage (rectum).
Secondary dysmenorrhoea may occur as a result of:
Endometriosis/adenomyosis.
Pelvic inflammatory disease.
Fibroids when it is often associated with heavy menstrual bleeding.
Adhesions.
Developmental abnormalities.
Consult your healthcare professional if you are experiencing any of the
above symptoms.
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