Clinical Presentation and Diagnosis:
Primary dysmenorrhea usually presents during adolescence, within three years of menarche.
lower back. Systemic symptoms of nausea, vomiting, diarrhea, fatigue, fever, headache or lightheadedness are fairly common. Pain usually develops within hours of the start
A focused history and physical examination are usually sufficient to make the diagnosis of primary dysmenorrhea. The history reveals the typical cramping pain with menstruation, and the physical examination is completely normal. Secondary causes of dysmenorrhea must be excluded .
Unusual within first six months of menarche Intermittent spasms of pain with systemic symptoms coinciding with onset of menses
Secondary dysmenorrhea must be excluded
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