Severe painful cramps at the onset of and during menstruation. Severity of symptoms varies greatly from women to women and from time to time. Usually less severe after childbirth. Primary dysmenorrhea occurs in women in their late teens and early twenties.
Secondary dysmenorrhea presents much later.
It is the result of strong uterine contractions, probably caused by excess production of prostagladins. Developmental abnormalities such as imperforate hymen, vaginal septum etc. Signs and Symptoms 1. Cramping and sometimes sharp pains in the lower abdomen, lower back and thighs. Lack of energy.