The pain associated with either primary or secondary dysmenorrhea may be sharp and throbbing or dull and aching, depending on the individual. It is most typically located in the lower abdomen and may radiate to the low back or thighs. Other symptoms may include:
Your doctor will ask detailed questions about your symptoms and medical history, and perform a pelvic examination.
Diagnostic tests may include:
- Pelvic ultrasound —a test that uses sound waves to examine structures in the pelvis
- Pelvic laparoscopy —a thin, lighted tube inserted through a small incision in the abdomen to view structures in the pelvis
These tests are usually performed to look for causes of secondary dysmenorrhea.
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