Dysmenorrhea
is
defined
as
____________________
menstrual
flow
or
painful
____________________
.
It
____________________
one
____________________
the
most
common
gynecologic
complaints
in
young
women
who
present
to
clinicians
.
Optimal
____________________
of
this
symptom
depends
on
an
understanding
of
the
underlying
cause
.
Dysmenorrhea
can
be
divided
into
2
broad
categories
:
____________________
(
spasmodic
)
and
secondary
(
congestive
)
.
Primary
dysmenorrhea
is
defined
as
____________________
pain
that
is
not
associated
with
macroscopic
pelvic
pathology
(
ie
,
occurs
in
the
absence
of
pelvic
disease
)
.
It
typically
occurs
in
the
first
few
years
after
menarche
and
affects
as
many
as
____________________
of
postpubertal
females
.
Secondary
____________________
is
defined
as
menstrual
pain
resulting
from
anatomic
or
macroscopic
pelvic
pathology
,
as
is
seen
in
women
with
endometriosis
or
chronic
pelvic
____________________
disease
.
It
is
most
often
____________________
in
women
aged
____________________
-
____________________
years
.
