A 48-year-old man comes to the clinic with symptoms of ...
Sep 16, 2008 · Causes of secondary dysmenorrhea-post-surgical adhesions: c-section, episiotomy, or tears with birth-cervical stenosis due to surgery on cervix-IUD can cause irritation-endometriosis-fibroids-PID-IBS. Signs and Symptoms of Primary dysmenorrhea-dull, midline cramping or spasmodic lower abdominal pain-shortly before or at the onset of menses ................
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