Primary dysmenorrhea is caused by increased prostaglandins in the uterus leading to painful contractions without an underlying condition, while secondary dysmenorrhea results from conditions like endometriosis, PCOS, or pelvic inflammatory disease that cause pelvic pain with menstruation. Common symptoms include lower abdominal or pelvic pain, diarrhea, nausea, headache, and loss of appetite. Diagnosis involves a medical history and physical exam, and may include ultrasounds or laparoscopy. Treatment focuses on pain relief using analgesics, prostaglandin inhibitors, muscle relaxants, a soft diet, hydration, and heat therapy.

1. Dysmenorrhea
Introduction
It is define as cramps and pelvic pain that occure with
mensturation.
Types
1) primary dysmenorrhea.
Absence of underlying causes or diseas.
2) secoundry dysmenorrhea .
Presence of underlying causes or diseas.
Pathophysiology.
dismenorrhea occure due to increas prostaglandine in uterus which
stimulate uterine contraction and cause pain.

2. Contin...
Causes
.extreme anxiety
.Polysystic ovarian diseas(PCOD)
. Endometriosis
. pelvic inflamatory diseas
Clinical manifestation.
.pain
.Diarrhea
.Nausia vomiting
.Headach
.Anorexia
.dizzines
.

3. Contin..
Diagnostic evalvation
. History taking
.physical examination
.ultrasound
.laparoscopy
Medical managment
.Analgesics
.prostaglandine inhibitors.
.muslce relaxant
.soft diet and liquid
.heat application