Secondary dysmenorrhea differs from primary dysmenorrhea in that it is linked to underlying medical conditions. Some common causes include endometriosis, where tissue resembling the uterine lining grows outside the uterus, leading to inflammation and pain. Adenomyosis, similar to endometriosis, involves the uterine lining growing into the muscular walls of the uterus, resulting in heavy periods and severe cramps. Uterine fibroids, noncancerous growths, can also cause pelvic pain and pressure, particularly during menstruation. Additionally, pelvic inflammatory disease (PID), an infection of the female reproductive organs often caused by sexually transmitted bacteria, can lead to intense menstrual pain, accompanied by symptoms like fever and abnormal vaginal discharge.
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