Which physical findings are characteristic of secondary dysmenorrhea?

Updated: Oct 22, 2018
  • Author: Karim Anton Calis, PharmD, MPH, FASHP, FCCP; Chief Editor: Michel E Rivlin, MD  more...
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Answer

Women with secondary dysmenorrhea may have pelvic pathology, though normal findings do not exclude the condition. Women with endometriosis who present with secondary dysmenorrhea have physical findings about 40% of the time. [54, 55] A palpable uterine mass may be present. Cervical motion tenderness may be noted. There may be adnexal tenderness or a palpable mass. Vaginal or cervical discharge may be seen. Visible vaginal pathology (eg, mucosal tears, masses, or prolapse) may be visible.


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