Obstetrics and Gynecology/Dysmenorrhea

Dysmenorrhoea is menstrual pain in the abdomen, inner thighs, lower back or pelvis.

Differential DiagnosisEdit

Endometrial disorders

  • Endometriosis
  • Endometrial Polyps
  • Adenomyosis

Other causes

  • Ovarian cysts
  • Pelvic Inflammatory Disease
  • Submucosal Fibroids
  • Pelvic Congestion Syndrome


The diagnosis of amenorrhoea is made using the following clinical skills:


O'Connor, J. Pathology 2nd ed. Mosby. Edinburgh. 2002.

McCarthy, A & Hunter, B (2003) Master Medicine: Obstetrics and Gynaecology (2nd ed.) Philadelphia: Elsevier Saunder