Why does dysmenorrhea occur?

Patient's question:

Detailed medical condition and consultation purpose: Monthly menstrual pain
Duration and onset of the current illness: 2 years
Current general condition: Menstrual pain occurs every month. Previously, it only hurt on the first day, but now it lasts for two consecutive days.
Medical history:
Previous diagnoses, treatment history, and outcomes:

Doctor's answer:

Hello, there are generally two reasons for menstrual cramps. One is primary dysmenorrhea, and the other is secondary dysmenorrhea. It is necessary to check in a regular hospital to determine which specific condition it is.

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