Late dysmenorrhea (also known as "secondary dysmenorrhea) is a specific type of dysmenorrhea being a result of the diagnosed disease. It is indicated by continuous pelvic pain localized in the lower part of the abdomen appearing late (a few years after menarche) and it decreases generally with the beginning of the menstrual flow. Among the most common responsible diseases is endometriosis, but it is not uncommon if at the beginning, there are other medical problems such as: uterine fibroids, uterine malformations, adenomyosis and chronic inflammation of the pelvis. Also the positioning of intrauterine devices used for prevention of pregnancies (such as the spiral) can cause pelvic pain and intensify the normal menstrual cramps.


What kind of diseases can be associated with late dysmenorrhea?

The following diseases may be associated with late dysmenorrhea:

  • Adenomyosis
  • Endometriosis
  • Uterine fibroids
  • Pelvic inflammatory disease
  • Uterine malformations

Remember that this is not an exhaustive list and it is highly recommended to consult your doctor, in case of symptom’s persistence


What is the therapy for late dysmenorrhea?

In case of late dysmenorrhea, it is always advisable to seek a consultation with your doctor and avoid "do it yourself" remedies. There may be several origin causes for the late dysmenorrhea. So as to find the right treatment for the condition, it is necessary to know the underlying pathology. In cases where the pain is due to positioning of an intrauterine device, you should proceed with the removal of the device (always as per medical consult and under supervision). The use of painkillers, even those obtained without a prescription, should be always discussed with your doctor.

Regardless of the underlying cause of the late dysmenorrhea, a number of measures can help to relieve the pain:

  • Practice regular physical activity, even light, such as walking, cycling, swimming
  • Exploit the heat, soak in a warm bath or place a hot water bottle on your lower abdomen
  • Rest physically
  • Rest mentally, including through relaxation exercises, because it helps to increase pain tolerance


When is most likely to contact your doctor in case of dysmenorrhea?

In case of late dysmenorrhea, it is always good to consult your doctor.