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Forms of pubertal dysmenorrhea
Last reviewed: 04.07.2025
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Primary dysmenorrhea is a disease that does not have an organic cause. Secondary dysmenorrhea is usually acquired and is caused by an organic disease of the internal genital organs. If anatomical changes in the genital organs are detected in a patient suffering from primary dysmenorrhea during further observation, then a diagnosis of secondary dysmenorrhea is made.
Yu.A. Gurkin (2000) identified the following forms of dysmenorrhea:
- genital:
- primary;
- secondary.
- extragenital:
- somatic;
- psychoneurogenic.
- mixed.
V.N. Prilepskaya and E.A. Mezhevitinova (1999) propose to distinguish:
- compensated form - the severity and nature of the disease do not change over time;
- uncompensated form - characterized by an increase in pain intensity over the years.
E. Deligeoroglu et al. (1997) proposed to classify the disease according to severity:
- 0 degree - absence of pain during menstrual days that affects daily activity;
- Grade I - mild pain during menstruation, very rarely leading to decreased activity;
- Stage II - daily activity is reduced, school absences are rarely noted, since painkillers have a good effect;
- Grade III - pain syndrome is maximally pronounced, motor activity is sharply reduced, analgesics are ineffective, vegetative symptoms (headache, fatigue, nausea, vomiting, diarrhea).
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