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Dysmenorrhea - Menstrual Cramps


Diagnosis & Tests

How is the condition diagnosed?

Diagnosis of menstrual cramps begins with a medical history and physical exam, including a pelvic exam. Tests to rule out physical causes can include:

  • abdominal exploration surgery
  • blood tests
  • cultures to check for sexually transmitted disease
  • a dilatation and curettage (D&C)
  • laparoscopy, a procedure in which a small lighted tube is inserted into the abdomen
  • an ultrasound of the vagina
  • If physical causes are found, secondary dysmenorrhea is diagnosed. Primary dysmenorrhea is diagnosed by ruling out possible physical causes.


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