Several conditions can cause secondary dysmenorrhea, including:
Endometriosis: A condition where tissue similar to the lining of the uterus grows outside the uterus. Adenomyosis: The lining of the uterus breaks through the muscle wall of the uterus. Uterine fibroids: Noncancerous growths in the uterus. Pelvic Inflammatory Disease (PID): An infection of the reproductive organs. Intrauterine device (IUD): In some cases, this contraceptive device can cause increased menstrual pain.
