Defined as painful menstruation.
 Although  some pain during period is normal, pain that is sever enough to limit normal activity or requires medication is abnormal and requires evaluation.
Affects about 50% of menstruating women and regarded as sever in 10%  of sufferers
Dysmenorrhoea is the leading cause  for absence from school or work

Primary dysmenorrhoea: occurs in otherwise healthy women with no organic cause
Secondary dysmenorrhoea: due to an underlying disease or structural uterine abnormality
Causes :
chronic pelvic inflammatory disease
Pelvic congestion syndrome
pelvic adhesions

Defined as pain during or after intercourse
It is not a disease ,but rather a symptom of an underlying physical or psychological disorder 
Could be superficial at entrance of the vagina or  deep in the pelvis on deep penetration

Superficial dyspareunia:
Vaginal infection
Episiotomy scars & narrowed vagina
Insufficient vaginal lubrication
Atrophic vagina due to menopause

Premenstrual Syndrome
Distressing physical, psychological and behavioural symptoms, not caused by organic disease, which regularly recur during the same phase of the menstrual (ovarian) cycle and which significantly regress or disappear during the remainder of the cycle
Affects 30-40% of women of child bearing age but in 10% the symptoms are so sever and disabling (premenstrual Dysphoric dysorders (PMDD)
Over 150 symptoms have been documented but the three most prominent are , irritability, tension & dysphoria (unhappiness)

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