II. Causes: Pelvic Factors (Structural etiology)
- Infection
- Surgical History
- Pelvic adhesions
- Dilatation and Curettage
- Ruptured Appendicitis
- Endometriosis
- Adnexal surgery
- Leiomyoma (Uterine Fibroids)
-
Contraception and Pregnancy History
- Prior Intrauterine Device use
- DES Exposure in-utero
- Ectopic Pregnancy
- Habitual abortion
-
Menstrual Cycle abnormalities
- Secondary Dysmenorrhea
- Cyclic abdominal or Pelvic Pain
III. Causes: Ovulatory Factors (Hormonal etiology: 40%)
- Menstrual history
- Secondary Amenorrhea
- Ovulatory Dysfunction or Anovulation
- Abnormal Uterine Bleeding
- Luteal Phase defect
- Premenstrual molimina (Premenstrual tension)
- Premature Ovarian Failure
- Endocrine conditions
- Hyperprolactinemia
- Thyroid disease
- Adrenal Disease
- Polycystic Ovary Syndrome