| 1. | Conditions causing secondary dysmenorrhea include endometriosis, uterine fibroids, and uterine adenomyosis.
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| 2. | Parity, age, and previous uterine abrasion increase the risk of adenomyosis.
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| 3. | In adenomyosis, " basal " endometrium penetrates into hyperplastic myometrial fibers.
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| 4. | Most cases of adenomyosis are non-symptomatic.
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| 5. | In particular, MRI is better able to differentiate adenomyosis from multiple small uterine fibroids.
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| 6. | Preterm labour and premature rupture of membranes both occur more frequently in women with adenomyosis.
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| 7. | Likewise, they are avoided in order to prevent the onset or aggravation of adenomyosis.
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| 8. | Other causes of secondary dysmenorrhea include leiomyoma, adenomyosis, ovarian cysts, and pelvic congestion.
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| 9. | Adenomyosis, can be detected with magnetic resonance imaging, which is more sensitive than a sonogram.
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| 10. | Patients with adenomyosis often present with painful and / or profuse menses ( dysmenorrhea & menorrhagia, respectively ).
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