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</html><description>Painful menses that manifest some years after menarche. The diagnosis is strongly suggested by a history or finding of use of an intrauterine device, pelvic inflammatory disease, endometriosis, uterine leiomyomas, adenomyosis, fertility problems related to imperforate hymen, cervical stenosis, ovarian cysts, or pronounced uterine retroflexion and/or retroversion.</description></oembed>
