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The most common form of painful menstruation is called "primary dysmenorrhea". It is a condition that most commonly affects young girls and is characterized by cramp-like pains in the lower abdomen on the first day or at most three days of menstrual bleeding. Lower abdominal pain is sometimes accompanied by headaches, nausea, or diarrhea.

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Possible causes may include hereditary predispositions, psychological problems, side effects of medications, or even an inappropriate diet. Often, however, it is not possible to determine the primary reason. An irregular menstrual cycle can be caused by factors such as a uterine fibroid, which is a benign tumor in the uterine muscle, or blood clotting disorders.

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In practice, "heavy menstrual bleeding" can be considered as bleeding that a woman perceives as such and that reduces her quality of life. Very simply: if pads or tampons need to be changed every 1–2 hours, it is considered heavy menstrual bleeding.

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