Obvious and severe dysmenorrhea is also considered a disease. Even if physical examinations do not reveal any abnormalities, simple cold uterus or straightforward dysmenorrhea are recognized as diseases. It is advisable to routinely undergo physical examinations to identify causes related to dysmenorrhea. For instance, some people suffer from dysmenorrhea due to pelvic inflammation, others due to complications with intrauterine devices, and some can be diagnosed with conditions such as adenomyosis or endometriosis, which cause progressive dysmenorrhea symptoms.