This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Gynaecology & Obstetrics
Cause of secondary dysmenorrhea in a young female:a) Tuberculosisb) Adenomyosisc) CINd) Endometriosise) Subserous fibroid 
Select and explain. 
A. acd, B. bde, C. abd, D. ade
D: ade
Answer: D: ade 
Explanation: Causes of secondary dysmenorrhea:
– PID
– Endometriosis
– Adenomyosis
– IUCD
– Uterine fibroid
– Polyps
– Cervical stenosis
– Congenital malformation of uterus like bicornuate uterus
Management : Treatment of the underlying cause.