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doi: 10.1074/jbc.M011605200

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While secondary dysmenorrhea refers to pelvic pain resulting from a gynecological disorder, patients with primary dysmenorrhea experience painful menstruation yet lack evidence of pelvic pathology [113]

doi: 10.3390/genes14071319 [DOI] [PMC free article] [PubMed] [Google Scholar] 12

The other factor, in general, a man with low testosterone will have more testosterone than a female