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Primary dysmenorrhea, secondary dysmenorrhea, and cyclic pelvic pain syndromes represent a special subset of CPP. Although more common and no less debilitating, these conditions are better understood, more easily diagnosed, and more successfully treated than chronic pain states. It should be the expectation of both the physician and the patient that successful resolution of these complaints is possible.

In a group of 129 dysmenorrheics, of whom 84 suffered from primary dysmenorrhea, and 45 from secondary dysmenorrhea, treatment by special exercises was followed by definite relief in 84.5 per cent of the cases. In many instances, the beneficial effect lasted for at least twenty-months, which was the limit of the follow-up period in this investigation. Within the subgroup of those afflicted with primary dysmenorrhea, the percentage of alleviation was 89.3.

A case of endometriosis of the bladder after cesarean section, presenting as secondary dysmenorrhea, is described. The clinical features and treatment of vesical endometriosis are discussed.