Primary dysmenorrhea, commonly known as menstrual cramps, is pain without any underlying disease. On the other hand, secondary dysmenorrhea is pain that is caused by an illness. Endometriosis is the most common cause of secondary dysmenorrhea. Other conditions that may cause secondary dysmenorrhea are adenomyosis, pelvic inflammatory disease, interstitial cystitis, and ectopic pregnancy.[1] If you have concerns that you have an underlying condition that is causing menstrual cramps, it is best to seek a healthcare provider for treatment.