Table 1: Questionnaire administered to the patient.
| 1) Dysmenorrhea: Abdominal or pelvic pain during menstruation | ||
| Answer | Score | |
| No pain | Absent | 0 |
| Reduced earning capacity | Slight | 1-2 |
| Occasional absence from work | Moderate | 3-4 |
| Inability to usual activities | Serious | 5-10 |
| 2) Dyspareunia: Deep pain during sexual intercourse | ||
| Answer | Score | |
| No pain | Absent | 0 |
| Tolerate pain | Slight | 1-2 |
| Pain that requires the termination of sexual intercourse | Moderate | 3-4 |
| Inability to usual activities | Serious | 5-10 |
| 3) Non-menstrual pelvic pain | ||
| Answer | Score | |
| No pain | Absent | 0 |
| Occasional pelvic pain | Slight | 1-2 |
| Pain relevant for most of the cycle | Moderate | 3-4 |
| Persistent pain throughout the cycle | Serious | 5-10 |
| 4) Dischezia: Pain during defecation | ||
| Answer | Score | |
| No pain | Absent | 0 |
| Occasional rectal pain | Slight | 1-2 |
| Pain relevant for most of the cycle | Moderate | 3-4 |
| Rectal pain persisting throughout the cycle | Serious | 5-10 |
| 5) Dysuria: Pain while urinating | ||
| Answer | Score | |
| No pain | Absent | 0 |
| Voiding occasional pain | Slight | 1-2 |
| Pain relevant for most of the cycle | Moderate | 3-4 |
| Bladder pain persisting throughout the cycle | Serious | 5-10 |