Which of the following is NOT a typical finding in primary dysmenorrhea?

In the context of primary dysmenorrhea, the key characteristics include symptoms that arise from the normal physiological processes of menstruation rather than from underlying medical conditions. Primary dysmenorrhea is generally caused by contractions of the uterus due to the release of prostaglandins, leading to colicky pain, spasmodic cramps, and often associated symptoms like radiating pain to the back or thighs.

However, the presence of associated pathology suggests an underlying condition, which is typical of secondary dysmenorrhea. Secondary dysmenorrhea can be linked to medical issues such as endometriosis, uterine fibroids, or pelvic inflammatory disease, which are not present in primary dysmenorrhea. Therefore, the correct identification of associated pathology as a finding that does not align with primary dysmenorrhea is accurate, as primary dysmenorrhea occurs in the absence of these types of conditions.