Which of the following would be least likely to cause secondary dysmenorrhea?

Secondary dysmenorrhea refers to menstrual cramps that are caused by an underlying medical condition, such as endometriosis, pelvic inflammatory disease, fibroids, or adhesions. Out of the options you have given me, "normal ovulation" would be the least likely to cause secondary dysmenorrhea.

Normal ovulation refers to a regular menstrual cycle where an egg is released from an ovary and travels down the fallopian tube to the uterus. This process does not cause any pain or discomfort and is a normal physiological process. However, other options such as endometriosis, pelvic inflammatory disease, fibroids, or adhesions are all medical conditions that can cause secondary dysmenorrhea.

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