Finding Acceptance in the Face of Control

[Aion]

Dukkha is more like a fundamental feature of existence in Samsara.

Dukkha (suffering, incapable of satisfying, painful) is an innate characteristic of existence in the realm of samsara
Samudaya (origin, arising) of this dukkha, which arises or "comes together" with taṇhā ("craving, desire or attachment")
Nirodha (cessation, ending) of this dukkha can be attained by the renouncement or letting go of this taṇhā
Magga (path, Noble Eightfold Path) is the path leading to renouncement of tanha and cessation of dukkha.

So, yes you could say it is perpetuated by the suffering, but it's more like, they are coupled together, in my opinion. It would seem more that it is renouncing the tanha that actually makes the movement towards the cessation of suffering, and thus moving towards freedom from Samsara.

Perhaps, perpetuated by attachment is closer to the idea.