dysmenorrhea Flashcards
define primary dysmenorrhea
menstural pain without obvious pelvic pathology starting in adolescence, approximately 6-12 months after mernache with the onset of ovulation.
list some of the risk factors associated with severre primary dysmenorrhea
early age of menarche
increased duration of menstruation
smoking
obesity
alcohol consumption
discuss management of primary dysmenorrhea
Medical
-NSAIDS
-Oral contraceptives
-Depo-medroxyprogesterone acetate and levonorgestrel intrauterine device
Surgical
-Laparoscopic uterosacral nerve ablation
-presacral neurectomy
Other
-acupuncture
-topical heat therapy
define secondary dysmenorrhea
menstrual pain associated with underlying pelvic pathology
list some of the causes of secondary dysmenorrhea
endometriosis
Adenomyosis
Fibroids
-Polyps
Ovarian cysts
PID
Intrauterine adhesions
IUD
Cervical stenosis