dysmenorrhea Flashcards

1
Q

define primary dysmenorrhea

A

menstural pain without obvious pelvic pathology starting in adolescence, approximately 6-12 months after mernache with the onset of ovulation.

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2
Q

list some of the risk factors associated with severre primary dysmenorrhea

A

early age of menarche
increased duration of menstruation
smoking
obesity
alcohol consumption

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3
Q

discuss management of primary dysmenorrhea

A

Medical
-NSAIDS
-Oral contraceptives
-Depo-medroxyprogesterone acetate and levonorgestrel intrauterine device

Surgical
-Laparoscopic uterosacral nerve ablation
-presacral neurectomy

Other
-acupuncture
-topical heat therapy

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4
Q

define secondary dysmenorrhea

A

menstrual pain associated with underlying pelvic pathology

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5
Q

list some of the causes of secondary dysmenorrhea

A

endometriosis
Adenomyosis
Fibroids
-Polyps
Ovarian cysts
PID
Intrauterine adhesions
IUD
Cervical stenosis

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6
Q
A
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