Dysmenorrhea

Question 0

Onset of primary dysmenorrhea

Answer 0

Usually within 3 to 6 months

Question 1

Cause of primary dysmenorrhea

Answer 1

Excess prostaglandin E2 secretion leading to painful uterine contractions

Question 2

Cause of secondary dysmenorrhea

Answer 2

Usually disease of uterus or pelvis (endometriosis, adenomyosis, uterine fibroids, PID, use of IUDs)

Question 3

Onset of secondary dysmenorrhea

Answer 3

Affects wmn older than 25

Question 4

Prevalence of dysmenorrhea

Answer 4

Affects more than half of women of reproductive agen

Question 5

Treatment of primary dysmenorrhea

Answer 5

1- NSAIDs before expected menses
2- oral contraceptives
3- applying heat
4- if resistant to above, tocolytic agents, CCBs, or progestogens

Question 6

Treatment of secondary dysmenorrhea

Answer 6

Tx underlying condition, hysteroscopy, dilation and curettage