Dysmenorrhoea

Question 1

Dysmenorrhoea - key symptoms (4)

Answer 1

Pain during period
Nausea
Diarrhoea
Fatigue

Question 2

Dysmenorrhoea - extra questions (4)

Answer 2

Do you have an IUD
Do you have PID (pelvic inflammatory disease)
Are you taking oral contraceptives
Do you have endometriosis or fibroids

Question 3

Dysmenorrhoea - explanation of diagnosis

Answer 3

common condition where you experience pain during your period caused by excessive cramping and inflammation in your uterus

Question 4

Dysmenorrhoea - risk factors (3)

Answer 4

smoking
stress
heavy periods (menorrhagia)

Question 5

Dysmenorrhoea - first-line treatment (product, how it works, how to use it and how long to see effects)

Answer 5

Ibuprofen
Reduces inflammation in your uterus to reduce pain and cramping.
400 mg tds
Take with food

Question 6

Dysmenorrhoea - other OTC (not ibuprofen) (3)

Answer 6

Naproxen (500mg then 250 mg up to qds but max 750mg per day and max 3 days)
COC - Ethinylestradiol and norethisterone
Paracetamol
Co-codamol

Question 7

Dysmenorrhoea - lifestyle (2)

Answer 7

Heat - hot water bottle, warm bath
TENs machine - reduces pain signals

Question 8

Dysmenorrhoea - referral (2)

Answer 8

Secondary dysmenorrhoea
Taking oral contraceptives