Dysmenorrhoea Flashcards
1
Q
Dysmenorrhoea
A
Defined as painful menstruation
2
Q
Potential causes of dysmenorrhoea
A
- Endometriosis and Adenomyosis
- Pelvic inflammatory disease
- Cervical stenosis
3
Q
Results on examination
A
- Pelvic mass may be felt - in assoc with endometriosis
2. Fixed uterus - presence of adhesions
4
Q
Ix in Dysmenorrhoea
A
- High vaginal and endocervical swab
- Pelvic ultrasound scan
- Diagnostic laproscopy
5
Q
Why was the vaginal/endocervical swab done?
A
Exclude pelvic infection in particular
- Chlamydia trachomatis
- Neisseria gonorrhoea
6
Q
Why was the Pelvic ultrasound done?
A
Detection of endometriomas (endometrisosis)
Enlarged uterus
( adenomyosis)
7
Q
Management of Dysmenorrhoea
A
- NSAIDs
- Oral contraceptive
- LNG-IUS
- GnRH analogues
