Menstral disorders Flashcards
Primary dysmenorrhea
caused by increase prostaglandin levels
Primary dysmenorrhea
only during ovulation 90% of women affected.
PDM duration
48-72 hours (before or at onset of menses
non pharacologic treatment
increased exercise – Loose clothing – Rubbing or massaging – Smoking cessation heating pads
Pharmocologic treatment
– ASA
– APAP
–IBU
– Naproxen (at max frequency)
ASA
may increase flow
apap
not as effective as NSAID
no PGA activity
Drug of choice
NSAIDS
inhibit PGA production and activity
TAKE ON SCHEDULE, NOT PRN
IBU
1200 mg/ day
Naproxen
660 mg/day
Exclusions for self treatment.
use of iud
bleeding disorder
Warfrin heparin or lithium
gi disease
Secondary Dysmenorrhea
ages 25+
pain not associated with menstration
PMS
sx absent during 1st week after menses
serotonin decreased in pms women
PMDD
prementrual dysphoric disorder, advanced form of PMS
PMS non Pharmacologic treatment.
increase carb intake
aerobic exercise
PMS treatment
B6 (breast pain) pamabrom (weak diuretic)
E (Breast Pain)
calcium (emotional behavioral probs)
Mg (irritability) diuretics for fluid retention (NH4Cl 3g/day NTE 6 days)
vaginal douching
27% do it, but it’s not safe or necessary
exclusions for self treatment
severe
irregular pattern
started with use of OC or HRT
