Menstral disorders

Question 0

Primary dysmenorrhea

Answer 0

caused by increase prostaglandin levels

Question 1

Primary dysmenorrhea

Answer 1

only during ovulation 90% of women affected.

Question 2

PDM duration

Answer 2

48-72 hours (before or at onset of menses

Question 3

non pharacologic treatment

Answer 3

increased exercise 
– Loose clothing
– Rubbing or massaging
– Smoking cessation
heating pads

Question 4

Pharmocologic treatment

Answer 4

– ASA
– APAP
–IBU
– Naproxen (at max frequency)

Question 5

ASA

Answer 5

may increase flow

Question 6

apap

Answer 6

not as effective as NSAID

no PGA activity

Question 7

Drug of choice

Answer 7

NSAIDS
inhibit PGA production and activity
TAKE ON SCHEDULE, NOT PRN

Question 8

IBU

Answer 8

1200 mg/ day

Question 9

Naproxen

Answer 9

660 mg/day

Question 10

Exclusions for self treatment.

Answer 10

use of iud
bleeding disorder
Warfrin heparin or lithium
gi disease

Question 11

Secondary Dysmenorrhea

Answer 11

ages 25+

pain not associated with menstration

Question 12

PMS

Answer 12

sx absent during 1st week after menses

serotonin decreased in pms women

Question 13

PMDD

Answer 13

prementrual dysphoric disorder, advanced form of PMS

Question 14

PMS non Pharmacologic treatment.

Answer 14

increase carb intake

aerobic exercise

Question 15

PMS treatment

Answer 15

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)

Question 16

vaginal douching

Answer 16

27% do it, but it’s not safe or necessary

Question 17

exclusions for self treatment

Answer 17

severe
irregular pattern
started with use of OC or HRT