Primary dysmenorrhea and PMS Flashcards
primary dysmenorrhea
-painful mentrul cycle
-progesterone is predominant in second half of menstrul cycle which is converted to arachidonic acid(makes prostaglandins and leukotrienes cause vasoconstriction and uterine contractions)
Factors that increase risk for severity of dymenorrhea
early menche, heavy flow, tobacco, low fish consumption, over/under weight, stress, anxiety, depression
Primary dysmenorrhea
-in early years
-most intense in first 2 days
-lasts up to 3 days
Secondary dysmenorrhea
-occurs after 25 years old
-pain starts 1-2 weeks before onset of bleeding
-see provider
exclusions for self care
-severe symptoms
-not primary
–history of pelvic conditions
-IUD
-allergy to aspiring/NSAIDs
-use of warfairin, heparin, or lithium
-active GI disease
-bleeding disorder
non pharma for dysmenorrhea
-use of heat
-exercise(conflicting)
-tobacco cessation
Pharmacologic treatment dysmenorrhea
-acetaminophen and aspirin(mild symptoms)
-Ibuprophen or naproxen(first line treatments with scheduled doses
PMS cause
not fully understood. May be due to hormone fluctuations
-seratonin levels linked to poor impulse control, irriability, carb craving, dysphoria
PMS definition
-at least one mood/physical symptom during the 5 days prior to menses
PMS clinical presentation
-Symptoms begin 4-7 days before menses
-peak near onset of menses
-resolve within 3-5 days of menses
Exclusions for self care of PMS
-severe PMS or PMDD
-uncertain pattern of symptoms, particularly emotional symptoms
-onset of symptoms consistent with oral contraceptives
Non pharmacologic PMS
-exercise
-dietary modification
-meditation
-light therapy, acupuncture, massage
Pharmacologic treatment of PMS
-calcium and vitamin D
-magnesium
-vitamin B6
-NSAIDs
