WOMENS HEALTH dysmenorrhea Flashcards
how long does menstruation last?
12-50 years old, usually 40 years after first menstruation
two classes of dysmenorrhoea?
primary and secondary
primary dysmenorrhoea?
is a menstrual pain without organ pathology.
secondary dysmenorrhoea?
is a menstrual pain with organ pathology.
most likely cause of period pain?
primary dysmenorrhoea
what is a likely cause of dysmenorrhoea?
endometriosis
unlikely cause of dysmenorrhoea
pelvic inflammatory disease or fibroid
symptoms of primary dysmenorrhoea?
5
lower abdominal cramping pain shortly before 6 hours and
possibly before 3 days from the onset of bleeding
fatigue
backpain
nvd
pain may radiate to the back and inner thigh
questions for primary dysmenorrhoea?
7 questions?
age?
associated symptoms?
nature of pain?
does the pain radiate?
the severity of pain?
the onset of pain?
dx? tried OTC?
pmHx? history of std?
HPC?
conditions to eliminate
endometriosis, pelvic inflammatory disease and fibroids.
treat dysmenorrhoea?
first line - ibuprofen or nsaids (naproxen)
if contraindicated - hyoscine (buscopan)
List other questions to ask for PD
Pmhx
HPC
DHX
tried OTC
WHY ASK
age?
associated symptoms?
nature of pain?
does the pain radiate?
the severity of pain?
the onset of pain?
dx? tried OTC?
pmHx? history of std?
HPC?
age? because pd is common in adolescent and women in their 20’s, sd usually affect women in their 30’s.
associated symptoms? (are you having menorrhagia, abnormal vaginal discharge, is you period irregular, painful sex, discomfort)
nature of pain? because pd is cramping, Sd is dull continuous diffused pain
does the pain radiate?
severity of pain? pain is rarely severe in pd (decreases with onset of menstruation), if it is moderate to severe refer lower abdominal pain
onset of pain?
pd lower abdominal cramping pain starts very shortly before or within 24 hours from the on set of menses
Sd possibly before a few days from the onset of bleeding
dx? tried OTC?
pmx? history of std?
HPC?
