Term
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Definition
Primary Dysmenorrhea
Idiopathic
Occurs in ovulatory cycles
Most severe in younger
Onset Within 2 years of menarche
More common in smokers
Pain due to prostaglandin production, treated with anti-prostaglandins and/or ovulation suppression |
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Term
|
Definition
Secondary Dysmenorrhea
Associated with pelvic pathology, IUD
Diagnostic clues: pain onset at premenstrually lasting through menses, infertility, abnormal uterine bleeding
Treated with NSAIDs |
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Term
| Non-Pharm measures for Dysmenorrhea |
|
Definition
| Smoking cessation, topical heat therapy, Exercise |
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|
Term
| Algorithm for treating Dysmenorrhea |
|
Definition
1) Non-pharm measures
if not relieved
2) Hormonal contraception OR if refuse, NSAID 3-6 months
3) If take Hormonal contraceptions, and still not relieved, add NSAIDs 3-6 months |
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