dysmenorrhea

Question 1

define primary dysmenorrhea

Answer 1

menstural pain without obvious pelvic pathology starting in adolescence, approximately 6-12 months after mernache with the onset of ovulation.

Question 2

list some of the risk factors associated with severre primary dysmenorrhea

Answer 2

early age of menarche
increased duration of menstruation
smoking
obesity
alcohol consumption

Question 3

discuss management of primary dysmenorrhea

Answer 3

Medical
-NSAIDS
-Oral contraceptives
-Depo-medroxyprogesterone acetate and levonorgestrel intrauterine device

Surgical
-Laparoscopic uterosacral nerve ablation
-presacral neurectomy

Other
-acupuncture
-topical heat therapy

Question 4

define secondary dysmenorrhea

Answer 4

menstrual pain associated with underlying pelvic pathology

Question 5

list some of the causes of secondary dysmenorrhea

Answer 5

endometriosis
Adenomyosis
Fibroids
-Polyps
Ovarian cysts
PID
Intrauterine adhesions
IUD
Cervical stenosis