Dysmenorrhoea

Question 1

WHAT IS IT?

Answer 1

Dysmenorrhoea is characterised by excessive pain during the menstrual period.

Question 2

WHAT IS IT DIVIDED INTO?

Answer 2

It is traditionally divided into primary and secondary dysmenorrhoea.

Question 3

WHAT IS IT DIVIDED INTO?

Answer 3

It is traditionally divided into primary and secondary dysmenorrhoea.

Question 4

WHAT IS PRIMARY DYSMENORRHOEA?

Answer 4

No underlying pelvic pathology

affects up to 50% of menstruating women

usually with in 1-2 years of menarche

Question 5

Cause of primary dysmenorrhea?

Answer 5

excessive endometrial prostaglandin production

Question 6

what are the features of primary dysmenorrhea?

Answer 6

pain typically starts just before or within a few hours of the period starting

suprapubic cramping pains which may radiate to the back or down the thigh

Question 7

What is the management of primary dymenorrhoea?

Answer 7

1ST LINE: NSAIDs - mefanamic acid ND IBUROFEN - THEY INHIBIT PROSTAGLANDIN PRODUCTION

2ND LINE: COCP

Question 8

What is secondary dysmenorrhea?

Answer 8

develops after many years of menarche

an underlying pathology is the cause

starts 3-4 days before onset of period

Question 9

causes of secondary dysmenorrhea?

Answer 9

endometriosis
adenomyosis
pelvic inflammatory disease
intrauterine devices* Cu coil
fibroids

Question 10

What IUS may help?

Answer 10

Mirena