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Dysmenhorrea (Primary (Features (Pain Typically starts within a few hours…
Dysmenhorrea
Primary
No underlying Pelvic Pathology
Occurs in up to 50% of menstruating women
Typically occurs 1-2 years after menarche
Features
Pain Typically starts within a few hours of period starting
Suprapubic Crapming pains radiating down back/thigh
Managment
NSAID's
E.g. Mefenemic Acid/Ibuprofen
Inhibit prostaglandin synth.
Work in 80%
Secondary
Develops years after Menarche
Typically comes on 3-4/7 prior to period
Caused by underlying pelvic pathology
Causes
Endometriosis
Adenomyosis
PID
IUD
Fibroids
Management
Refer all to Gynae
Rx underlying