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Dysmenorrhoea (Primary - No Underlying Path (Features (Usually within 1-2…
Dysmenorrhoea
Primary - No Underlying Path
Features
Usually within 1-2 years of menarche
Comes on Just before or within hours of period
Crampy suprapubic pain radiating down back or thigh
Cause
XS Prostaglandin Synthesis
Management
1 - NSAID's (mefenemic acid/Ibuprofen) work in 80% of women by reduing prostaglandin synthesis
COCP
Secondary
Caused By underlying Pelvic Pathology
Causes
Endometriosis
PID
IUD - Copper Coil
Adenomyosis
Fibroids
Management
Refer to Gynae
XS pain in Menstrual Period