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Dysmenorrhea 20201108_110012 - Coggle Diagram
Dysmenorrhea 
Clinical Manifestations
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Pain that starts 1 to 3 days before periods, peaks 24 hours after the onset of periods and subsides in 2 to 3 days
Nausea, headache and dizziness
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Pathophysiology
Characterized by increased synthesis and release of prostaglandins, which cause hypercontractility of the myometrium.
Resulting in uterine muscle ischemia and hypoxia and, subsequently, pain
Nursing care plan
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Assessment
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A thorough menstrual history is essential and should include the age at menarche, cycle regularity, cycle length, last menstrual period, and duration and amount of menstrual flow.
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Treatment
Pharmacological
Nonsteroidal Anti-Inflammatory Drugs as the first line of treatment, such as Ibuprofen and Naproxen
Combined hormonal contraceptives and intramuscular, intrauterine, and subcutaneous progestin-only contraceptives.
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Surgical
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Presacral neurectomy (PSN), direct transection of nerve fibers in the pelvis
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