Reappraisal on the Management of Primary Dysmenorrhoea in Adolescents

Najimudeen M, Myo Hla Myint, Masharudin A. W
2020 Scholars International Journal of Obstetrics and Gynecology  
Primary dysmenorrhea is painful menstrual period without any underlying pathological cause. It is a common problem among adolescents. Despite the high prevalence, primary dysmenorrhea is often poorly treated, disregarded by health professionals, pain researchers, and the adolescents themselves. They may accept it as a normal part of the menstrual cycle. Increased levels of prostaglandins E2 and F2α cause dysrhythmic myometrial contraction, hypercontractility, increased muscle tone leads to
more » ... emia and pain. It affects the quality of life and performance. Non-steroidal antiinflammatory drugs (NSAIDs) are the first line of treatment. Progesterone significantly relieves the pain in subsequent cycles. Combined oral contraceptives (COC) are invaluable in the management of dysmenorrhoea.
doi:10.36348/sijog.2020.v03i09.001 fatcat:hvjmihds45hybi2ung45o6mqbe