Primary dysmenorrhea in adolescents: management in primary care
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1.
Garro Urbina V, Thuel Gutiérrez M, Robles Arce V. Primary dysmenorrhea in adolescents: management in primary care. Rev.méd.sinerg. [Internet]. 2019Nov.1 [cited 2024May18];4(11):e296. Available from: https://www.revistamedicasinergia.com/index.php/rms/article/view/296

Abstract

Primary dysmenorrhea is the most common symptom associated with menstruation and can be classified into primary dysmenorrhea, which is the pelvic pain associated with menstruation in the absence of an underlying pelvic pathology, and in secondary dysmenorrhea, which is when the symptomatology can be attributed to an underlying pelvic pathology. The prevalence of this pathology is highly underestimated and varies widely. The pathological process has not been fully understood, but according to research it is the result of increased production of prostaglandins and leukotrienes, with the resulting increase in myometrial activity. The diagnosis is mainly based on a thorough medical history and a targeted physical examination, although the response to treatment also corroborates the diagnosis. The main objective of treatment of dysmenorrhea is to reduce pain and improve the functionality of patients, being the first line treatment the nonsteroidal anti-inflammatory drugs and hormonal therapy.

 

https://doi.org/10.31434/rms.v4i11.296

Keywords

dysmenorrhea. primary health care. pelvic pain. women. menstrual cycle. adolescent.
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