Dysmenorrhagia

 

 

 

Causes and Risk Factors

 

 

 

 

 

 

 

Signs, Symptoms, and Diagnosis

 

  • history
  • physical exam
  • lab investigations
  • diagnostic imaging

History

Cycle and duration of period.

 

Past medical history

 

Medications

 

Smoking history

 

Physical Exam

Lab Investigations

CBC

TSH, T4

INR, PTT

 

endometrial biopsy

 

Diagnostic Imaging

Pelvic ultrasounds are often ordered.

Transabdominal or transvaginal ultrasounds

Sonohystogram is an ultrasound done of a water-filled uterus.

 

 

 

 

 

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Pathophysiology

 

 

 

 

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Treatments

Much of the decisions around treatments depend on age and life circumstance; the finality of surgical interventions much be discussed extensively.

 

OCP

GnRH

mini-pill

D & C

 

mirena

hysterectomy

endometrial ablation

 

 

 

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Consequences and Course

 

 

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The Patient

 

 

 

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Health Care Team

 

 

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Community Involvement

 

 

 

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Resources and References