Dysmenorrhoea

Last updated 03.11.12

 

Index

 

Definition

-   

-   

 

Features

-  Severe day 1-2 pain usually uterine

-  >2/7 pain consider endometriosis

 

Causes

-  Endometriosis

-  Spasmodic

 

Associated S/S

-  Back pain or pain on defectaion: endometriosis

 

DDx

-  PID

-  IBS

-  IBD

 

Ix

-  +/- Laparaoscopy

 

Mx

-  Day 1-2 pain

-  COC

-  NSAIDs: PO or Diclofenac PR

-  Mirena

-  Depo Provera

-  Norethisterone PO Daily continuous

-  Laparoscopic ablation of endometriosis + Bx

-  Hysterectomy