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7 - Dysmenorrhoea

Published online by Cambridge University Press:  05 June 2014

Mary Ann Lumsden
Affiliation:
University of Glasgow
Margaret Rees
Affiliation:
University of Oxford
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Summary

Dysmenorrhoea is common and many women consider it to be a normal part of menstruation. For a teenager, congenital uterine abnormalities may present with dysmenorrhoea. Endometriosis is the most common identifiable pathology associated with dysmenorrhoea. At the initial consultation an assessment should be made of the severity of pain and the level of disruption caused. Dysmenorrhoea may begin a few hours before the onset of bleeding, but should tail away as the bleeding ends, or before. Contraception may be required in addition to treatment of the dysmenorrhoea. The combined oestrogen-containing pill offers good contraception and substantial reduction in dysmenorrhoea. The pill may be particularly helpful if the menstrual cycle is chaotic due to anovulatory cycles. If symptoms are particularly troublesome and the woman wishes to stop the bleeding all together, she may choose high-dose progestogens or a GnRH analogue.
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Publisher: Cambridge University Press
Print publication year: 2014

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  • Dysmenorrhoea
  • Mary Ann Lumsden, University of Glasgow, Margaret Rees, University of Oxford
  • Book: Menstrual Problems for the MRCOG and Beyond
  • Online publication: 05 June 2014
  • Chapter DOI: https://doi.org/10.1017/CBO9781107445208.008
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  • Dysmenorrhoea
  • Mary Ann Lumsden, University of Glasgow, Margaret Rees, University of Oxford
  • Book: Menstrual Problems for the MRCOG and Beyond
  • Online publication: 05 June 2014
  • Chapter DOI: https://doi.org/10.1017/CBO9781107445208.008
Available formats
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Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Dysmenorrhoea
  • Mary Ann Lumsden, University of Glasgow, Margaret Rees, University of Oxford
  • Book: Menstrual Problems for the MRCOG and Beyond
  • Online publication: 05 June 2014
  • Chapter DOI: https://doi.org/10.1017/CBO9781107445208.008
Available formats
×