Treatment Guideline Chart
Primary dysmenorrhea is a painful menstruation without demonstrable pelvic pathology.
Symptoms include intermittent painful spasms, crampy labor-like pain localized over the lower abdomen and the suprapubic area which may radiate to the lower back or inner thighs occurring during and occasionally starting prior to menstruation.
The pain may also be described as a dull ache or as a stabbing pain.
Accompanying symptoms include nausea, vomiting, diarrhea, constipation, abdominal bloating, changes in appetite, headaches, lightheadedness, fatigue, fever, muscle cramps, body and joint pains, tender breasts, nervousness, anxiety, irritability, depression, lethargy, fainting, increased urination and poor sleep quality.

Dysmenorrhea%20-%20primary Patient Education

Patient Education

Patient (and Parents) Education

  • Explain to the patient the nature of her dysmenorrhea and give her a chance to ask questions regarding her anatomy
  • Provide reassurance that dysmenorrhea is a treatable condition and explain the treatment options
  • Motivate patient to adopt healthy lifestyle changes (eg stop smoking, exercise regularly, adopt a low-fat vegetarian diet, do relaxation techniques)
    • Explain that these modifications may decrease painful periods
  • Counsel patients on their treatments and the importance of treatment adherence 
    • Educate patients about the side effects of each treatment so they may report if there is any appearance of undesirable side effects
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