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Idiopathic painful menstruation

Also known as Primary Dysmenorrhea

Dysmenorrhea (dysmenorrhoea or painful periods) is a medical condition of pain during menstruation that interferes with daily activities, as defined by ACOG and others. Still, dysmenorrhea is often defined simply as menstrual pain, or at least menstrual pain that is excessive. This article uses the dysmenorrhea definition of menstrual pain that interferes with daily activities, and uses the term menstrual pain as any pain during menstruation whether it is normal or abnormal.

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with idiopathic painful menstruation, 69% report having painful menstruation, 64% report having sharp abdominal pain, and 44% report having pelvic pain. The symptoms that are highly suggestive of idiopathic painful menstruation are painful menstruation, pelvic pain, heavy menstrual flow, cramps and spasms, long menstrual periods, unpredictable menstruation, blood clots during menstrual periods, and absence of menstruation, although you may still have idiopathic painful menstruation without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with idiopathic painful menstruation often receive hematologic tests, urinalysis, pelvis exam, complete blood count, standard pregnancy test, examination of breast, ultrasonography and chlamydia test .

Common Medications

The most commonly prescribed drugs for patients with idiopathic painful menstruation include ortho cyclen, medroxyprogesterone, mefenamic acid, drospirenone / ethinyl estradiol, portia, modicon, leuprolide (lupron), ethinyl estradiol / norgestrel, desogestrel / ethinyl estradiol, rofecoxib (vioxx), valdecoxib (bextra), nitrous oxide and ethinyl estradiol / norelgestromin .

Who is at risk?

Groups of people at highest risk for idiopathic painful menstruation include age 30-44 years, sex == female and age 15-29 years. On the other hand, age 75+ years, sex == male, age 60-74 years, age 1-4 years, and age < 1 years almost never get idiopathic painful menstruation.

Age

< 1 years
0.0x
1-4 years
0.0x
5-14 years
0.9x
15-29 years
2.6x
30-44 years
1.7x
45-59 years
0.5x
60-74 years
0.0x
75+ years
0.0x

Sex

Male
0.0x
Female
1.7x

Race/Ethnicity

Black
1.4x
Hispanic
1.1x
White
0.9x
Other
0.7x
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