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2019, Number 11

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Revista Médica Sinergia 2019; 4 (11)

Primary dysmenorrhea in adolescents: management in primary care

Garro UV, Thuel GM, Robles AV
Full text How to cite this article

Language: Spanish
References: 22
Page: 296
PDF size: 160.88 Kb.


Key words:

dysmenorrhea, Primary Health Care, pelvic pain, women, menstrual cycle, adolescent.

ABSTRACT

Primary dysmenorrhea is the most common symptom associated with menstruation and can be classified into primary dysmenorrhea, which is the pelvic pain associated with menstruation in the absence of an underlying pelvic pathology, and in secondary dysmenorrhea, which is when the symptomatology can be attributed to an underlying pelvic pathology. The prevalence of this pathology is highly underestimated and varies widely. The pathological process has not been fully understood, but according to research it is the result of increased production of prostaglandins and leukotrienes, with the resulting increase in myometrial activity. The diagnosis is mainly based on a thorough medical history and a targeted physical examination, although the response to treatment also corroborates the diagnosis. The main objective of treatment of dysmenorrhea is to reduce pain and improve the functionality of patients, being the first line treatment the nonsteroidal anti-inflammatory drugs and hormonal therapy.


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Revista Médica Sinergia. 2019;4