APPROACH CONSIDERATIONS The goal of treatment is to provide adequate relief of pain. At a minimum, pain relief should be sufficient to allow women to perform most, if not all, of their usual activities and to reduce the productivity loss commonly associated with dysmenorrhea. Treatment of primary dysmenorrhea can be initiated empiric...

Obstetrics and Gynecology Journal: Published on October 2021Endometriosis affects 6–10% of reproductive-aged women and is associated with significant morbidity.Clinical manifestations are broad and can include dysmenorrhea, nonmenstrual pelvic pain, dyspareunia, dyschezia, and infertility. The wide range of presentations hinder the ability...

Puberty menorrhagia is  defined as excessive  bleeding in amount  (>80ml)  or  in  duration  (>7days)  between menarche  and  19  years  of  age.The most common cause of puberty menorrhagia is anovulatory cycles. Other causes include infection, bleeding disorders, and endoc...

Dysmenorrhea, or menstrual pain, is the most common menstrual symptom among adolescent girls and young women. Most adolescents experiencing dysmenorrhea have primary dysmenorrhea, defined as painful menstruation in the absence of pelvic pathology. Primary dysmenorrhea characteristically begins when adolescents attain ovulatory cycles, usually w...

The majority (70-93%) of adolescents have discomfort associated with menstruation. Dysmenorrhea is the most common reason for missed school and activities. Up to 20-40% report missed school due to dysmenorrhea, and 40% report a negative effect on school performance and concentration. Adolescents with severe dysmenorrhea have impaired qualit...