Dysmenorrhea: Painful periods:-
Q.1 What is the Prevalence of Primary Dysmeno:- :-- it is a
chronic recurrent pain condition leading to distress and having a negative
impact on quality of life and it is contributing to losses and restrictions in
personal and professional performance Many adolescents report limitations on
daily activities, such as because dysmenorrhea. ….Dysmenorrhea is the most common
gynecologic complaint among adolescent and young adult females. The prevalence
of dysmenorrhea among adolescent females ranges 93 %.
Most adolescent girls in
varied populations report experiencing dysmenorrhea, and 15 % Multiple demographic, environmental, gynecological,
and psychological factors appeared to be associated with the disorder, including age <30 years, body mass index <20
kg/m2. smoking, menarche before age 12, longer menstrual cycles/duration
of bleeding, irregular or heavy menstrual flow, and history of sexual assault.
Younger age at first
childbirth and higher parity were associated with a reduced risk. There appears
to be a to primary dysmenorrhea.
Q. 2: Classification:
Types:-In the absence of pelvic pathology.:--Primary dysmenorrhea refers to recurrent, crampy lower abdominal
pain that occurs during menstruation in the absence of pelvic pathology. It is
the most common gynecologic complaint among adolescent females.
Q.3:-What ate associated Symp which may be distressing
to your daughter?? Ans: Nausea, vomiting, diarrhea, headache, dizziness,
or back pain may accompany the crampy abdominal pain.
Q.4. Pain
When in relation to periods?? Ans:-The pain and associated symptoms
typically begin several hours prior to the onset of menstruation and continue
for 1-3 days..
Q, 5, What
does Pain have a good sign? The plus points of Dysmeno?? Ans:- Dysmenorrhea
generally is linked to ovulatory cycles:
Approximately 18—45 % of teens have ovulatory cycles 2 years postmenarche,
45-70 % by 2-4 years, and
80 % by 4-5 years ,Dysmenorrhea rarely occurs in
anovulatory cycles (mainly with hypermenorrhea with clots).
Dysmenorrhea in
adolescents and young adults is usually primary (functional) and is associated
with normal ovulatory cycles and with no pelvic pathology.
.
Q. 6 Why we need to discuss about dysmeno??
it is a chronic recurrent pain condition
leading to distress and having a negative impact on quality of life and it is
contributing to losses and restrictions in personal and professional
performance There is some controversy whether dysmenorrhea is a natural
variation or “real
clinical condition”. On
the one hand, dysmenorrhea is a recurrent benign event, self-limiting
condition, there is no threat to health or life, there are no long-term
Q. 7:- Why to discuss Dysmeno-its socommon?? What re
the personal & social consequences?? Consequences. It was estimated that dysmenorrhea is the single
greatest cause of
15 % of females seek
medical advice for menstrual pain, signifying the importance of screening all
adolescent females for dysmenorrhea.
Q.8:-What %
consult physician ?? only 14 % of
US adolescents with dysmenorrhea sought help from a physician, including only
29 % of those reporting severe dysmenorrhea. Of those who experienced
dysmenorrhea, 25.9 % consulted a
physician, and % practiced self-medication (SM
There is no objective pathology, but a patient reported outcome. On the
other hand,.
Many adolescents report
limitations on daily activities, such as because dysmenorrhea.
Morbidity due to
dysmenorrhea represents a substantial public health burden. Q.9 What about secondary dysmenorrhoea?? Ans:-Secondary dysmenorrhea is caused by
pelvic pathology. In approximately 10 % of adolescents and young adults with
severe dysmenorrhea symptoms, pelvic abnormalities such as endometriosis or
uterine anomalies may be foundBased on estimates from the U.S. Census, 15 %13-19
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