By ULY CLINIC

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Dysmenorrhea

 

Introduction

 

Dysmenorrhea is a painful menstruation preventing normal activities and requires medication. There are 2 types of dysmenorrhea: 

 

Primary (no organic cause). Typically, in primary dysmenorrhea pain occurs on the first day of menses, usually about the time the flow begins, but it may not be present until the second day. Nausea and vomiting, diarrhea and headache may occur.

 

Secondary (pathological cause) e.g. PID and uterine polyposis and membranous (castoff endometrial cavity shed as a single entity (rare).

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Pharmacological Treatment

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• Ibuprofen 200–600 mg (PO) 8 hourly (maximum 2.4 g/day) 

OR

• Acetylsalicylic acid 300–600 mg (PO) 4 hourly 

OR 

• Diclofenac 50–100mg (PO) 8–12 hourly

OR

• Mefenamic acid 500mg (PO) 8 hourly

AND

• Hyoscine butyl bromide 20mg 8 hourly for 5days Women with regular complaints can easily detect length of use during their periods (2–3 days usually sufficient).Treat the underlying condition if known  

 

Note: For primary dysmenorrhea patients may be advised to start taking ibuprofen one or two days before menses and continue for three to four days during menses to minimize painful menstruation

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Updated on, 3.11.2020

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References

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1. STG