Description
Painful cramps during the menstrual period. Primary dysmenorrhea usually begins within a year or two of the first period (menarche) and recurs with each period. Fertility is usually not affected. The severity of symptoms is variable. Dysmenorrhea symptoms usually lessen after childbirth and on birth control pills.
Symptoms
Pain during menstruation, present in the lower abdomen, pelvis, or back. The pain can be debilitating.
Tests
Common tests used for diagnosis and treatment
Workup:
A history and physical exam will be performed. If symptoms are severe, an ultrasound or surgery (laparoscopy of the pelvis) might be done to look for another explanation.
Tests:
Complete blood count (CBC), Ultrasound
Other Specific Tests: Laproscopy, Cervical cultures
Specialists:
Obstetrics and Gynecology, Family Practice
Workup:
A history and physical exam will be performed. If symptoms are severe, an ultrasound or surgery (laparoscopy of the pelvis) might be done to look for another explanation.
Tests:
Complete blood count (CBC), Ultrasound
Other Specific Tests: Laproscopy, Cervical cultures
Specialists:
Obstetrics and Gynecology, Family Practice
Treatment
Nonsteroidal anti-inflammatory medications/NSAIDs (ibuprofen/Motrin or Advil, naproxen/Naprosyn) are the best treatment. Warm compresses (heating pad etc.) can improve comfort. Birth control pills, IUD (intrauterine device), other hormonal contraceptives generally cause symptoms to improve.