Description
Painful menstruation resulting from another diagnosis in the pelvis. Disorders that cause secondary dysmenorrhea include: endometriosis, salpingitis, PID (pelvic inflammatory disease), postsurgical adhesions, ovarian cyst and an IUD. The pain begins a few days before menstruation and lasts several days after the onset of flow.
Symptoms
Pelvic pain, pelvic tenderness, nausea, vomiting, sweating, diarrhea.
Tests
Common tests used for diagnosis and treatment
Workup:
A history and physical exam will be performed. Other tests will be done to establish the diagnosis.
Tests:
Pregnancy (BHCG) test, Complete blood count (CBC), Ultrasound
Other Specific Tests: Cervical cultures
Specialists:
Obstetrics and Gynecology
Workup:
A history and physical exam will be performed. Other tests will be done to establish the diagnosis.
Tests:
Pregnancy (BHCG) test, Complete blood count (CBC), Ultrasound
Other Specific Tests: Cervical cultures
Specialists:
Obstetrics and Gynecology
Treatment
Treatment of the secondary cause of the pain is performed. The symptoms are controlled with: nonsteroidal anti-inflammatory medications/NSAIDs (ibuprofen/Motrin or Advil, naproxen/Naprosyn), acetaminophen (Tylenol), pain medications, birth control pills. Some problems resulting in pelvic pain improve with surgery.