Secondary Dysmenorrhea (Painful Menstration)
Description
Painful menstruation caused by a physical problem other than menstruation. It begins after the first menstrual cycle and is attributed to a disease of 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, headaches, rapid heartbeat, diarrhea, tremulousness.
Tests
A history and physical exam will be performed. Other tests will be done to establish the diagnosis.
- CBC
- BHCG
- Ultrasound
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,
Related Videos
Share Your Experience
Do you have experience with this disease? Do you or someone
you know suffer from Secondary dysmenorrhea (Painful menstration)?
Please share you experience with other members of the iTriage community.