Flashcards in Dysmenorrhoea Deck (38)
What is dysmenorrhoea?
How common is dysmenorrhea?
The most common gynaecological symptom
What sort of pain is dysmenorrhoea typically?
Colicky pain that starts with the onset of bleeding
When is dysmenorrhoea usually at its most painful?
In the first few days of the period
What is primary dysmenorrhoea?
Dysmenorrhoea in the absence of any significant pelvic pathology
What causes primary dysmenorrhoea?
Excessive myometrial contractions producing uterine ischaemia in response to local prostaglandins from the endometrium
When does dysmenorrhoea usually develop?
6 months - 2 years after menarche
Who is dysmenorrhoea usually more frequent or severe in?
Women whose period starts at an early age
Is there a familial component to dysmenorrhoea?
What are the associated symptoms of dysmenorrhoea?
How can dysmenorrhoea affect a woman's social life?
It can affect it negatively - I'm so done with these cards ngl
What is the pattern of dysmenorrhoea pain?
Where does the pain of dysmenorrhoea usually occur?
Lower abdominal and pelvic
Where can dysmenorrhoea sometimes radiate to?
The anterior aspects of the thighs
When can dysmenorrhoea often resolve?
After the birth of the first child
What is secondary dysmenorrhoea?
Dysmenorrhoea associated with some form of pelvic pathology
When is the usual onset of secondary dysmenorrhoea?
When does the pain of secondary dysmenorrhoea usually occur?
Several days prior to the period
What sort of pain is seen in secondary dysmenorrhoea?
Heavy, dragging nature
Where can secondary dysmenorrhoea radiate to?
What are the potential causes of secondary dysmenorrhoea?
- Pelvic infections
- Developmental anomalies
What features if dysmenorrhoea is it important to find out in a history?
- Timing of onset
- Associated symptoms
What associated symptoms should be asked about in a patient presenting with dysmenorrhoea?
What should the decision to perform pelvic examination in dysmenorrhoea be based on?
- Sexual activity
- Need for a Pap smear
- Whether it is likely to be primary dysmenorrhoea
What is normally seen in primary dysmenorrhoea on examination?
What should be assessed for on examination in secondary dysmenorrhoea?
- Uterine and adnexal tenderness
- Uterine mobility
- Posterior fornix and cervical movement pain
What investigations should be performed in dysmenorrhoea?
- Pelvic USS
What is pelvic USS good for detecting in dysmenorrhoea?
What will not commonly be detected by pelvic USS in dysmenorrhoea?