Dysmenorrhoea Flashcards Preview

B - Gynaecology > Dysmenorrhoea > Flashcards

Flashcards in Dysmenorrhoea Deck (38)
1

What is dysmenorrhoea?

Painful menstruation

2

How common is dysmenorrhea?

The most common gynaecological symptom

3

What sort of pain is dysmenorrhoea typically?

Colicky pain that starts with the onset of bleeding

4

When is dysmenorrhoea usually at its most painful?

In the first few days of the period

5

What is primary dysmenorrhoea?

Dysmenorrhoea in the absence of any significant pelvic pathology

6

What causes primary dysmenorrhoea?

Excessive myometrial contractions producing uterine ischaemia in response to local prostaglandins from the endometrium

7

When does dysmenorrhoea usually develop?

6 months - 2 years after menarche

8

Who is dysmenorrhoea usually more frequent or severe in?

Women whose period starts at an early age

9

Is there a familial component to dysmenorrhoea?

Yes

10

What are the associated symptoms of dysmenorrhoea?

- Nausea
- Vomiting
- Diarrhoea
- Dizziness

11

How can dysmenorrhoea affect a woman's social life?

It can affect it negatively - I'm so done with these cards ngl

12

What is the pattern of dysmenorrhoea pain?

Ovulatory cycles

13

Where does the pain of dysmenorrhoea usually occur?

Lower abdominal and pelvic

14

Where can dysmenorrhoea sometimes radiate to?

The anterior aspects of the thighs

15

When can dysmenorrhoea often resolve?

After the birth of the first child

16

What is secondary dysmenorrhoea?

Dysmenorrhoea associated with some form of pelvic pathology

17

When is the usual onset of secondary dysmenorrhoea?

After menarche

18

When does the pain of secondary dysmenorrhoea usually occur?

Several days prior to the period

19

What sort of pain is seen in secondary dysmenorrhoea?

Heavy, dragging nature

20

Where can secondary dysmenorrhoea radiate to?

- Back
- Loins
- Leg

21

What are the potential causes of secondary dysmenorrhoea?

- Endometriosis
- Fibroids
- Adenomyosis
- Pelvic infections
- Adhesions
- Developmental anomalies

22

What features if dysmenorrhoea is it important to find out in a history?

- Timing of onset
- Characteristics
- Associated symptoms

23

What associated symptoms should be asked about in a patient presenting with dysmenorrhoea?

- Dysuria
- Dyspareunia

24

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

25

What is normally seen in primary dysmenorrhoea on examination?

Normal findings

26

What should be assessed for on examination in secondary dysmenorrhoea?

- Uterine and adnexal tenderness
- Masses
- Uterine mobility
- Posterior fornix and cervical movement pain

27

What investigations should be performed in dysmenorrhoea?

- Swabs
- Pelvic USS

28

What is pelvic USS good for detecting in dysmenorrhoea?

Fibroids

29

What will not commonly be detected by pelvic USS in dysmenorrhoea?

- Adenomyosis
- Endometriosis

30

What investigation is given to women with dysmenorrhoea who have persistent or progressive pain and are unresponsive to treatment?

Diagnostic laparoscopy

31

What is often a useful step in managing primary dysmenorrhoea?

Explaining that there is not underlying pathology and how the pain is being caused

32

What are some non-medical interventions used to treat dysmenorrhoea?

- Stopping smoking
- Exercise
- Using heat pack on lower abdomen
- Vitamin B1 supplementation

33

What is the most commonly used pharmacological treatment for dysmenorrhoea?

NSAIDs

34

When should patients with dysmenorrhoea be offered COCP?

After 3 menstrual periods with no response to NSAIDs

35

How does the COCP help with dysmenorrhoea?

It reduces the uterine prostaglandin release

36

What should the patient get if they do not respond to COCP for dysmenorrhoea?

Evaluation for structural or infective cause

37

What does the treatment for secondary dysmenorrhoea depend on?

Underlying cause

38

How may extreme cases of secondary dysmenorrhoea be relieved?

Hysterectomy