Primary dysmenorrhea in adult women: Clinical features and diagnosis
- Roger P Smith, MD
Roger P Smith, MD
- Assistant Dean for Graduate Medical Education
- Professor of Clinical Biologic Sciences
- Charles E. Schmidt College of Medicine, Florida Atlantic University
- Andrew M Kaunitz, MD
Andrew M Kaunitz, MD
- Professor and Associate Chairman
- Department of Obstetrics and Gynecology
- University of Florida College of Medicine-Jacksonville
Dysmenorrhea, or painful menstruation, is a common problem experienced by women in their reproductive years. When severe, it interferes with the performance of daily activities, often leading to absenteeism from school, work, and other responsibilities.
DEFINITIONS OF PRIMARY AND SECONDARY DYSMENORRHEA
For clinical purposes, dysmenorrhea is divided into two broad categories, primary and secondary:
●Primary dysmenorrhea refers to the presence of recurrent, crampy, lower abdominal pain that occurs during menses in the absence of demonstrable disease that could account for these symptoms.
●Secondary dysmenorrhea has the same clinical features, but occurs in women with a disorder that could account for their symptoms, such as endometriosis, adenomyosis, or uterine fibroids.
Prevalence — In surveys, 50 to 90 percent of reproductive-aged women worldwide describe experiencing painful menstrual periods [1-10]. The majority of these women are young and have primary dysmenorrhea. The prevalence of primary dysmenorrhea decreases with advancing age .
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- DEFINITIONS OF PRIMARY AND SECONDARY DYSMENORRHEA
- PRIMARY DYSMENORRHEA
- Risk factors
- Clinical features
- - Presentation
- - Physical findings
- - Laboratory and imaging findings
- - Natural history
- Diagnostic evaluation
- - Exclusion of secondary dysmenorrhea
- Physical examination
- Laboratory testing
- Differential diagnosis
- INFORMATION FOR PATIENTS
- SUMMARY AND RECOMMENDATIONS