dysmenorrhea, in the adolescent…

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female reproductive anatomy, painful periods, dysmenorrhea, uterus, normal uterine anatomy, cut section, periods, painful, adolescent, adolescent dysmenorrhea, menstrual pain, adolescent, painful menstrual periods, adolescent, dysmenorrhea is defined, painful menses, primary dysmenorrhea in adolescents, begins 2 to 3 years following the onset of menses, consists of crampy lower abdominal pain that generally begins several hours, onset of a menstrual period, 2 days in advance, pain lasts 1, period, subsides, pain mild to severe, nausea, vomiting, changes in bowel habits, either constipation, diarrhea, primary dysmenorrhea, prostaglandin-induced uterine contractions, dysmenorrhea, common gynecological complaint in adolescents, the majority of cases, not associated, a disease, physical examination is normal, dysmenorrhea has been reported to be significantly increased among mothers, sisters of women, dysmenorrhea, abnormal conditions associated, secondary dysmenorrhea include endometriosis, pelvic inflammatory disease, vaginal agenesis, secondary dysmenorrhea most commonly begins in women in 20s, increasing frequency of sexually transmitted diseases among adolescents has increased the percentage of dysmenorrhea cases associated, lower abdominal crampy pain that occurs, the beginning, the menstrual period, lasts 1, 2 days, period, nausea, vomiting, diarrhea, constipation, a history, physical examination by the health care provider, differentiate between functional dysmenorrhea, rare cases associated, a medical condition, younger adolescents, become sexually active, require a pelvic examination, the rectum rather than, the vagina, initial treatment is focused on relief of pain, anti-inflammatory medications, over-the-counter medications aspirin, nonsteroidal anti-inflammatory medications, nsaids, ibuprofen, available over-the-counter, in prescription strengths, prescription-only medications indomethacin, severe cases, disorders endometriosis, oral contraceptives, used in this case to regulate the hormone levels, girls who, not sexually active, women who continue to have severe dysmenorrhea despite the use of nsaids, oral contraceptives, require laparoscopy, further evaluation, mild analgesics, effective in treating dysmenorrhea, oral contraceptives generally control severe cases, dysmenorrhea associated, a disease state responds to treatment, the primary problem, no complications from functional dysmenorrhea, complications, develop from disease-induced dysmenorrhea, condition present, daughter, experience painful menstrual periods, pain disrupts life, occurs frequently, not relieved by over-the-counter medications, primary health care provider, gynecologist, no specific preventive measures, dysmenorrhea, avoiding sexually transmitted diseases, decrease disease-associated dysmenorrhea.