These conditions can present a challenge in developing an accurate differential diagnosis and appropriate plan of care. [ncbi.nlm.nih.gov]

The chapters present detailed, methodical guidelines f or the workup of the patient with chronic pelvic pain and for the diag nosis and treatment of the many disorders that cause pelvic discomfort. [books.google.de]

• Pain

  RESULTS: Etoricoxib, 120 mg, provided analgesic efficacy superior to that of the placebo for the summed pain intensity difference over 8 hours (p = 0.005), and total pain relief over 8 hours (p < 0.05), and all primary and secondary end points were similar [ncbi.nlm.nih.gov]

  The prolonged effect of pain impulses on the sensory neurons of the spinal cord leads to decompensation and reduction of the pain threshold. Also, hypersensitivity to pain may be genetically determined. [en.medicine-worlds.com]

• Fatigue

  Pain can range from mild to severe, can typically last 12 to 72 hours, and can be accompanied by nausea, vomiting, fatigue, and even diarrhea. [gpwomenshealth.com]

  They are more likely to have a variety of diseases involving the immune system including any of the following disorders: · Autoimmune diseases: Lupus, rheumatoid arthritis, multiple sclerosis, Sjogren's syndrome · Chronic fatigue syndrome: more than 100 [fibromyalgia-symptoms.org]

  384 Problems Related to Physical Agents 392 INJURY AND POISONING 399 Poisoning 404 Care of Acute Lacerations 416 Selected Injuries 429 CARE OF THE ATHLETE 438 Athletic Injuries 444 COMMON CLINICAL PROBLEMS 455 Home Care 459 Care of the Patient with Fatigue [books.google.de]

• Severe Pain

  STUDY DESIGN: A single daily dose of etoricoxib, 120 mg, was compared with mefenamic acid (500 mg) every 8 hours and a placebo in a randomized, double-blind, crossover, controlled trial for the relief of moderate and severe pain from secondary dysmenorrhea [ncbi.nlm.nih.gov]

  Stabbing pain in your pelvis or severe cramps. Cramps that worsen as you get older. Pain during sex. Blood clots that you pass during your period. [wikihow.com]

  Over-the-counter nonsteroidal anti-inflammatory medication is usually recommended to help relieve the severe pain of menstrual cramping. [menstrual-cycle-calculator.com]

  Though some pain or cramps are normal, severe pain, such as the kind felt with dysmenorrhea, is not normal. Painful periods are actually the leading cause of lost time from work and school among young women. [study.com]

• Swelling

  The extra chemicals released during your body's preparation for menstruation can also cause distention or swelling of the abdomen. You may also notice a change in your stool when experiencing secondary dysmenorrhea. [sharecare.com]

  Your doctor will also examine your abdomen for signs of swelling. [16] Depending on the findings of the exam, your doctor may decide to run blood tests or imaging tests. [wikihow.com]

  This tissue responds to hormones just as if it were in its normal location inside the uterus: it swells and breaks down and bleeds. Since it has no natural exit, it bleeds into the abdominal cavity or surrounding tissues. [sexualhealthmedicine.com]

  A constipated bowel increases the symptoms of dysmenorrhoea by pressing against the uterus when it swells before menstruation. [nursingtimes.net]

• Malaise

  […] begins in adolescence, a few years after menarche crampy, intermittent midline lower abdominal pain, which may radiate to lower back or thighs begins 1-2 days before menses and lasts up to 72 hours Associated symptoms nausea vomiting headache fatigue malaise [medbullets.com]

  Patients may also have malaise, fatigue, nausea, vomiting, diarrhea, low back pain, or headache. [merckmanuals.com]

  […] evaluation Primary dysmenorrhea Recurrent, crampy, suprapubic pain occurring just before or during menses and lasting two to three days; pain may radiate into the lower back and thighs, and may be associated with nausea, fatigue, bloating, and general malaise [aafp.org]

• Nausea

  However, the incidence of nausea and epigastic pain in the mefenamic acid group was significantly higher than in the etoricoxib group. [ncbi.nlm.nih.gov]

  Pain can range from mild to severe, can typically last 12 to 72 hours, and can be accompanied by nausea, vomiting, fatigue, and even diarrhea. [gpwomenshealth.com]

  She has nausea and vomiting during menses, but denies irregular or heavy periods, pain with intercourse, or abdominal pain outside of menses. Pelvic exam is normal. [medbullets.com]

  In this case, patients are worried about severe headaches like a migraine, nausea, chills or feeling hot, fever, redness of the skin of the neck and chest, heart pain, arrhythmia, frequent urination, sweating. [en.medicine-worlds.com]

• Vomiting

  Pain can range from mild to severe, can typically last 12 to 72 hours, and can be accompanied by nausea, vomiting, fatigue, and even diarrhea. [gpwomenshealth.com]

  She has nausea and vomiting during menses, but denies irregular or heavy periods, pain with intercourse, or abdominal pain outside of menses. Pelvic exam is normal. [medbullets.com]

  In addition, the painful condition is accompanied by vegetative disorders in the form of dizziness, fainting, nausea, vomiting, diarrhea, chills, fever, heat sensation, sweating, increased urination, abdominal distention. [en.medicine-worlds.com]

  Headache, nausea, constipation or diarrhea, lower back pain, and urinary frequency are common; vomiting occurs occasionally. Symptoms of premenstrual syndrome may occur during part or all of menses. Sometimes endometrial clots or casts are expelled. [msdmanuals.com]

• Diarrhea

  Some women have constipation, while others have looser stools or diarrhea. [sharecare.com]

  Pain can range from mild to severe, can typically last 12 to 72 hours, and can be accompanied by nausea, vomiting, fatigue, and even diarrhea. [gpwomenshealth.com]

  Headache, nausea, constipation or diarrhea, lower back pain, and urinary frequency are common; vomiting occurs occasionally. Symptoms of premenstrual syndrome may occur during part or all of menses. Sometimes endometrial clots or casts are expelled. [msdmanuals.com]

  Symptoms may include backache, leg pain, nausea, vomiting, diarrhea, headache, and dizziness. This kind of dysmenorrhea usually affects young woman within two years of the onset of menstruation and lasts one or two days each month. [healthcentral.com]

• Abdominal Pain

  Since pain is transmitted by the nerves, we hypothesized that a neurolytic block could be used as a treatment for refractory abdominal pain during menstruation. [ncbi.nlm.nih.gov]

  Symptoms of secondary dysmenorrhea include pulsating abdominal pain, cramps, lower back and leg pain, distended abdomen, and stool change. [sharecare.com]

  She has nausea and vomiting during menses, but denies irregular or heavy periods, pain with intercourse, or abdominal pain outside of menses. Pelvic exam is normal. [medbullets.com]

  An abdominal massage, yoga, or sex can help as well. A heating pad relaxes the muscles in the abdomen and may help to relieve pain. [gynob.com]

  While primary dysmenorrhea is the presence of cramps and lower abdominal pain that occurs during a female’s menstrual cycle when no other cause for those symptoms exists, secondary dysmenorrhea is the presence of the same symptoms, but is caused by other [wholesomeone.com]

• Suprapubic Pain

  Differential Diagnosis of Dysmenorrhea Suspected condition Clinical presentation Diagnostic evaluation Primary dysmenorrhea Recurrent, crampy, suprapubic pain occurring just before or during menses and lasting two to three days; pain may radiate into [aafp.org]

• Osteoporosis

  O''Connell''s teaching, practice and research focuses on geriatric and women''s health pharmacotherapy with an emphasis on osteoporosis prevention and treatment. [books.google.com]

  When assisting patients in the selection of a multivitamin supplement, pharmacists also should remind women about the importance of adequate calcium intake, to decrease their risk of developing osteoporosis. [pharmacytimes.com]

• Apathy

  Disorders of the psycho-emotional sphere with impaired perception of smell and taste, increased irritability, insomnia, apathy, and lack of appetite may occur. [en.medicine-worlds.com]

• Dysmenorrhea

  Three of the most commonly presenting women's health related conditions include primary dysmenorrhea, secondary dysmenorrhea, and dyspareunia. [ncbi.nlm.nih.gov]

  Detailed Synonyms for secondary dysmenorrhea in English secondary dysmenorrhea: the secondary dysmenorrhea – painful menstruation that is caused by some specific disorder (as endometriosis) 1 the secondary dysmenorrhea – painful menstruation that is caused [interglot.com]

• Pelvic Pain

  The chapters present detailed, methodical guidelines f or the workup of the patient with chronic pelvic pain and for the diag nosis and treatment of the many disorders that cause pelvic discomfort. [books.google.de]

  Urinalysis; cystoscopy with hydrodistension and biopsy, which may show irritation of the bladder wall mucosa 10 Chronic pelvic pain History of noncyclic pelvic pain for at least six months; pain may radiate anteriorly toward the vagina or posteriorly [aafp.org]

  Treating Secondary Dysmenorrhea, FMS and Endometriosis Pelvic pain can be crippling, even for women who don't have FMS or endometriosis. [fibromyalgia-symptoms.org]

  Adenomyosis can cause painful and heavy periods. It’s unclear whether or not it affects fertility, but some studies show it might. Pelvic Pain and Fertility Pelvic pain can also occur when you're not expecting your period. [verywell.com]

• Dyspareunia

  Three of the most commonly presenting women's health related conditions include primary dysmenorrhea, secondary dysmenorrhea, and dyspareunia. [ncbi.nlm.nih.gov]

  N94 Pain and other conditions associated with female genital organs and menstrual cycle N94.0 Mittelschmerz N94.1 Dyspareunia N94.10 Unspecified dyspareunia N94.11 Superficial (introital) dyspareunia N94.12 Deep dyspareunia N94.19 Other specified dyspareunia [icd10coded.com]

  N94.11 Superficial (introital) dyspareunia N94.19 Other specified dyspareunia N94.3 Premenstrual tension syndrome N94.4 Primary dysmenorrhea N94.5 Secondary dysmenorrhea N94.6 Dysmenorrhea, unspecified N94.8 Other specified conditions associated with [icd10data.com]

  Other possible symptoms are back pain, pelvic pain and dyspareunia. A rare condition similar to endometriosis is adenomyosis which results from the presence of endometrial tissue in the uterine muscle layer where it is not supposed to be found. [menstruation-info-with-doc.com]

• Amenorrhea

  Management of amenorrhea and dysmenorrhea Amenorrhea The management of amenorrhea depends on the underlying cause. In most cases treating the underlying illness is the treatment for amenorrhea. [clinicaladvisor.com]

  […] endometrial tissue within the myometrium 18 Leiomyomata Cyclic pelvic pain with menorrhagia and occasionally dyspareunia, particularly with anterior and fundal fibroids Transvaginal ultrasonography can identify fibroids Ectopic pregnancy History of amenorrhea [aafp.org]

  […] of oestrogen, reduces pain associated with dysmenorrhea. [20] In addition, no differences between different birth control pill preparations were found. [20] Norplant [21] and Depo-provera [22] [23] are also effective, since these methods often induce amenorrhea [en.wikipedia.org]

The chapters present detailed, methodical guidelines f or the workup of the patient with chronic pelvic pain and for the diag nosis and treatment of the many disorders that cause pelvic discomfort. [books.google.de]

[…] normal, but burning pain exacerbated by unilateral rectal palpation suggests pudendal nerve entrapment of the affected side 10 Pelvic magnetic resonance imaging along the pudendal nerve to assess the nerve and surrounding structures; if findings on workup [aafp.org]

[…] estimate the severity of menstrual pains as well as correlate them with pain in other parts of the body, menstrual bleeding and degree of interference with daily activities. [14] Further work-up [ edit ] Once a diagnosis of dysmenorrhea is made, further workup [en.wikipedia.org]

(See Workup.) Treatment of dysmenorrhea is aimed at providing symptomatic relief as well as inhibiting the underlying processes that cause symptoms. [emedicine.medscape.com]

OBJECTIVE: To determine the efficacy of etoricoxib in the treatment of secondary dysmenorrhea. [ncbi.nlm.nih.gov]

The chapters present detailed, methodical guidelines f or the workup of the patient with chronic pelvic pain and for the diag nosis and treatment of the many disorders that cause pelvic discomfort. [books.google.de]

Read more about treatment for fibroids. Treatment for adenomyosis Adenomyosis is difficult to treat. [betterhealth.vic.gov.au]

When there is secondary dysmenorrhea with an underlying condition contributing to the pain, the prognosis depends on the successful treatment of that underlying condition. [medicinenet.com]

Supportive treatment heat packs exercise NSAIDS (prostaglandin inhibitors) ibuprofen naproxen Hormonal therapy estrogen-progestin contraceptives are first-line ( e.g ., OCP, transdermal patch, vaginal ring) progestin-only contraceptives may also be used Prognosis [medbullets.com]

Prognosis With the use of NSAIDs, the prognosis for primary dysmenorrhea is excellent. The prognosis for secondary dysmenorrhea varies, depending on the underlying disease process. [emedicine.medscape.com]

Patients should be informed that dysmenorrhoea is a treatable condition and that the prognosis for primary dysmenorrhoea is excellent (Wolf and Schumann, 1999). [nursingtimes.net]

[1] Differential diagnosis Ectopic pregnancy, pelvic inflammatory disease, interstitial cystitis, chronic pelvic pain [1] Treatment Heating pad, medication [3] Medication NSAIDs such as ibuprofen, hormonal birth control, IUD with progestogen [1] [3] Prognosis [en.wikipedia.org]

Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]

Clinical suspicion of another etiology if there is a history of pelvic inflammatory disease (PID), menorrhagia, and inter-menstrual bleeding. [pedclerk.bsd.uchicago.edu]

Disease-oriented chapters include etiology, differential diagnosis, history, physical examination, laboratory and imaging studies, treatment, and special considerations during pregnancy. [books.google.com]

[…] infection) Adenomyosis – the tissue that lines the uterus (called the endometrium) begins to grow within its muscular walls IUD (intrauterine device (IUD) Treatment of Secondary Dysmenorrhea Treatment of secondary dysmenorrhea is based on the underlying etiology [fernandobernall.com]

References 1 MerckMedicus Modules: Dysmenorrhea — Epidemiology. URL: http://www.merckmedicus.com/pp/us/hcp/ http://www.merckmedicus.com/pp/us/hcp/diseasemodules/dysmenorrhea/epidemiology.jsp (accessed 08.23.2006). [womenshealthnetwork.com]

An epidemiologic study found no significant differences in prevalence and severity of dysmenorrhea between nulligravid women and those in whom pregnancy had been terminated by either spontaneous or induced abortion. [10] In an epidemiologic study of an [emedicine.medscape.com]

[…] primary dysmenorrhea crampy, lower abdominal pain occurring during menses without any clear disease that can explain the symptoms secondary dysmenorrhea pain can be explained by other conditions ( e.g., uterine fibroids, endometriosis, adenomyosis, PID) Epidemiology [medbullets.com]

Epidemiology Dysmenorrhea is the most common gynecologic complaint in adolescents, occurring in 60-93% of women in this demographic group. [pedclerk.bsd.uchicago.edu]

The pathophysiology of the concurrent leukotriene pathway has not been studied to the same degree and represents one potential avenue for future research. [pedclerk.bsd.uchicago.edu]

For a better understanding of the pathophysiology of primary dysmenorrhea and the mechanism of action of the nonsteroidal antiinflammatory drugs in the relief of this condition, it is essential to examine the biosynthesis of eicosanoids. [glowm.com]

Pathophysiology Historical attitudes toward menstrual pain were often dismissive. Pain was often attributed to women’s emotional or psychological states or to misconceptions about sex and sexual behaviors. [emedicine.medscape.com]

Its popular "5 books in 1" format provides quick reference to actionable guidance on diseases and disorders, differential diagnosis, clinical algorithms, laboratory evaluations, and clinical preventive services. [books.google.com]

Dysmenorrhea Prevention The key to preventing dysmenorrhea is adapting a healthy lifestyle. [medicalterms.info]

Women should begin taking the medication about 1-2 days before the onset of their period cycle in order to give it time to prevent menstrual cramping. [menstrual-cycle-calculator.com]

Centers for Disease Control and Prevention Web site. www.cdc.gov/ncbddd/folicacid/health_cdcassist.htm. Care Before and During Pregnancy—Prenatal Care. [pharmacytimes.com]