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Chapter-07 Dysmenorrhea

BOOK TITLE: Essentials of Gynecology

Author
1. Shah PK
2. Dholakia Sheetal
ISBN
9788180615108
DOI
10.5005/jp/books/10276_7
Edition
1/e
Publishing Year
2005
Pages
8
Author Affiliations
1. LTM Medical College and LTMG Hospital, Sion, Mumbai, Seth GS Medical College and KEM, Hospital, Mumbai, Maharashtra, India, Seth GS Medical College, KEM Hospital, Mumbai, Maharashtra, India, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India; FOGSI 2012, KEM Hospital, Mumbai, Maharashtra, India, Mumbai, King Edward Memorial Hospital and Seth Gordhandas Sunderdas Medical College, Mumbai, Maharashtra, India, Lokmanya Tilak Municipal General Hospital, Mumbai, Seth GS Medical College and King Edward VII Memorial Hospital, Mumbai, Maharashtra, India; Fogsi 2012, Mumbai, Maharashtra, India, Seth GS Medical College and King Edward VII, Memorial Hospital, Mumbai, Maharashtra, India, Cedars Sinai Medical Center, Los Angeles, California, USA, KEM Hospital, Parel, Mumbai, Maharashtra, India, Seth GS Medical College, Mumbai, Maharashtra, India, KEM Hospital, Mumbai, Maharashtra, India; FOGSI 2012, LTMG Hospital, Mumbai, Maharashtra, India, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, I
2. 9, Hemniketan, NS Road No. 5, JVPD Scheme, Vile Parle, Mumbai, E mail: drsheetal@spareage.com, LTM Medical College, Mumbai, 9, Hemniketan, NS Road No. 5, JVPD Scheme Vile Parle, Mumbai 400 056, India
Chapter keywords

Abstract

This chapter deals with dysmenorrhea which is one of the commonest gynecological disorders affecting women in the reproductive age group. Dysmenorrhea is defined as pain associated with menstruation. It describes the various types of dysmenorrhea with their risk factors and etiology. The management protocol has been schematically represented using flowcharts, describing the various medical and surgical methods. Dysmenorrhea is preventable to some extent and the preventive measures have also been listed. A brief mention has been made of the recent advances made in the management of this disorder and the various differential diagnosis of this condition. The aim of this chapter is to enable the student to have a concise and complete overview of this menstrual disorder. Thus the management of dysmenorrhea starts from correct diagnosis of the condition, differentiation between primary and secondary dysmenorrhea and whether there is need for contraception. Once the correct diagnosis has been made the patient must be reassured and appropriate therapy started. Laparoscopy should be advocated in patients not responding to medical treatment for more than six months to one year. Thus dysmenorrhea is no longer believed to be a psychological problem but often physiological and at times due to pathology which deserves treatment due to its ability to alter efficiency and quality of life for a woman.

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