Dysmenorrhea Exam Questions With Verified Solutions

Dysmenorrhea Exam Questions With Verified Solutions Dysmenorrhea - answer"Menstrual Cramps" Pelvic pain occuring at/around time of menses What is leading cause of absenteeism for women 30 - answerDysmenorrhea (Menstrual cramps) primary dysmenorrhea - answerPainful menstruation without pathologic physical findings Secondary dysmenorrhea - answerPainful menstruation from specific pelvic pathology 3 severities of dysmenorrhea - answerMild: Painful, rarely limits daily function or requires analgesics Moderate: Daily acitivty affected, rare absenteeism, requires analgesics Severe: Daily activities affected, likely absenteeism, limited benefit from analgesics Predominant age of of primary dysmenorrhea - answerOnset at 6-12 months after the start of menarche (Teens to early 20s) Often not actually ovulating yet so periods arent as bad Predominant age of secondary dysmenorrhea - answer20s to 30s Prevalence of dysmenorrhea - answer90% of menstruating females have experienced primary dysmenorrhea 42% lose days of school/work monthly 20% report impariment in daily activities Primary dysmenorrhea pathophysiology - answerElevated prostaglanding prudction through indirect hormonal control (Decrease inprogesterone at start of menses leads to increase in prostaglandins) causes non rhthmic hypercontractiilty and increased uterine muscle tone with vasoconstriction and resultant uterine ischemia What does the intensity of uterine cramps correlate with/ - answerAmount of prostaglandin (PGF2a released)