Dysmenorrhea in the adolescent

Injury	Disease	Nutrition	Poison

Symptoms	Surgery	Test	Special Topic

Female reproductive anatomy

Painful periods (dysmenorrhea)

Uterus

Normal uterine anatomy (cut section)

Dysmenorrhea in the adolescent

Alternative Names:

Periods - painful (adolescent); Adolescent dysmenorrhea; Menstrual pain - adolescent; Painful menstrual periods - adolescent

Treatment:

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Initial treatment is focused on relief of pain. Anti-inflammatory medications can be helpful. This includes over-the-counter medications such as aspirin, nonsteroidal anti-inflammatory medications (NSAIDS) such as ibuprofen (available over-the-counter or in prescription strengths), and prescription-only medications such as indomethacin.

In some severe cases, and with disorders such as endometriosis, oral contraceptives can be helpful. They are used in this case to regulate the hormone levels in the body (they may be prescribed even for girls who are not sexually active).

Women who continue to have severe dysmenorrhea despite the use of NSAIDS and/or oral contraceptives may require laparoscopy for further evaluation.

Expectations (prognosis):

Mild analgesics are usually effective in treating dysmenorrhea and oral contraceptives generally control severe cases. Dysmenorrhea associated with a disease state responds to treatment of the primary problem.

Complications:

There are no complications from functional dysmenorrhea. Complications may develop from disease-induced dysmenorrhea based on the disease or condition present.

Calling your health care provider:

If you (or your daughter) experience painful menstrual periods and the pain disrupts your life, occurs frequently, or is not relieved by over-the-counter medications, see your primary health care provider or gynecologist.