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Obs and Gynae
Dysmennorrhoea
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Created by
Sosan Bajwa
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Cards (30)
What does dysmenorrhoea refer to?
Pain during
menstruation
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How is dysmenorrhoea characterized?
By
debilitating
pain during menstruation
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What are key signs of dysmenorrhoea?
Pelvic
pain, nausea, vomiting,
malaise
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What investigations are primarily conducted for dysmenorrhoea?
Ruling out
sexually transmitted infections
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What examinations may be included in the investigation of dysmenorrhoea?
Abdominal
and
cervical
examinations
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When is a pelvic ultrasound necessary in dysmenorrhoea investigations?
If necessary based on
history
or
examination
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What is a common management strategy for dysmenorrhoea?
Use of
non-steroidal anti-inflammatory drugs
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What is tranexamic acid used for in dysmenorrhoea management?
To reduce
menstrual bleeding
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What contraceptive methods are used in managing dysmenorrhoea?
Combined oral contraceptive pill
and
IUD
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What surgical procedures may be considered for dysmenorrhoea?
Endometrial ablation
or
hysterectomy
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What defines primary dysmenorrhoea?
Occurs in absence of
pelvic pathology
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What is secondary dysmenorrhoea associated with?
Underlying pathology like
endometriosis
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What are common symptoms of dysmenorrhoea?
Pelvic pain
, nausea, vomiting,
malaise
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What are the differential diagnoses for dysmenorrhoea?
Endometriosis
:
pelvic pain
, dyspareunia,
infertility
Pelvic inflammatory disease
: lower abdominal pain,
abnormal discharge
, fever
Uterine fibroids
: often asymptomatic, may cause pelvic pain and
heavy bleeding
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What bedside investigations are performed for dysmenorrhoea?
Bimanual examination
and
STI
swabs
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Are blood tests required for diagnosing dysmenorrhoea?
No
,
blood tests
are
not
required
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What lifestyle changes can help manage dysmenorrhoea?
Regular exercise
and
dietary
changes
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What medical management strategies are primarily used for dysmenorrhoea?
Non-steroidal
anti-inflammatory drugs and
hormonal
contraception
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What is the role of heat and massages in dysmenorrhoea management?
To lower
abdominal
pain
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What is the significance of lifestyle changes in managing dysmenorrhoea?
They can alleviate
symptoms
and improve
quality of life
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How does primary dysmenorrhoea differ from secondary dysmenorrhoea?
Primary is
idiopathic
; secondary has
underlying pathology
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What can severe dysmenorrhoea lead to?
Absences from
work
or
school
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What is the impact of dysmenorrhoea on quality of life?
It can significantly decrease quality of life
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What is a common management strategy for dysmenorrhoea?
Use of
non-steroidal anti-inflammatory drugs
When is a pelvic ultrasound necessary in dysmenorrhoea investigations?
If necessary based on
history
or
examination
What is
tranexamic acid
used for in
dysmenorrhoea
management?
To reduce menstrual bleeding
What contraceptive methods are used in managing dysmenorrhoea?
Combined oral contraceptive pill
and
IUD
What surgical procedures may be considered for dysmenorrhoea?
Endometrial ablation
or
hysterectomy
What is an IUD?
An
Intrauterine Device
, a small device inserted into the
uterus
to prevent pregnancy and manage heavy menstrual bleeding and
dysmenorrhea
.
What are the two main types of IUDs?
Hormonal
IUD and
Copper
IUD
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