dysmenorrhea pms pmdd
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Primary and Secondary DysmenorrheaPremenstrual Syndrome
Premenstrual Dysphoric Disorder
Ma. Ruzena D. Opulencia, MD
FPOGS, FPSUOG
Assistant Professor
Department of Obstetrics
DLS-HIS
November 4, 2010
Primary Dysmenorrhea
• Definition• Etiology• Risk Factors• Pathogenesis• Manifestations• Diagnosis• Scoring system• Principles of management
Dysmenorrhea
• Severe painful cramping in the lower abdomen
• Accompanied by sweating, headache, tachycardia, nausea, vomiting, diarrhea, tremulousness
• Occurring just before or during the menses• Occurs in women younger than 20 years
old
Primary Dysmenorrhea
• Etiology– Caused by endogenous prostaglandins (excess
production of endometrial prostaglandin PGF2 alpha or an elevated PGF2 alpha:PGE2 ratio)
• Pain associated with ovulatory cycles
• Pain not associated with obvious pathologic pelvic diseases
END
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