Partial preview of the text
Download Dysmenorrhoea short notes and more Summaries Gynecology in PDF only on Docsity!
Dysmenor hoca painful menstt UOICr) Primary indence 15 +0 QO Oral Cutroceptives $ Masked “Reve NSAIDS C Commonly : L»" Adoltconts Ls reduced ofter preg L» abmost confined to ovulotory cyte Ly related to uteri contract wteyine RypOwir, ms . ‘ = like Sitwess Peychotic factors Ke Kiety ? 0 . ic New voulS contrat of Usevinie marcte ° Abnormal Myomnenann oapett “(aves seria b- hyper i] aa jag payometn leaned in sneit4 an ve PEA —> Pier Coun’ Tachemin, oRole of Vasopressin, “Platelet activating factor (Rs £ Endothelins Progesterone PGF,,, Synthesis and release + Endothelin + Leukotrienes + “ Myometrial ‘angina’ Reduced blood flow 1 Myometrial contractions tz) dysmythmia ——*©_ PAIN > Clintcal features spain stay tt hetore. few hrs or onset Of Menstruation - , Mainly in lower abdomen, may rasuste #0 back oY thigh ° Syjeme tke Nausea, Vornitng \ dianketo . - Maybe Vaxomotor changes like cold fointing , pallor ete. sueaks, | Syncope —> Rore§ Sev o Collapse — New, ass © pain along © petuic pathology (oust >Tyemion b/w peice B98 ues dus ito pavic Conguation (or) AS Vancubosity in pumic Orqoms: Common Guras— Cervicad stenosio, Chvonic pelvi adinnyod , POU/PS anfeckion, Pelvic endometriosis, ucd, peivic Congest: Chimica features >= Le dull pain = in back § front (No vacialion b one SE rods Memiruation, usually velaeves Ls No Systemic discomfort: Ly Vagiwal, & Abdominal exam lesion tlt — acgends on Age PHY & devel of Case: motions revert