Abstract | INTRODUCTION: AREAS COVERED: This review provides an update on treatments and management strategies of dysmenorrhea in adolescents/young adults. Medical literature articles were retrieved using a Medline search on primary and secondary dysmenorrhea. Original articles from peer-reviewed journals were selected based on relevance. EXPERT OPINION: Treatment with nonsteroidal anti-inflammatory drugs ( NSAIDs) is the preferred initial treatment for dysmenorrhea in nonsexually active adolescents/young adults. Adolescents/young adults with symptoms that do not respond to NSAIDs for three menstrual periods should be offered hormonal treatment, such as combined estrogen and progestin oral contraceptive pills (OCPs), for three menstrual cycles. If dysmenorrhea does not improve within 6 months of NSAIDs and OCPs, a laparoscopy is indicated to look for endometriosis, which is the most common reason for secondary dysmenorrhea.
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Authors | Zeev Harel |
Journal | Expert opinion on pharmacotherapy
(Expert Opin Pharmacother)
Vol. 13
Issue 15
Pg. 2157-70
(Oct 2012)
ISSN: 1744-7666 [Electronic] England |
PMID | 22984937
(Publication Type: Journal Article, Review)
|
Chemical References |
- Anti-Inflammatory Agents, Non-Steroidal
- Contraceptives, Oral
|
Topics |
- Adolescent
- Anti-Inflammatory Agents, Non-Steroidal
(therapeutic use)
- Contraceptives, Oral
(therapeutic use)
- Dysmenorrhea
(drug therapy, metabolism)
- Endometriosis
(drug therapy, surgery)
- Female
- Humans
- Young Adult
|