dysmenorrhea
Pronunciation: dis-men-uh-REE-uh
Painful menstruation, classified as primary (without underlying pathology) or secondary (due to underlying conditions).
Full Definition
Dysmenorrhea refers to painful menstrual periods and is categorized into primary and secondary types. Primary dysmenorrhea occurs without underlying pelvic pathology and typically begins in adolescence, characterized by cramping pain in the lower abdomen that may radiate to the lower back and thighs. Secondary dysmenorrhea develops later in life and is associated with underlying conditions such as endometriosis, adenomyosis, uterine fibroids, or pelvic inflammatory disease. The pain in secondary dysmenorrhea often starts before menstruation and may continue after menstrual flow ends. Treatment approaches differ based on the underlying cause and may include NSAIDs, hormonal contraceptives, or surgical intervention for secondary causes.
Usage
Usage note: Always distinguish between primary and secondary dysmenorrhea in clinical documentation.
In Context
- "The patient reports severe dysmenorrhea requiring daily narcotic use during menses." — Chief complaint
- "Secondary dysmenorrhea was suspected given the patient's age and associated symptoms." — Clinical assessment