Dr Shaiful Ehsan: Homework for u guys:
How do u differentiate between primary & secondary dysmenorrhea from history?
Tq.
Wana: Primary dysmenorrhea:
-Onset shortly after menarche (≤6 months)
-Usual duration of 48-72 hours (often starting several hours before or just after the menstrual flow)
-Cramping or laborlike pain
-Background of constant lower abdominal pain, radiating to the back or thigh
secondary dysmenorrhea:
-Dysmenorrhea beginning in the 20s or 30s, after previous relatively painless cycles
-Heavy menstrual flow or irregular bleeding
-Dysmenorrhea occurring during the first or second cycles after menarche
-Infertility
- deep dyspareunia
-Vaginal discharge
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