Pelvic pain occurring at/around time of menses; a leading cause of absenteeism for women <30 years old
Primary dysmenorrhea: pelvic pain without pathologic physical findings; diagn...
Pr...
Reassure the patient that treatment success is very likely with adherence to recommendations.
Relief may require the use of several treatment modalities at the same time.
Regul...
Ryan SA. The treatment of dysmenorrhea. Pediatr Clin North Am. 2017;64(2):331–342. [View Abstract on OvidMedline]
Woo HL, Ji ...
Dyspareunia; Endometriosis; Menorrhagia (Heavy Menstrual Bleeding); Premenstrual Syndrome (PMS) and Premenstrual Dysphoric Disorder (PMDD)
Algorithm: Pelvic Pain
N94.6 Dysmenorrhea, unspecified
N94.4 Primary dysmenorrhea
N94.5 Secondary dysmenorrhea
F45.8 Other somatoform disorders
266599000 Dysmenorrhea
32096006 Secondary dysmenorrhea
65754002 Prim...
Dysmenorrhea is a leading cause of absenteeism for women age <30 years.
In women who desire contraception, hormonal contraceptives are the preferred treatment.
All NSAIDs studied have...
Sign up for a 10-day FREE Trial now and receive full access to all content.
<bold>FIGURE 2.17 A, B:</bold> Close-up view of adenomyosis of the uterine fundus. This is diverticulosis of the uterine wall (<italic>arrows</bold> point to diverticular holes). <italic>V</bold> points to enlarged vessels. <bold>C:</bold> Associated with diverticular adenomyosis are enlarged, thin-walled surface vessels that account for increased uterine bleeding at the time of menses.
<bold>FIGURE 2.17 A, B:</bold> Close-up view of adenomyosis of the uterine fundus. This is diverticulosis of the uterine wall ...
<bold>FIGURE 5.3</bold> Adenomyosis, foci of endometrial glands and stroma deep within the myometrium, distort the uterine wall. (10×, hematoxylin and eosin.)
<bold>FIGURE 5.3</bold> Adenomyosis, foci of endometrial glands and stroma deep within the myometrium, distort the uterine wal...
<bold>FIGURE 5.4</bold> This gross photograph of a bisected supracervical hysterectomy specimen exhibits irregular thickening of the myometrium, characteristic of adenomyosis. Multiple deep myometrial foci of dark blue discoloration mark the sites of adenomyosis (<italic>long white arrows</bold>). The short black arrow indicates a small leiomyoma.
<bold>FIGURE 5.4</bold> This gross photograph of a bisected supracervical hysterectomy specimen exhibits irregular thickening ...
<bold>FIGURE 18.27</bold><bold>A</bold> and <bold>B:</bold> Hysterograms show direct signs of adenomyosis. The contrast medium has injected numerous diverticula.
<bold>FIGURE 18.27</bold><bold>A</bold> and <bold>B:</bold> Hysterograms show direct signs of adenomyo...
<bold>FIGURE 22.40</bold> A: Endometrial atrophy with adhesions at the fundus of the uterus and old adenomyosis. B: Large diverticulum of adenomyosis just below the uterine fundus.
<bold>FIGURE 22.40</bold> A: Endometrial atrophy with adhesions at the fundus of the uterus and old adenomyosis. B: Large dive...
<bold>FIG. 28.8.</bold>Pelvic pain. A: Composite transvaginal sonogram showing enlarged left ovary (top right and bottom left) without flow and associated with a paraovarian cyst in left adnexa (lower right). The right ovary (top left) was normal, showing intraparenchymal flow. The left adnexa was found to be twisted three times and was surgically untwisted with good result. See color figure 28.8A. B: Doppler sonogram of enlarged left ovary containing venous flow. This finding suggest...
<bold>FIG. 28.8.</bold>Pelvic pain. A: Composite transvaginal sonogram showing enlarged left ovary (top right and bottom left)...
<bold>Fig GU 41-4. Diffuse uterine adenomyosis.</bold> Sagittal T2-weighted image demonstrates an enlarged uterus with thickening of the myometrium and diffuse low signal intensity throughout. The junctional zone is obliterated.<sup>44</sup>
<bold>Fig GU 41-4. Diffuse uterine adenomyosis.</bold> Sagittal T2-weighted image demonstrates an enlarged uterus with thicken...
FIG. 3.81. Diffuse adenomyosis. Sagittal T2-weighted image through uterus demonstrates thickened, indistinct junctional zone (<italic>arrows</bold>).
FIG. 3.81. Diffuse adenomyosis. Sagittal T2-weighted image through uterus demonstrates thickened, indistinct junctional zone (<italic...
Adenomyosis. A microscopic view shows an endometrial gland and stroma in the myometrium.