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Dysmenorrhea, Pediatric

Rebekah Williams, MD, MS, FAAP Reviewed 10/2018
 


BASICS

DESCRIPTION

Menses-associated pain in the pelvis, lower abdomen, or lower back 
  • Primary dysmenorrhea: functional menses-associated pain due to amplification of normal menstrual physiologic proces...

DIAGNOSIS

HISTORY

  • Primary dysmenorrhea

    • Painful, often spasmodic cramps of varying severity in the pelvis, lower abdomen or back, starting hours to a few days prior to menses and lasting up to 2 to 3 day...

TREATMENT

GENERAL MEASURES

Only 6% of adolescents with dysmenorrhea are treated by a medical professional, but 70% self-manage with over-the-counter or complementary and alternative therapies. 
ALERT

A n...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Patients should be followed up at least every 3 months until dysmenorrhea is controlled and not limiting functioning. Visits that are more frequ...

ADDITIONAL READING

  • De Sanctis V, Soliman A, Bernasconi S, et al. Primary dysmenorrhea in adolescents: prevalence, impact and recent knowledge. Pediatr Endocrinol Rev.  2015;13(2):512–520. [View A...

CODES

ICD9

625.3 Dysmenorrhea 

ICD10

  • N94.6 Dysmenorrhea, unspecified

  • N94.4 Primary dysmenorrhea

  • N94.5 Secondary dysmenorrhea

SNOMED

  • 266599000 Dysmenorrhea (disorder)

  • 65754002 Primary dysmenorrhea (disorder)

  • 32...

FAQ

  • Q: My period app has an “advice” group—can I go there for good information?

  • A: Information quality and medical oversight of online and in-app message boards and question and answer features are hig...

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