Girls who have not had a menstrual period by age 16 or who have not shown any signs of breast development or other indications of puberty by age 14 should be examined for causes of primary dysmenorrhea.
Dysmenorrhea is the medical term for menstrual cramps, the dull or throbbing pain in the lower abdomen that many women experience just before and during their menstrual periods.
Although many teens do not suffer from dysmenorrhea because their uterus is still growing, they may get it several years after their first period begins.
It is usually possible to differentiate dysmenorrhea from premenstrual syndrome (PMS) based on the patient's history.
A focused history and physical examination are usually sufficient to make the diagnosis of primary dysmenorrhea.
Primary dysmenorrhea is the more common type of dysmenorrhea and is due to the production of prostaglandins.
Whether the dysmenorrhea is primary or secondary, there are effective ways to treat menstrual pain.
Primary dysmenorrhea usually presents during adolescence, within three years of menarche.
Dysmenorrhea - Implants located throughout the pelvis can lead to painful periods.
Secondary dysmenorrhea involves an underlying physical cause, such as uterine fibroids, pelvic inflammatory disease, or endometriosis.