The medical name is dysmenorrhea. Must distinguish between primary and secondary. Secondary is caused by some pathology. Secondary usually begins after age 20. And pain is often present at times other than that specific time in the month. Tx. for primary – NSAIDS (eg. Advil, Aleve, ketoprofen, or Fenamates.) Next is OCP’s. (Not as effective as NSAIDS.) After this GnRH agonists. If pain isn’t relieved, you must consider it to be secondary dysmenorrhea!
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