Dysmenorrhea in young people: Experiences from a tertiary center with a focus on conservative management

Sachedina A 1 , Abu Bakar M 2 , Dunford AM 3 , Morris A 4 , Nur Azurah AG 5 , Grover SR 1

Affiliations 

  • 1 Department of Gynaecology, The Royal Children's Hospital, Melbourne, Victoria, Australia
  • 2 General Practice, Creswick and Clunes Medical Centre, Melbourne, Victoria, Australia
  • 3 Department of Gynaecology and Women's Health, John Hunter Hospital, Newcastle, New South Wales, Australia
  • 4 Pediatric and Adolescent Gynecology, Department of Obstetrics, Gynecology & Reproductive Sciences, University of Manitoba, Winnipeg, Manitoba, Canada
  • 5 Department of Obstetrics and Gynaecology, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
J Obstet Gynaecol Res, 2021 Jan;47(1):352-358.
PMID: 33084069 DOI: 10.1111/jog.14532

Abstract

AIM: To describe the characteristics, management and outcomes of a cohort of young people with dysmenorrhea presenting to a tertiary adolescent gynecology service, managed primarily with medical interventions.

METHODS: A retrospective cohort study was conducted at the Royal Children's Hospital in Melbourne, Australia. Data were collected from medical records of patients presenting with dysmenorrhea and/or pelvic pain.

RESULTS: Of 154 patients, mean age of presentation was 15.7 years (SD = 2.2) and mean duration of pain was 14.9 months (SD = 10.8). Regular cycles were reported by 64.5%, and heavy menstrual bleeding (HMB) in 67.8%. Patients self-reporting HMB reported less pain on the day prior to menses than those not reporting HMB (P

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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