Management of primary dysmenorrhea often requires a multifaceted approach. The nurse who provides care for a patient with this condition should be aware that the optimal pharmacologic therapy for pain relief is
a. Acetaminophen
b. Oral contraceptives (OCPs)
c. Nonsteroidal antiinflammatory drugs (NSAIDs)
d. Aspirin
C
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A Preparations containing acetaminophen are less effective for dysmenorrhea
because they lack the antiprostaglandin properties of NSAIDs.
B OCPs are a reasonable choice for women who also want birth control. The
benefit of OCPs is the reduction of menstrual flow and irregularities. OCPs may
be contradicted for some women and have a number of potential side effects.
C This pharmacologic agent has the strongest research results for pain relief. Often,
if one NSAID is not effective, another one will provide relief.
D NSAIDs are the drug of choice. However, if a woman is taking an NSAID, she
should avoid taking aspirin as well.
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