A 15-year-old girl misses 3 days of school due to severe menstrual cramps before her mother takes her to a gynecologist. If you were the gynecologist, what issues would you discuss with the girl while taking her history? Suppose the gynecologist tells the girl simply to use a heating pad and analgesics, wait it out another day or two, and return to school when she feels better. What do you think the diagnosis is?
What will be an ideal response?
Answer: The diagnosis is that the girl is having Primary Dysmenorrhea .Primary Dysmenorrhea affects girls of adolescent age as the age of girl is 15 years.In Primary Dysmenorrhea the menstrual pain is related to normal process of menstruation and is not related to any underlying gynaecological disorder and the pain starts shortly before or during the menstrual period,peaks after 24 hours and subsides after 2 to 3 days that's why the gynaecologist has advised the girl simply to use a heating pad and analgesics, wait it out for another day or two, and return to school when she feels better.The pain in Primary Dysmenorrhea is usually treated by Analgesics and use of heating pad is a non medicinal treatment for Dysmenorrhea.
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