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Dysmenorrhoea

Definition

Lower abdominal or pelvic pain experienced just prior to and/or during menstruation: it may radiate to the groin, upper thighs and/or lower back.

Information to include when referring

  • Indication of parity
  • Describe symptoms, duration & effect on QOL
  • Contraception (consider removing IUD / change to Mirena)
  • Smear history (including last smear & result) the patient will still be seen without this but if you can retrieve it automatically it speeds up the appointment
  • Relevant past medical / surgical history if not on proforma
  • Current regular medication if not on proforma
  • Treatment so far
    • NSAIDS
    • COCP
    • Mirena 

Investigations prior to referral

  • Pelvic USS

Reference

Map of medicine

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