What should be the focus of history for a patient with dysmenorrhea?

Updated: Sep 23, 2019
  • Author: Karim Anton Calis, PharmD, MPH, FASHP, FCCP; Chief Editor: Michel E Rivlin, MD  more...
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A complete history should include the following:

  • Age at menarche

  • Menstrual frequency, length of period, estimated menstrual flow, and presence or absence of intermenstrual bleeding

  • Associated symptoms

  • Onset, duration, type, and severity of pain, as well as its relation to the menstrual cycle

  • External factors affecting the pain

  • Impact of dysmenorrhea on physical and social activity

  • Progression of symptom severity

  • Sexual and obstetric history

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