What is included in the history of patients with dysmenorrhea?

Updated: Oct 22, 2018
  • Author: Karim Anton Calis, PharmD, MPH, FASHP, FCCP; Chief Editor: Michel E Rivlin, MD  more...
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Answer

Determine factors that exacerbate or ameliorate the symptoms, and assess the degree of disruption to school, work, and social activities.

Consider gravidity and parity status, previous pelvic infections, dyspareunia, infertility, and pelvic injuries or surgical or other procedures.

In addition, assess symptoms such as nausea, vomiting, bloating, diarrhea, and fatigue, which may be observed in patients with dysmenorrhea.

Consider the patient’s sexual history, including the choice of contraceptive methods. If oral contraceptives (OCs) have been used, establish their effect (if any) on relieving or exacerbating the condition. Moreover, discuss the use of other agents that affect dysmenorrhea pain.

A family history should be sought for bleeding diatheses or sickle cell disease. Such a history may be helpful in differentiating endometriosis from primary dysmenorrhea. [52]


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