What is included in the physical exam for 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 physical examination should be performed. For younger adolescents who have never been sexually active, a careful abdominal examination is appropriate. In older adolescents or those known to be sexually active, a pelvic examination is crucial for excluding uterine irregularities, cul-de-sac tenderness, or suggestive nodularities. This examination includes the following [28] :

  • Inspection of the external genitalia for rashes, swelling, or discoloration

  • Inspection of the vaginal vault for discharge, blood, or foreign bodies

  • Inspection of the cervix for the above, plus any masses or signs of infection

  • Bimanual examination to assess cervical motion tenderness, uterine or adnexal tenderness, or any masses in the pelvis

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