Primary dysmenorrhea: strategy and tactics of treatment

Abstract

The article summarizes the results of numerous randomized studies and structured the approach to the tactics of managing patients with primary dysmenorrhea. The starting therapy is the administration of non-steroidal anti-inflammatory drugs and/or estrogen-progestational drugs. In the absence of the effect of therapy for 3 months, it is advisable to switch to a drug of another group or a combination of drugs. Failure to achieve the desired therapeutic result within 6 months is the basis for clarifying the diagnosis. The article is illustrated by the clinical case of a patient with primary dysmenorrhea.

Keywords

• dysmenorrhea
• nonsteroidal anti-inflammatory drugs
• combined oral contraceptives
• levonorgestrel
• cyclooxygenase
• prostaglandins
• arachidonic acid