Dysmenorrhea in Adolescents

Linda French
Paediatric drugs · 2008 · vol. 10(1) , pp. 1–7 · doi:10.2165/00148581-200810010-00001 · PMID:18162003 · W1512580952
review OA: closed CC0 ⤵ 17 in-corpus citations
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-07 ⓘ

Primary dysmenorrhea, common in adolescents and a cause of school absence, is diagnosed by history and treated empirically with NSAIDs or oral contraceptives.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 ⓘ

This paper reviews dysmenorrhea in adolescents, outlining how clinicians can distinguish primary dysmenorrhea from secondary causes based on history and examination, and summarizing risk factors and treatment options. It reports that most adolescent cases are primary dysmenorrhea, characterized by low anterior pelvic pain beginning with menses for 1–3 days, with effective empiric therapies including NSAIDs, oral contraceptives, and menstrual-cycle suppression. A stated limitation is that when pain is atypical, severe, or refractory, diagnostic evaluation (imaging and/or laparoscopy) is recommended to assess secondary causes. Relevance to endometriosis: it explicitly notes that the most common cause of secondary dysmenorrhea is endometriosis and that treatment for endometriosis-related pain may include medical and surgical approaches, including gonadotropin-releasing hormone agonists in severe refractory cases, though the paper’s main focus is adolescent dysmenorrhea in general.

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Condition tags

dysmenorrheaendometriosis

MeSH descriptors

Dysmenorrhea Dysmenorrhea Adolescent Drug Therapy Drug Therapy Dysmenorrhea Dysmenorrhea Endometriosis Endometriosis Female Hot Temperature Hot Temperature Humans Magnetics Magnetics Risk Factors Smoking Smoking

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