Primary and Secondary Dysmenorrhoea in Adolescence and Puberty

Definition of Dysmenorrhoea 
Dysmenorrhoea is defined as painful menstruation usually located in the lowest part of the abdomen (pelvic area) 
Primary Dysmenorrhoea 
Secondary Dysmenorrhoea 
Pain in general location of lower abdmomen 
Pain in lowest part of the abdomen and may extend to the lower back or legs.  
Pain only occurs during menstrual cycle in which the egg is released thought to be as a result of prostaglandins released during menstruation 
Crampy, sharp intermittent 
Can be severe symptoms shich can result in the interference of being able to carry out daily activities resulting in absence from work or school 
Dull of constant ache 
Reduced blood supply to the uterus and increased sensitivity of nerve endings in the uterus resulting in lower pain thresholds. 
Usually starts 1 – 3 days before or during the menstrual period. Peaks after 24 hours and subsides after 2 to 3 days 
Headache, nausea, constipation, diarrhoea, urge to urinate. 
Occasional vomiting, premenstrual irritability, nervousness, depression and abdominal bloating 

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