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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)
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Primary Dysmenorrhoea
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Secondary Dysmenorrhoea
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Pain in general location of lower abdmomen
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Pain in lowest part of the abdomen and may extend to the lower back or legs.
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Pain only occurs during menstrual cycle in which the egg is released thought to be as a result of prostaglandins released during menstruation
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Crampy, sharp intermittent
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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
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Dull of constant ache
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Reduced blood supply to the uterus and increased sensitivity of nerve endings in the uterus resulting in lower pain thresholds.
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Usually starts 1 – 3 days before or during the menstrual period. Peaks after 24 hours and subsides after 2 to 3 days
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Headache, nausea, constipation, diarrhoea, urge to urinate.
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Occasional vomiting, premenstrual irritability, nervousness, depression and abdominal bloating
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