Primary and Secondary Dysmenorrhea

Premenstrual Syndrome
Premenstrual Dysphoric Disorder

Ma. Ruzena D. Opulencia, MD

FPOGS, FPSUOG
Assistant Professor
Department of Obstetrics
DLS-HIS
November 4, 2010
 Primary Dysmenorrhea
• Definition
• Etiology
• Risk Factors
• Pathogenesis
• Manifestations
• Diagnosis
• Scoring system
• Principles of management
 Dysmenorrhea
• Severe painful cramping in the lower
abdomen
• Accompanied by sweating, headache,
tachycardia, nausea, vomiting, diarrhea,
tremulousness
• Occurring just before or during the menses
• Occurs in women younger than 20 years
old
 Primary Dysmenorrhea
• Etiology
– Caused by endogenous prostaglandins (excess
production of endometrial prostaglandin PGF2 alpha
or an elevated PGF2 alpha:PGE2 ratio)

• Pain associated with ovulatory cycles

• Pain not associated with obvious pathologic

pelvic diseases
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