Dysmenorrhea CMS 250
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Questions and Answers

What is the most common age group affected by primary dysmenorrhea?

  • Nulliparous women (correct)
  • Menopausal women
  • Women under the age of 25 years
  • Women over the age of 30 years

    • Which of the following conditions is NOT a differential diagnosis for membranous dysmenorrhea?

  • Pelvic inflammatory disease (correct)
  • Endometriosis
  • Adenomyosis
  • Obstruction of the reproductive tract

    • What is a characteristic feature of secondary dysmenorrhea?

  • Onset typically within 2 years after menarche
  • Tends to improve with age
  • Associated with significant impairment in quality of life (correct)
  • No identifiable pelvic pathology

    • Which statement is true about psychological distress and dysmenorrhea?

    <p>Increased sensitivity to pain can be associated with reduced response to medication</p> Signup and view all the answers

    What is a distinguishing feature of surgical intervention for secondary dysmenorrhea compared to primary dysmenorrhea?

    <p>Surgical intervention for secondary dysmenorrhea often addresses underlying pelvic pathology</p> Signup and view all the answers

    What is the recommendation regarding surgical intervention for dysmenorrhea?

    <p>It should only be considered after a failed trial of medical therapy.</p> Signup and view all the answers

    How does primary dysmenorrhea tend to improve over time?

    <p>It tends to reduce after childbirth.</p> Signup and view all the answers

    What are the complications associated with secondary dysmenorrhea?

    <p>Infertility</p> Signup and view all the answers

    In what ways does the prognosis for primary dysmenorrhea differ from that of secondary dysmenorrhea?

    <p>Primary dysmenorrhea has no known complications, while secondary dysmenorrhea can lead to psychological disorders.</p> Signup and view all the answers

    What psychological considerations should be kept in mind when dealing with dysmenorrhea?

    <p>Psychological disorders can be a complication of secondary dysmenorrhea.</p> Signup and view all the answers

    What is the peak onset age range for primary dysmenorrhea?

    <p>Adolescent and early 20s</p> Signup and view all the answers

    Which factor is NOT considered a protective factor against dysmenorrhea?

    <p>Heavy menstrual flow</p> Signup and view all the answers

    What is the prevalence of secondary dysmenorrhea among females in their 40-50s?

    <p>40-50%</p> Signup and view all the answers

    Which modifiable factor is associated with an increased risk of dysmenorrhea?

    <p>Smoking</p> Signup and view all the answers

    How does dysmenorrhea prevalence change with age and parity?

    <p>Decreases with age, increases with parity</p> Signup and view all the answers

    What is the initial recommended step if a patient with dysmenorrhea does not have relief after nonpharmacologic therapy?

    <p>Continue nonpharmacologic therapy</p> Signup and view all the answers

    In young females with suspected primary dysmenorrhea, what is the suggested duration of empiric therapy before considering a different approach?

    <p>3-6 months</p> Signup and view all the answers

    When is surgical intervention typically required in cases of primary dysmenorrhea?

    <p>In only a very small percentage of cases</p> Signup and view all the answers

    What is the recommended approach if symptom management fails in suspected secondary dysmenorrhea cases?

    <p>Start a multidisciplinary team approach immediately</p> Signup and view all the answers

    According to the Primary Dysmenorrhea Consensus Guideline (SOGC), when is a pelvic examination indicated?

    <p>When organic pathology is suspected or in patients not responding to conventional therapy.</p> Signup and view all the answers

    What can be said about the need for surgical intervention in cases where secondary causes of dysmenorrhea are suspected?

    <p>Surgical intervention depends on symptom presentation, type of secondary dysmenorrhea, and severity of pain</p> Signup and view all the answers

    What is the first-line treatment recommended in the Primary Dysmenorrhea Consensus Guideline (SOGC)?

    <p>Non-steroidal anti-inflammatory drugs</p> Signup and view all the answers

    For which group of women should hormonal therapies be offered according to the Primary Dysmenorrhea Consensus Guideline (SOGC)?

    <p>Women and girls not planning pregnancy unless contraindications exist.</p> Signup and view all the answers

    Which of the following treatments is recommended as a complementary treatment for dysmenorrhea in the Primary Dysmenorrhea Consensus Guideline (SOGC)?

    <p>Local heat therapy</p> Signup and view all the answers

    According to the Primary Dysmenorrhea Consensus Guideline (SOGC), when should initiation of treatment for dysmenorrhea depend on establishing a precise diagnosis?

    <p>Never, both primary and secondary dysmenorrhea are likely to respond to the same medical therapy.</p> Signup and view all the answers

    Which type of dysmenorrhea is associated with menstrual pain but no identifiable pelvic pathology?

    <p>Primary dysmenorrhea</p> Signup and view all the answers

    What is the main characteristic of membranous dysmenorrhea?

    <p>Intense cramping pelvic pain with endometrial sloughing in one piece</p> Signup and view all the answers

    Which condition is associated with menstrual pain and an identifiable pelvic pathology?

    <p>Secondary dysmenorrhea</p> Signup and view all the answers

    What is the role of laparoscopy in the diagnosis of dysmenorrhea?

    <p>To investigate pelvic pathology like endometriosis</p> Signup and view all the answers

    Which type of dysmenorrhea is associated with intense cramping pelvic pain due to sloughing of endometrium in one piece?

    <p>Membranous dysmenorrhea</p> Signup and view all the answers

    Which of the following is a common surgical intervention for dysmenorrhea?

    <p>Myomectomy</p> Signup and view all the answers

    What is the prognosis of primary dysmenorrhea?

    <p>It usually improves after childbirth.</p> Signup and view all the answers

    In dysmenorrhea, what distinguishes secondary from primary dysmenorrhea?

    <p>Presence of underlying pathology</p> Signup and view all the answers

    What psychological consideration is important in managing dysmenorrhea?

    <p>Social support</p> Signup and view all the answers

    Which surgical procedure involves the removal of one or both ovaries?

    <p>Oophorectomy</p> Signup and view all the answers

    What is a common misconception about primary dysmenorrhea?

    <p>It can be cured with surgery.</p> Signup and view all the answers

    How does psychological stress impact dysmenorrhea?

    <p>It can exacerbate pain perception.</p> Signup and view all the answers

    What role does age play in the development of secondary dysmenorrhea?

    <p><strong>Younger</strong> women are more likely to develop secondary dysmenorrhea.</p> Signup and view all the answers

    What is a potential cause of membranous dysmenorrhea?

    <p>Asherman syndrome</p> Signup and view all the answers

    Which condition is NOT typically associated with dysmenorrhea?

    <p>Transverse vaginal septum</p> Signup and view all the answers

    In the evaluation of dysmenorrhea, which condition might be considered as a differential diagnosis?

    <p>Interstitial cystitis</p> Signup and view all the answers

    How might musculoskeletal causes contribute to dysmenorrhea?

    <p>By affecting sacroiliac joints</p> Signup and view all the answers

    Which non-gynecological condition might share symptoms with dysmenorrhea, potentially leading to misdiagnosis?

    <p>Interstitial cystitis</p> Signup and view all the answers

    What distinguishes secondary dysmenorrhea from primary dysmenorrhea in terms of prognosis?

    <p>The risk of complications like infertility and anemia</p> Signup and view all the answers

    Which is NOT typically associated with membranous dysmenorrhea?

    <p>Identifiable pelvic pathology</p> Signup and view all the answers

    How does primary dysmenorrhea differ from secondary dysmenorrhea in terms of psychological considerations?

    <p>Secondary dysmenorrhea involves psychological disorders</p> Signup and view all the answers

    Which factor is NOT considered a differential diagnosis for dysmenorrhea?

    <p>Infertility</p> Signup and view all the answers

    How does dysmenorrhea impact daily life compared to other gynecological conditions?

    <p>It often causes intense cramping pelvic pain</p> Signup and view all the answers

    What is the main differentiator between primary dysmenorrhea and secondary dysmenorrhea?

    <p>Underlying cause</p> Signup and view all the answers

    Which factor is NOT typically associated with an increased risk of developing membranous dysmenorrhea?

    <p>Family history of dysmenorrhea</p> Signup and view all the answers

    Among the listed risk factors, which one has the least significant impact on the development of secondary dysmenorrhea?

    <p>Premenstrual symptoms</p> Signup and view all the answers

    What is a key distinguishing feature between primary and membranous dysmenorrhea?

    <p>Menstrual cycle characteristics</p> Signup and view all the answers

    Which of the following risk factors has the strongest association with the development of secondary dysmenorrhea?

    <p>Family history of dysmenorrhea</p> Signup and view all the answers

    What is the rare condition characterized by intense cramping and passage of a cast of the endometrium?

    <p>Membranous dysmenorrhea</p> Signup and view all the answers

    Which of the following gynecological conditions is NOT a potential differential diagnosis for dysmenorrhea?

    <p>Obstruction of the reproductive tract</p> Signup and view all the answers

    In women experiencing chronic pelvic pain, what psychological factors are they more likely to be associated with according to Zaks et al, 2023?

    <p>Depression (OR: 3.91)</p> Signup and view all the answers

    What percentage of females under the age of 30 experience absenteeism due to primary dysmenorrhea?

    <p>34-50%</p> Signup and view all the answers

    Which type of dysmenorrhea is most severe in young, nulliparous women and tends to improve with age?

    <p>Primary dysmenorrhea</p> Signup and view all the answers

    Which of the following is NOT a common differential diagnosis for secondary dysmenorrhea?

    <p>Primary dysmenorrhea</p> Signup and view all the answers

    In membranous dysmenorrhea, what is the most common presentation related to uterine lining shedding?

    <p>Passing intact tissue resembling a membrane</p> Signup and view all the answers

    How does secondary dysmenorrhea typically differ from primary dysmenorrhea in terms of symptom onset?

    <p>Sudden and severe onset of symptoms</p> Signup and view all the answers

    What is a key differentiating feature between primary and secondary dysmenorrhea in terms of response to treatment?

    <p>Primary dysmenorrhea responds well to NSAIDs</p> Signup and view all the answers

    How can membranous dysmenorrhea be distinguished from other forms of dysmenorrhea?

    <p>Passing a membrane-like tissue with menstruation</p> Signup and view all the answers

    Which of the following is a characteristic feature that helps differentiate secondary dysmenorrhea from primary dysmenorrhea?

    <p>Onset after age 25 and associated with endometriosis</p> Signup and view all the answers

    In membranous dysmenorrhea, what distinguishes it from other types of dysmenorrhea?

    <p>Presence of intense cramping pelvic pain due to sloughing of endometrium in one piece</p> Signup and view all the answers

    When considering the impact of dysmenorrhea on daily life, which statement accurately reflects its prognosis?

    <p>Dysmenorrhea can significantly impact a person's quality of life and may lead to missed school or work days</p> Signup and view all the answers

    Which factor plays a crucial role in differentiating primary from secondary dysmenorrhea when considering differential diagnoses?

    <p>Family history of primary dysmenorrhea</p> Signup and view all the answers

    What is a common misconception regarding the impact of age on the development of primary dysmenorrhea?

    <p>Primary dysmenorrhea is more common in older age groups due to hormonal changes</p> Signup and view all the answers

    What is a distinguishing feature of membranous dysmenorrhea?

    <p>Intense cramping pelvic pain associated with the spontaneous sloughing of the endometrium in one piece</p> Signup and view all the answers

    In women with secondary dysmenorrhea, the menstrual pain is usually associated with what?

    <p>Identifiable pelvic pathology</p> Signup and view all the answers

    Which condition is typically associated with secondary dysmenorrhea?

    <p>Adenomyosis</p> Signup and view all the answers

    What is the primary characteristic that distinguishes primary dysmenorrhea from secondary dysmenorrhea?

    <p>Menstrual pain without identifiable pelvic pathology</p> Signup and view all the answers

    What differentiates membranous dysmenorrhea from other types of dysmenorrhea?

    <p>Intense cramping pelvic pain due to sloughing of endometrium in one piece</p> Signup and view all the answers

    Which condition may share symptoms with dysmenorrhea, potentially leading to misdiagnosis?

    <p>Urinary tract infection</p> Signup and view all the answers

    How does secondary dysmenorrhea impact daily life compared to primary dysmenorrhea?

    <p>Significant impact on daily functioning due to underlying pathologic conditions</p> Signup and view all the answers

    What is a common differential diagnosis for dysmenorrhea?

    <p>Acute appendicitis</p> Signup and view all the answers

    What role does age play in secondary dysmenorrhea development?

    <p>More common in younger females</p> Signup and view all the answers

    How does membranous dysmenorrhea differ from other types of dysmenorrhea?

    <p>Intense cramping due to sloughing of the endometrium in one piece</p> Signup and view all the answers

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