Obstetrics and Gynecology/Dysmenorrhea

Dysmenorrhoea is menstrual pain in the abdomen, inner thighs, lower back or pelvis.

Differential Diagnosis

Endometrial disorders

• Endometriosis
• Endometrial Polyps
• Adenomyosis

Other causes

• Ovarian cysts
• Pelvic Inflammatory Disease
• Submucosal Fibroids
• Pelvic Congestion Syndrome

Diagnosis

The diagnosis of amenorrhoea is made using the following clinical skills:

• Gynecological History Taking
• Gynecological Examination
• Gynecological Investigations

References

• O'Connor, J. Pathology 2nd ed. Mosby. Edinburgh. 2002.
• McCarthy, A & Hunter, B (2003) Master Medicine: Obstetrics and Gynaecology (2nd ed.) Philadelphia: Elsevier Saunder
• www.gpnotebook.co.uk