This Mind Map was created By Areej Al Mohamadi and it was revised and edited By Dr Arwa M Amin. The information of the mind-map are from: Chapter 96: Menstruation-Related Disorders, Pharmacotherapy: A Pathophysiologic Approach, 11e

1. Dysmenorrhea
Defined as crampy pelvic pain occurring
with or just prior to menses
it has two types:
Primay dysmenorrhea:
is implies pain in the setting of
normal pelvic anatomy and
physiology and normal ovulatory
cycles
Pathophysiology:
- Release of prostaglandins and
leukotrienes into menstrual fluid
- initiating an inflammatory
response and vasopressin mediated
vasoconstriction
Secondary dysmenorrhea:
is pain associated with underlying
pelvic pathology
causes:
endometriosis1-
2- current or history of pelvic
inflammatory disease
3-uterine fibroids
4- adenomyosis leiomyomata
Risk factors of dysmenorrhea :
1- Menarche befor the age of
12years
2- Current age less than 30 y
3-Heavy menses
4- Nulliparity
5-Low body mass index
6- History of sexual abuse
Clinical presentation:
sympatoms::
1-Crampy pelvic pain beginning shortly
before or at the onset of menses and
symptoms typically last from 8 - 72 h
2-low back pain
3-headech
4-diarrhea
5-fatigus
6-nausa and vomiting
laboratory tests:
1-pelvic examination
2-chlamydia cultures or polymerase chain
reaction (PCR)
3-transvaginalpelvic ultrasound
This mind-map is created by Areej Al Mohamadi. Revised & edited By Dr. Arwa M. Amin. The information of the mind-map is based on Chapter 96: Menstruation-Related Disorders, Pharmacotherapy: A
Pathophysiologic Approach, 11e
Joseph T. DiPiro, Gary C. Yee, L. Michael Posey, Stuart T. Haines, Thomas D. Nolin, Vicki Ellingrod

2. Treatment algorithm of Dysmenorrhea
LNG-IUS, levonorgestrel-releasing intrauterine system. MPA:
medroxyprogesterone acetate. NSAIDS: nonsteroidal anti-
inflammatory drugs. CHC: combined hormonal contraceptive.)

3. This mind-map is created by Areej Al Mohamadi. Revised & edited By Dr. Arwa M. Amin. The information of the mind-map is based on Chapter 96: Menstruation-Related Disorders, Pharmacotherapy: A
Pathophysiologic Approach, 11e