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14 Cards in this Set

  • Front
  • Back
Typical age range of occurrence for primary dysmenorrhea is between _ and _ years, whereas secondary dysmenorrhea _
17 and 22

become more common as a woman ages. (present around 20s or 30s)
What is the pathophysiology of dysmenorrhea?
Sloughing off of endometrial cells release prostaglandins PGF2 or PGE2
causing uterine ischemia through myometrial contraction and vasoconstriction.
What is the only diagnostic test that can reliably rule out endometriosis?
Laparoscopy
T/F Continuous low-level topical heat therapy has been shown to be as effective as ibuprofen in treating dysmenorrhea
True
T/F diets low in fat and high in meat seem to decrease serum sex binding globulin and decrease dysmenorrhea
False

Low in Fat AND low in Meat
At what age is treatment typically sought after regarding PMS?
Age 30
PMS and PMDD occur in what phase of the menstrual cycle?
Luteal

These HAVE to occur during the luteal phase, it is part of the diagnostic criteria
_, _ and _ may reduce PMS symptoms
Calcium citrate, vitamin D and Vitamin B6
_reduces breast tenderness, bloating, migraines
o Magnesium
_ improves somatic symptoms of PMS
Vitamin E
OMM treatment to _ may help improve symptoms of PMS and PMDD
T10-L2

. Sacral rock, pelvic diaphragm release, HVLA, direct doming of the diaphragm, supine thoracic inlet release, lymphatic drainage,
_ may reduce mood swings and food cravings.
Whole grains packed with fiber, thiamine and riboflavin (B vitamins)
What is the diagnostic criteria for PMS?
1 of the affective or somatic symptoms during 5 days before menses for 3 menstrual cycles. Affective meaning mood, and somatic meaning physical.

These symptoms are relieved within 4 days of the onset of menses without recurrence until at least day 12.

These symptoms are present in the absence of pharmacologic therapy, hormone ingestion, drug or alcohol abuse
Diagnostic criteria for PMDD:
At least 5 premenstrual symptoms,

at least one of the following: depressed mood, marked anxiety, marked affective lability, marked irritability.