Dysmenorrhea in the adolescent
Alternative Names
Periods - painful (adolescent); Adolescent dysmenorrhea; Menstrual pain - adolescent; Painful menstrual periods - adolescent
Symptoms
- Lower abdominal crampy pain -- occurs before the beginning of the menstrual period and lasts 1 or 2 days into the period
- Nausea
- Vomiting
- Diarrhea
- Constipation
- Back pain
Exams and Tests
The health care provider will perform a physical exam and ask questions about the patient's medical history to determine whether or not the painful periods are due to a medical condition.
Younger females who have not become sexually active may require a pelvic examination (performed through the rectum rather than through the vagina).
References
Stenchever A. Comprehensive Gynecology. 4th ed. St. Louis, Mo: Mosby; 2001:1065-1070.
Noble J. Textbook of Primary Care Medicine. 3rd ed. St. Louis, Mo: Mosby; 2001:325.
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