PHAR3818 Lecture Notes - Lecture 14: Dysmenorrhea, Cervix, Mammary Gland

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Sensitizes the uterus to the effects of oxycontin in labour. Primary dysmenorrhea (pd) is chronic, cyclic, pelvic, spasmodic pain associated with menstruation in the absence of identifiable pathology and is typically known as menstrual cramps or period pain. Estimates suggest that the proportion of women who experience pd varies between 25% (in all women) and up to. Nulliparity = not having previously gone through childbirth. Exercise: oral contraceptives, heavy menstrual flow, nulliparity, premenstrual syndrome. Begins soon after onset of regular menses: usually nulliparous. Pains starts just prior to period and ceases on 1st or 2nd day of cycle: no apparent pathology, occurs in ovulatory cycles only, usually responds to medical tx. Tends to start at least 2 years after start of regular menses: no relationship to parity. Pain starts with period but increases with flow. Associated with pelvic pathology: unrelated to ovulation. Pelvic exam may reveal pathology: often associated with nausea, vomiting, fatigue, diarrhea and headache.

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