Pediatr Ann. 2020 Apr 1;49(4):e176-e182. doi: 10.3928/19382359-20200318-01.
Up to two-thirds of adolescent girls report painful periods but few seek medical care for their dysmenorrhea. Dysmenorrhea is associated with multiple physical and psychological symptoms, and the delayed evaluation and treatment of dysmenorrhea contributes to a poor quality of life and can result in lifelong health problems, including chronic pelvic pain and infertility. It is recommended that an assessment of patients' menstrual cycles be performed regularly, as identification of abnormally painful menstrual cycles may reveal potential health problems, including pelvic diseases such as endometriosis and adenomyosis. Visits to primary care providers offer an opportunity to assess and educate adolescents and their families on normal menstrual physiology. The purpose of this article is to review the evaluation and management of dysmenorrhea. [Pediatr Ann. 2020;49(4):e176-e182.].
多达三分之二的少女报告有经期疼痛，但很少有人因痛经寻求医疗护理。痛经与多种身体和心理症状相关，痛经的评估和治疗延迟会导致生活质量下降，并可能导致终生健康问题，包括慢性盆腔疼痛和不孕。建议定期对患者的月经周期进行评估，因为异常疼痛的月经周期可能揭示潜在的健康问题，包括子宫内膜异位症和子宫腺肌病等盆腔疾病。初级保健提供者的就诊提供了评估和教育青少年及其家庭正常月经生理的机会。本文旨在回顾痛经的评估和管理。[儿科公告。2020;49(4):e176-e182.]。
