1.
Dysmenorrhea
Introduction
It is define as cramps and pelvic pain that occure with
mensturation.
Types
1) primary dysmenorrhea.
Absence of underlying causes or diseas.
2) secoundry dysmenorrhea .
Presence of underlying causes or diseas.
Pathophysiology.
dismenorrhea occure due to increas prostaglandine in uterus which
stimulate uterine contraction and cause pain.

2.
Contin...
Causes
.extreme anxiety
.Polysystic ovarian diseas(PCOD)
. Endometriosis
. pelvic inflamatory diseas
Clinical manifestation.
.pain
.Diarrhea
.Nausia vomiting
.Headach
.Anorexia
.dizzines
.

3.
Contin..
Diagnostic evalvation
. History taking
.physical examination
.ultrasound
.laparoscopy
Medical managment
.Analgesics
.prostaglandine inhibitors.
.muslce relaxant
.soft diet and liquid
.heat application