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Painful periods in adolescents
Olga Kciuk and Sari Kives
CMAJ April 19, 2021 193 (16) E560; DOI: https://doi.org/10.1503/cmaj.201972
Olga Kciuk
Department of Obstetrics and Gynaecology, University of Toronto (Kciuk, Kives); The Hospital for Sick Children, Toronto (Kives), Toronto, Ont.
MD MScSari Kives
Department of Obstetrics and Gynaecology, University of Toronto (Kciuk, Kives); The Hospital for Sick Children, Toronto (Kives), Toronto, Ont.
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- Kciuk, O., & Kives, S. (2021). Menstruations douloureuses chez les adolescentes. CMAJ, 193(28), E1114-E1115. Accessed May 04, 2024. https://doi.org/10.1503/cmaj.201972-f.
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Painful periods in adolescents
Olga Kciuk, Sari Kives
CMAJ Apr 2021, 193 (16) E560; DOI: 10.1503/cmaj.201972
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- Dysmenorrhea, defined as pain with menstruation, affects 50%–90% of menstruating adolescents and is the leading cause of recurrent school absenteeism in this population
- Up to 90% of dysmenorrhea in adolescents occurs in the absence of pelvic pathology (primary dysmenorrhea) and is mediated by excess prostaglandin production
- First-line treatment is short-term use of prophylactic nonsteroidal anti-inflammatory drugs (NSAIDs)
- Combined or progestin-only hormonal medications can be added as adjunct therapy
- Endometriosis is the most common cause of secondary dysmenorrhea in adolescents
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