tailieunhanh - Chaper 7: Painful Menstrual Period: Dysmenorrhea

Dysmenorrhea is a very common gynecological life-long link to reproductive health services. A problem. As pain is very subjective and as such pre-condition for this is that the first visit works out difficult to assess, studies show a broad range of well for the girl and is not, as often, traumatizing. Prevalences from 17 to 81%. | 7 Painful Menstrual Period Dysmenorrhea Regine Unkels INTRODUCTION Dysmenorrhea is a very common gynecological problem. As pain is very subjective and as such difficult to assess studies show a broad range of prevalences from 17 to 81 1. Pain perception is also influenced by cultural background. This explains different prevalences found in different parts of the world. Most studies deal with dysmenorrhea in industrialized settings and there are no data available from resource-limited settings. This doesn t mean however that dysmenorrhea is not important in those settings. As the causes for dysmenorrhea are the same all over the world you can assume that as many women are affected by it in resourcepoor settings as in industrialized regions. The studies mentioned above found that 15 of the participants mentioned the pain to be severe and interfering with their normal activities. In one study 35 of female high school students reported missing school2. If you consider that daily activities in low-resource settings are physically much harder than in industrialized countries and that the circumstances for girls going to school are much more difficult in many parts of the world you can imagine how effective treatment for this common condition can significantly influence socioeconomic performance and social well-being. In addition dysmenorrhea has a psychological aspect as women and especially adolescents suffering from it are often concerned that something might be wrong with their reproductive organs hampering their fertility in later years. This can cause a lot of fear and should also be addressed. In adolescent girls dysmenorrhea might cause the first contact with a reproductive health service. This can be an opportunity for counseling on other issues such as sexually transmitted infections STIs and contraception and help the girl to establish a life-long link to reproductive health services. A pre-condition for this is that the first visit works out well for the girl

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