Primary dysmenorrhea: strategy and tactics of treatment

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Abstract

The article summarizes the results of numerous randomized studies and structured the approach to the tactics of managing patients with primary dysmenorrhea. The starting therapy is the administration of non-steroidal anti-inflammatory drugs and/or estrogen-progestational drugs. In the absence of the effect of therapy for 3 months, it is advisable to switch to a drug of another group or a combination of drugs. Failure to achieve the desired therapeutic result within 6 months is the basis for clarifying the diagnosis. The article is illustrated by the clinical case of a patient with primary dysmenorrhea.

About the authors

Yu E Dobrokhotova

N.I.Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation

д-р мед. наук, проф., зав. каф. акушерства и гинекологии лечебного фак-та 17997, Russian Federation, Moscow, ul. Ostrovitianova, d. 1

E I Borovkova

N.I.Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation

Email: katyanikitina@mail.ru
д-р мед. наук, проф. каф. акушерства и гинекологии лечебного фак-та 17997, Russian Federation, Moscow, ul. Ostrovitianova, d. 1

S A Zalesskaia

N.I.Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation

ассистент каф. акушерства и гинекологии лечебного фак-та 17997, Russian Federation, Moscow, ul. Ostrovitianova, d. 1

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