01-18-2009, 08:50 AM
15 year old G0 presents with severe menstrual pain for the past 12 months. The pain is severe enough for her to miss school. The pain is not relieved with Ibuprofen 600mg every 4 hours. She is sexually active and the workup reveals no pathology. The most appropriate next step in the management of this pt. is to being combination oral contraceptives. How do oral contraceptives relieve primary dysmenorrhea?
1. Creating endometrial atrophy
2. Decreasing the risk of PID
3. Increasing serotonin levels
4. Preventing ovulation
5. Thickening cervical mucous
1. Creating endometrial atrophy
2. Decreasing the risk of PID
3. Increasing serotonin levels
4. Preventing ovulation
5. Thickening cervical mucous