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What are the treatment options for secondary dysmenorrhea?

Dr. Jeanne Morrison, PhD
Family Practitioner

Treatment options for secondary dysmenorrhea include pain medication, hormone therapy, and surgery for underlying conditions. Anti-inflammatory medications, like ibuprofen, are used to treat inflammation in the uterus and any associated pain.

Women who still have severe symptoms after trying anti-inflammatory medications may be prescribed an estrogen and progestin hormone therapy, a combination often found in low-dose birth control pills. Birth control pills can help regulate hormones and reduce the effect of conditions that are brought on by hormone imbalances. Often surgery is required to correct tissue overgrowth found with endometriosis or tumors from uterine fibroids. Endometriosis may also be treated by shrinking tissue with gonadotropin-releasing hormone (Gn-RH) agonists and antagonists. GN-RH agonists and antagonists block the production of ovarian-stimulating hormones and  prevent menstruation.

Patricia Geraghty, NP
Women's Health

Treatment options for secondary dysmenorrhea are typically dictated by the cause, if a cause can be identified. Infections can be treated with antibiotics. Uterine fibroids can be treated with surgery or radiologically guided embolization. Endometriosis can be treated with hormonal contraception. If contraception fails to give adequate relief of pain, surgery or medical treatments that alter the hormonal messaging systems, GnRH agonist or a GnRH antagonist can be effective.

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.