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Secondary Dysmenorrhea Treatment
The treatment for secondary dysmenorrhea depends on the underlying cause. Some conditions, such as endometriosis, ovarian cysts, and uterine fibroids, may need to be treated surgically.
Treatment for secondary dysmenorrhea may include:
- Nonsteroidal anti-inflammatory drugs for secondary dysmenorrhea
- Ibuprofen (Motrin, Advil, Nuprin, NeoProfen)
- Ketoprofen (Actron, Orudis, Oruvail)
- Naproxen (Anaprox, Naprosyn, Aleve)
- Meclofenamate sodium
- Mefenamic acid (Ponstel)
- Oral contraceptives for secondary dysmenorrhea
- Ethinyl estradiol and gonane progestin (norgestimate, norgestrel, levonorgestrel, or desogestrel) (Ortho-Cyclen, Ovral, Lo-Ovral, Alesse, Levlen, Levlite, Nordette, Desogen, Ortho-Cept)
- Ethinyl estradiol and estrane progestin (norethindrone or ethynodiol acetate) (Ortho-Novum, Ovcon 50, Ortho-Novum 7/7/7, Brevicon, LoEstrin, Modicon, Tri-Norinyl, Demulen, Zovia)
- Ethinyl estradiol and drospirenone (Yasmin, YAZ)
- Medroxyprogesterone acetate (DMPA; DepoProvera)
- Levonorgestrel-releasing intrauterine device (Mirena)
- Vitamin B supplements
- Surgery:
- Appropriate for some cases of endometriosis, adenomyosis, ovarian cysts, and uterine fibroids.
For more information:
Secondary Dysmenorrhea Specialist
Physicians from the following specialties evaluate and treat secondary dysmenorrhea:
Continue to Secondary Dysmenorrhea Home Care
Last Updated: Jan 4, 2011 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Secondary Dysmenorrhea References
- Davis AR, Westhoff C, O'Connell K, Gallagher N. Oral contraceptives for dysmenorrhea in adolescent girls: a randomized trial. Obstet Gynecol. 2005 Jul;106(1):97-104. [15994623]
- French L. Dysmenorrhea. Am Fam Physician. 2005 Jan 15;71(2):285-91. [15686299]
- Harel Z. A contemporary approach to dysmenorrhea in adolescents. Paediatr Drugs. 2002;4(12):797-805. [12431132]
- Nasir L, Bope ET. Management of pelvic pain from dysmenorrhea or endometriosis. J Am Board Fam Pract. 2004 Nov-Dec;17 Suppl:S43-7. [15575029]