Dysmenorrhea—myths and facts

ABSTRACT

Dysmenorrhea has plagued young women since ancient times. The author discusses its treatment in other ages and cultures, as well as recent research that has led to a better understanding and alleviation of this condition. The necessity of a thorough work-up to exclude mechanical obstruction of the genital tract is emphasized, along with the clinical criteria for the work-up. Recently recognized conditions, e.g., endometriosis, are discussed and newer treatments, such as prostaglandin inhibitors and oral contraceptives, are reviewed.