Dysmenorrhea in adolescents

Dysmenorrhea is very common in adolescent females. Any of the treatment measures discussed earlier for other patients would be appropriate in the adolescent population.

While NSAIDs and OCs are among the top choices, use of the levonorgestrel IUD is

also an option. It had been thought previously that nulliparous females should avoid the use of IUDs secondary to an increased risk of pelvic inflammatory disease (PID)

and a subsequent increased risk of infertility. Guidelines fi'om the American College of Obstetricians and Gynecologists (ACOG) state that any woman (regardless of parity) at low risk of sexually transmitted diseases and thus PID is a good candidate for IUD use22

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