Outcome evaluation

Measure the treatment success for the various menstruation-related disorders by the degree to which the care plan (a) relieves or reverses symptoms of the disorder, (b) prevents or reverses the complications of the disorder (e.g., osteoporosis, anemia, and infertility), and (c) minimizes side effects. The return of a regular menstrual cycle with minimal premenstrual symptoms or symptoms of dysmenorrhea should occur. Depending on the desire for conception and subsequent therapy, this cycle may be ovulatory or anovulatory.

Assess the effectiveness of therapy in resuming normal menstrual cycles with minimal related pain after an appropriate treatment interval (1-2 months). Assess improvement in quality-of-life measures such as physical, psychological, and social functioning and well-being. Evaluate the patient for adverse drug reactions, drug allergies, and drug interactions. Table 49-2 illustrates the common side effects that may occur for which monitoring is required. Table 49-3 illustrates the specific expected outcome measures for each of the menstruation-related disorders discussed in this chapter.

Abbreviations Introduced in This chapter

ACÖG American College of Obstetricians a nd

Gynecologists

CEE Conjugated equine estrogen

FSH Follicle-stimulatirig hormone

GnRH Con ado tropin-releasing hormone

HCG Human chorionic gonadotropin

HDL High-density lipoprotein

J i PO Hy pot ha J a m \c- pitu it a iy-ov a r ia n

IUD Intrauterine device

LDL Low-density lipoprotein

LH Luteinizing hormone

\1 PA Med rox yp l oge stcrone ace t ate

NSA1D Noti steroidal a n t i -1 n lia m maio t'y drug

OC O ra 1 cont r ac ept ivte

TENS Transe ul an eou s elec t rieai nerve slim nial ion

Self-assessment questions and answers are available at ht-tp://www.mhpharmacotherapy.com/pp/html.

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