Primary dysmenorrhoea is defined as pain which begins in association with menstrual bleeding. The management of dysmenorrhoea in the teenager is no different from that of the adult (see Chapter 34). Both the use of non-steroidal anti-inflammatories and the oral contraceptive pill is pertinent in teenagers, but again failure of these medications to control dysmenorrhoea should alert the clinician to the possibility of uterine anomaly and ultrasound imaging of the uterus should be performed to establish whether or not an anomaly exists.
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Once your pregnancy is over and done with, your baby is happily in your arms, and youre headed back home from the hospital, youll begin to realize that things have only just begun. Over the next few days, weeks, and months, youre going to increasingly notice that your entire life has changed in more ways than you could ever imagine.