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[Dysmenorrhea: a problem for the pediatrician?].

F Narring1, M Yaron, A-E Ambresin

  • 1Unité santé jeunes, département de l'enfant et de l'adolescent, université de Genève, hôpitaux universitaires de Genève, 87, boulevard de la Cluse, 1211 Genève 14, Suisse. francoise.narring@hcuge.ch

Archives De Pediatrie : Organe Officiel De La Societe Francaise De Pediatrie
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PubMed
Summary
This summary is machine-generated.

Severe dysmenorrhea affects over 12% of adolescent girls in Switzerland, significantly impacting daily activities and sports. Many girls do not receive adequate medical consultation or treatment for menstrual pain.

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Area of Science:

  • Reproductive health in adolescents
  • Gynecological disorders
  • Public health epidemiology

Context:

  • Dysmenorrhea is a prevalent condition among adolescent girls, often leading to school absenteeism and reduced participation in social and physical activities.
  • Onset typically occurs 2-3 years post-menarche with ovulatory cycles.
  • Adolescent girls in Switzerland represent a key demographic for studying dysmenorrhea prevalence and impact.

Purpose:

  • To determine the prevalence of severe dysmenorrhea in Swiss adolescent girls.
  • To assess the consequences of dysmenorrhea on daily life, including school attendance and sports.
  • To review current treatment approaches and provide clinical practice recommendations.

Summary:

  • A cross-sectional survey (SMASH 02) of 3340 adolescent females (aged 16-20) in Switzerland revealed that 12.4% experience severe dysmenorrhea and 74.2% experience moderate dysmenorrhea.
  • Severe dysmenorrhea significantly disrupts daily activities, with 47.8% reporting staying home from school and 66.5% reducing sports participation.
  • Less than half of affected girls consulted a physician, and even fewer received appropriate treatment.

Impact:

  • Highlights the significant burden of dysmenorrhea on adolescent well-being and daily functioning.
  • Underscores the critical role of pediatricians in screening, educating, and treating young patients with menstrual pain.
  • Recommends NSAIDs as first-line treatment, with combined oestroprogestative contraception for non-responders, emphasizing the need for follow-up to rule out organic pathology.