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Gynaecology & Obstetrics General a696d3a6

All are used in treating spasmodic dysmenorrhea except:

A
Bromocriptine
B
Ibuprofen
C
Mefenamic acid
D
Norethisterone and ethinyl estradiol
High-Yield Explanation
Spasmodic dysmenorrhoea is another name for primary dysnenorrhoea. (i.e. no pelvic pathology is responsible for pain) Characteristics of spasmodic dysmenorrhoea • Seen in adolescent girls • Pain appears within 2 years of menarche • Family history may be present • Pain is spasmodic nature. It is located in lower abdomen and may radiate to back and medial aspect of thigh. • Associated systemic discomfort seen • Pain begins few hours before a rest of menstruation and losts for 12–24 hours, but never 48 hours more than • Pain is often cured after child birth • Management: NSAID’s or OCP’s

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