University of Lynchburg DMSc Doctoral Project Assignment Repository

University of Lynchburg DMSc Doctoral Project Assignment Repository


Family Medicine


Dr. Larry Herman



Purpose: The purpose of this paper is to highlight the pathology of primary dysmenorrhea. It aims to narrate the Non-Steroidal Anti-Inflammatory drugs (NSAIDS) as the mainstay of treatment. It will show the shortcomings of the medication. The overall purpose will be to then elaborate on the alternative therapies that can be utilized. Management with dual therapy including NSAIDS vs. dual therapy without NSAIDS will be thoroughly evaluated.

Methods: A Pub med literature search engine was utilized. Search phrases such as dysmenorrhea, primary dysmenorrhea, suprapubic pain, dyspareunia, secondary dysmenorrhea was used. A total of 25 matches were found. The total 25 matches included Randomized Control Trials, Meta-Analysis, and Systemic Reviews. On further evaluation only12 articles were suited to help with the main emphasis of this research.

Results: Primary Dysmenorrhea affects a large sample of adult-aged women. Many women suffer silently with these symptoms. Current management approaches fail to effectively manage symptoms. The amount of missed work days, loss of work and psychological stress takes a major toll on the economy as well as women in general experiencing these symptoms.

Conclusion: NSAIDS do not effectively manage the pain associated with dysmenorrhea. A multi-management and dual therapy approach is best used by practicing providers. Having a variety of dual therapy techniques such as aromatherapy, tens unit, yoga, herbal, nutritional and nutritional management can help can effectively curb the pain associated with primary dysmenorrhea.


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