The Doctor's Notes: Dysmenorrhea: How is it Diagnosed?
by Dr. Robert C. Lawler, M.D.
Primary dysmenorrhea is diagnosed by taking a through medical history, including onset, duration and severity of symptoms. Also the presence of other symptoms during this time should be noted. If there is a concern about possible pelvic infection appropriate cultures should be obtained.
Secondary dysmenorrhea is diagnosed by looking for underlying pathology, in the case of endometriosis this is typically diagnosed by laparoscopy. If intrauterine pathology is suspected than hysteroscopy with or with out sampling may be appropriate. Pelvic imaging may also prove helpful; this could be in the form of pelvic sonogram with or without water enhancement.
Hysterosalpingoram is a test where dye is injected into the uterus to evaluate the cavity can also be performed. If there has been previous cervical surgery than cervical stenosis is a possibility. If Pathology is discovery in most cases it can be effectively treated with subsequent resolution of the dysmenorrhea.
As we continue these Doctor's Notes, if you have questions on what you read here, or on any other topic, please feel free to contact our office and make an appointment: 630.541.7788.