Dysmenorrhoea

A female aged 28 years dysmenorrhoea for 22 days, 7 days menstrual bleeding was less gradually increasing menstrual bleeding. BP- 110/70 mm of hg, mild anaemic, pulse NAD, CVS & CNS NAD has two son.. Her history of Menstruation in descending data is mentioned below LMP- 29.03.2020 to till now LMP- 19.02.2020 LMP- 29.12.2019 LMP- 27.11.2019 LMP- 06.10.2019 has taken medication Trenaxemic acid tab but not proper relief. Suggest t/t....

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Suggest....USG PPI Doxy FLUCONAZOLE Syr. Gynedol Mefenamic plus Trenaxemic Start now if it possible

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Patient requires Ultrasound for detection of cause. This can be due to fibroid, ovarian cyst, endometriosis ,pelvic infection or hormonal disorder.

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Needs further investigation and evaluation to conclude and treatment plan. Street and anxiety factor must be looked. Reassurance and councelling required.

Thanks Dr Vipin Bihari Jain
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USG should be done to concude the cause . If needed advice her for diognostic laproscopy and HP..

Usg cbc Tb pause500 mf Antibiotics Antifungal

Mam can I use progesterone tab. If yes then what will be dose???
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Needs investigation pregnancy test usg to ro any rpoc adnexial mass fibroids endometiosis thyroid profileof course to ro any hormonal profile u didnot mention wt was her lmp in january

No LMP in January. Pregnancy test negative. Can I add progesterone tab?? If yes then ask me the brand name and dose....
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ADVISABLE... .. .. U. S. G.. MAYBE... CYST FIBROIDS ENDOMETRIASIS...

Advise USG +thyroid profile

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