Management of Primary Dysmenorrhea Laparoscopy
| Discussion in 'All Categories' started by Mohammad Atieh - Jan 6th, 2017 11:11 am. | |
Mohammad Atieh
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Dear Sir, I have a lady who have severe dysmenorrhea and PMS symptoms. She used medication but failed. And she refused hysterectomy. What alternative therapy that we could offer in laparoscopy. Thanks! |
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re: Management of Primary Dysmenorrhea Laparoscopy
by Dr R K Mishra -
Jan 7th, 2017
10:19 am
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Dr R K Mishra
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Dear Dr Atieh If the woman with dysmenorrhoea does not wish to conceive, offer her hormonal contraception. Ovarian suppression appears to control cyclical pelvic pain, whether or not caused by endometriosis. Laparoscopic uterine nerve ablation (LUNA) or Presacral Neurectomy has been used for the treatment of severe refractory cases; however, a Cochrane meta-analysis concluded that there is insufficient evidence of its effectiveness and it is not always beneficial. With regard R K Mishra |