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Primary dysmenorrhoea — DRCOG MCQ

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ModerateGynaecologyPrimary dysmenorrhoeaDRCOG

A 17-year-old has severe lower abdominal pain every month since menarche. She has never been sexually active. NSAIDs and heat help partially but she misses school. Examination is normal. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Offer NSAIDs and hormonal suppression with follow-up

Primary dysmenorrhoea can be treated with NSAIDs and hormonal suppression if acceptable, with review of response. Laparoscopy is not the first step in a teenager without red flags. The pearl is that persistent severe symptoms despite treatment should prompt reconsideration of secondary causes such as endometriosis.

Reference: NICE CKS Dysmenorrhoea; NICE NG73