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Primär dysmenorré

Senast reviderad:
Sakkunnig:
Definition:
Mensvärk utan patologiska fynd. 
Förekomst:
Vanligt bland unga kvinnor. 
Symtom:
Smärtorna är krampliknande och sitter lågt i magen, lokaliserade till mittlinjen. Ofta utstrålning mot ryggen och insidan av låren, eventuellt illamående, kräkningar och diarré. Smärtorna börjar ofta några timmar innan blödningen startar och avtar vanligen efter ett dygn.
Kliniska fynd:
Normalt kliniskt status.
Diagnostik:
Typisk anamnes och normalt kliniskt status. Tilläggsundersökningar behövs oftast inte.
Behandling:
NSAID eller kombinerat hormonellt preventivmedel som p-piller.
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  • Anna Nager, docent och specialist i allmänmedicin, Karolinska institutet