School Clinic Operations

Treatment of Dysmenorrhea

Dysmenorrhea occurs in the majority of adolescent girls and is the leading cause of
recurrent short-term school absence in this group. In the vast majority of cases, a
presumptive diagnosis of primary dysmenorrhea can be made based on a typical history
of low anterior pelvic pain coinciding with the onset of menses and lasting 1-3 days with a
negative physical examination.

https://pubmed.ncbi.nlm.nih.gov/18162003/P, https://healthsoul.com/blog/how-to-treat-dysmenorrhea/,
https://reverehealth.com/live-better/relief-for-painful-menstrual-cramps/
https://pubmed.ncbi.nlm.nih.gov/18162003/P, https://healthsoul.com/blog/how-to-treat-dysmenorrhea/,
https://reverehealth.com/live-better/relief-for-painful-menstrual-cramps/
 Treatment for School Clinics:
Application of Heat: Use of Hot Water Bag – Warm Water NOT BOILING
WATER to prevent burns over abdominal area

May Use A Bottle filled with Warm Water Wrapped in a Thick Towel.

https://pubmed.ncbi.nlm.nih.gov/18162003/P, https://healthsoul.com/blog/how-to-treat-dysmenorrhea/,
https://reverehealth.com/live-better/relief-for-painful-menstrual-cramps/
Massage on Lower Abdomen

Medications:
Ibuprofen 200 mg/tablet 1 Tablet every 6 Hours as Needed for Pain
Ibuprofen 100 mg/5 ml 5 ml or 1 teaspoon every 6 hours as Needed for Pain
ASK for ALLERGY to IBUPROFEN prior to giving IBUPROFEN

Mefenamic Acid 250 mg/capsule, 500 mg/capsule 1 Capsule every 6 Hours as

needed for Pain

Hyoscine N Butylbromide 10 mg + Paracetamol 500 mg every 6 hours for

extremely painful menstrual cramping

https://pubmed.ncbi.nlm.nih.gov/18162003/P, https://healthsoul.com/blog/how-to-treat-dysmenorrhea/,
https://reverehealth.com/live-better/relief-for-painful-menstrual-cramps/