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Cohort study, 2006

How should severe period pain in teenagers be treated?

Regular pain relief medication (NSAIDs) started before periods begin may help. In one teenager, severe pain improved from 8 out of 10 to 5 out of 10.

Early or limited evidence One 15-year-old girl with severe menstrual pain

What they did

Described the medical care of one 15-year-old girl with severe menstrual cramps, headache, loose stools, and breast tenderness who was missing school.

What they found

The girl's pain was rated 8 out of 10 and she missed 3 days of school in 6 weeks. After taking NSAIDs on a regular schedule starting before menstrual bleeding, her pain reduced to 5 out of 10 at follow-up.

What it means for you

Taking NSAIDs regularly before periods start, rather than waiting until pain begins, may reduce severe menstrual cramps in teenagers. This is only one case, so we cannot know how well this works for all teenagers.

8 out of 10

initial pain rating

3

school days missed in 6 weeks

5 out of 10

pain rating after treatment

About the study

Original title
Consultation with the Specialist
Authors
Paula J. Adams Hillard
Journal
Pediatrics in Review
Year
2006
Study design
Cohort study
What was tested
Regular NSAID medication scheduled before and during first 2 days of menstruation

Topics