Pathophysiology: Excessive prostaglandin production

Risk factors:
Age less than 30
BMI less than 20 kg/m2
Tobacco use
Menarche at age less than 12
Heavy/long menstrual periods
Sexual abuse

Signs / symptoms:
Pain first 2-3 days of menses
Nausea, vomiting, diarrhea
Normal pelvic examination

Treatment / management:
Nonsteroidal anti-inflammatory drugs
Combination oral contraceptive pills

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