What is the best medicine for dysmenoria

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what is the treatment of period pain (dysmenorrhea)

1. pain killers as ibuprofen
2. antispasmodic drug as buscopan or spasmopan
3. contraceptive pills
4. surgery in case of endometeriosis

what are the causes of dysmenorrhea

1. myometrial contractions
2. fibroid
3. endometeriosis
4. pelvic inflammatory disease
5. poly cystic ovarian syndrome

symptoms associated with painful menses

1. painful urination
2. painful defecating
3. painful coitus
4. nausea and vomiting
5. headach
6. diarrhea alternate with constipation

how do diagnose the cause

1. clinical exam
2. measure the estradiol and FSH and LH
3. ultrasound the uterus
4. and exploratory surgry

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