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I suffer a lot of pain in the ovary, before many days of the menstrual cycle and ther e is alot of acne that comes in menstrual cycle i just want to knw if that is dangerous and i should go to the doc
4 أغسطس 2014
رأي ثانوي

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د. Zakia Dimassi طب الأطفال
Dysmenorrhea is difficult or painful menstruation. It's usually caused by a rise in some of the inflammatory markers associated with the menstrual cycle. It's characterized by onset shortly after menarche (≤6 months - menarche is البلوغ). It usually begins few hours before or just after the menstrual flow occurs, and lasts about 48-72 hours. The pain is described as cramping or laborlike, in the background of constant lower abdominal pain, radiating to the back or thigh. Upon exam of the pelvis, usually no abnormal findings are detected.
This is a rather common condition, affecting up to 50% of females, and is one of the main reasons for visiting the gynecologist's office. Girls with early age are menarche and positive family history are more predisposed to suffer from dysmenorrhea.
Treatment is with anti-inflammatory drugs and birth control pills.
Regarding acne, it's not uncommon for girls to have flare ups around the time of the menstrual cycle due to changes in hormone levels. Treatment starts with topical applications of clindamycin or erythromycin creams/solutions. If poor results or no response are seen, we usually give a try of local tretinoin cream plus a topical antibiotic containing cream. The 3rd step is oral doxycycline. Finally we resort to retinoic acid by mouth.
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