You walk into the exam room and see Ann Tomlin, a 33-year-old.

You walk into the exam room and see Ann Tomlin, a 33-year-old.

You walk into the exam room and see Ann Tomlin, a 33-year-old. 150 150 Peter

You walk into the exam room and see Ann Tomlin, a 33-year-old. After introducing yourself, you ask how the patient would like to be addressed, to which she replies “Ann or Ms. Tomlin is fine.” You then ask:

“Tell me, what brings you in today?”

“I have been having some problems the past year or so with cramps during my period. I am not used to it and am missing two or three days of work every month because of it.”

“It sounds as if this pain is really affecting your life,” you empathize. “Can you tell me if you have any other symptoms during your periods?”

“Sometimes I have diarrhea as well, but that is only for one day at the beginning. But for the entire time I have my period I am just so exhausted.”

Question

What are the risk factors for primary dysmenorrhea? Select all that apply.

The best options are indicated below. Your selections are indicated by the shaded boxes.

· A. High levels of stress

· B. Increasing parity

· C. Lower income

· D. Menarche late in adolescence

· E. Smoking

· F. Younger age

SUBMIT

Answer Comment