Primary dysmenorrhea Quiz: Ace Your Exams
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A 15-year-old girl presents to the primary care clinic for evaluation of recurrent crampy pelvic pain during menstruation. Menarche occurred eight months ago. The patient typically experiences headaches during menstruation as well. She does not experience the pain at times when she is not menstruating. She does not have vaginal bleeding at other times during her menstrual cycle. She has not noticed vaginal discharge. She is not sexually active and has no significant past medical history. There is no family history of gynecological conditions. Vital signs are within normal limits. Physical examination reveals a well appearing adolescent with a benign abdominal examination. Which of the following is the best next step in diagnosis?
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