Tratamentul cu inhibitori selectivi de COX-2 versus tratament cu anticonceptionale orale în dismenoreea primară | [Selective cox-2 inhibitors versus oral contraceptives in the treatment of primary dysmenorrhea]

Abstract

Primary dysmenorrhea is a common condition affecting a lot of adolescent girls, and is the leading cause of recurrent short-term school or work absenteeism among female adolescents and young adults. Non-steroidal anti-inflammatory drugs are the initial therapy of choice in patients with presumptive primary dysmenorrhea. Studies have shown that the selective COX-2 inhibitors have a potent tocolytic effect, and found the specific COX-2 inhibitors effective in treatment of primary dysmenorrhea in women ≥ 18 years old. Oral contraceptives may also be considered as an alternative treatment option in primary dysmenorrhea in women requesting hormonal contraception.