Accepted at 10:31 p.m. Oct, 31, 2023 by Alex
Author: mdardas
Related Note: 1545849745445 1
Rationale for change

This way it's clearer that there are 2 first-line treatments in the answer instead of only 1

Text Text
Extra
- NSAIDs directly inhibit prostaglandins = ↓ uterine smooth muscle activity

- OCPs thin the endometrial lining → ↓ source of uterine prostaglandins → ↓ uterine contraction

- Distinguish between PMS which has more symptoms

- Treatment preference depends on whether the patient is sexually active (OCPs) or sexually inactive (NSAIDs)
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#AK_Step2_v12::#Resources_by_rotation::ObGyn::uw::zanki::female_repro_breast #AK_Step2_v12::#Subjects::Obstetrics_&_Gynecology::01_Gynecology::*Irregular_Menses::Dysmenorrhea::Primary_Dysmenorrhea #AK_Step2_v12::#AMBOSS::bq0HCS !AK_UpdateTags::Step2decks::Cheesy-Dorian-(M3)::Family-Medicine::4-Exam-Guru #AK_Step2_v12::#Resources_by_rotation::ObGyn::uw::dorian #AK_Step2_v12::#UWorld::Step::15532 #AK_Step2_v12::Original_decks::Dorian::fam::exam_guru #AK_Step3_v12::#UWorld::12814 #AK_Step2_v12::#Resources_by_rotation::Peds::nbme::form_7 #AK_Step2_v12::#B&B::11_Obstetrics_and_Gynecology::02_Gynecology::05_Dysmenorrhea #PANCE::REPRODUCTIVE::bleeding_disorders #AK_Step2_v12::Original_decks::Zanki_Step_2::Peds::Repro #AK_Step2_v12::#Resources_by_rotation::FM::examguru #AK_Step2_v12::Original_decks::Zanki_Step_2::ObGyn::Female_Repro_&_Breast #AK_Step2_v12::Original_decks::Dorian::peds::uw::repro #AK_Step2_v12::#UWorld::COMLEX::102898 #AK_Step1_v12::#Physeo::^physeo_image_update #AK_Step2_v12::#Resources_by_rotation::Peds::uworld::repro::repro_zanki #PANCE::EOR::WOMENS_HEALTH #AK_Step3_v12::#UWorld::11398 #AK_Step2_v12::!FLAG_THESE_CARDS::Potential_duplicates #AK_Step1_v12::#Physeo::09_Pharm::09_Musculoskeletal::04_NSAIDs #AK_Step2_v12::Original_decks::Dorian::peds::nbme #AK_Step2_v12::!Shelf::#Cards_AnKing_Did::2obgyn #AK_Step2_v12::!Shelf::Peds #PANCE::EOR::Family_med !AK_UpdateTags::^temporary::ImageFix::Table #AK_Step2_v12::#Resources_by_rotation::Peds::uworld::repro::repro_dorian #AK_Step2_v12::$AnKingUpdates::$Errata::v10-minor_text_changes #AK_Step2_v12::Original_decks::Dorian::obgyn::uw #AK_Step1_v12::#OME::PreClinical::Biochemistry #AK_Step2_v12::#Subjects::Obstetrics_&_Gynecology::01_Gynecology::*Irregular_Menses::Dysmenorrhea #AK_Step2_v12::#Resources_by_rotation::Peds::nbme::form_4 #AK_Step2_v12::#COMBANK::748390 #AK_Original_Decks::Step_2::Cheesy_Dorian_(M3) #PANCE::EOR::Surgery