Comparative Study of Ethinyl Estradiol and Dienogest with Ethinyl Estradiol and Levonorgestrel in the Management of Spasmodic Dysmenorrhoea in Late Adolescence
Keywords:
Adolescents ,Primary dysmenorrhoea,Harmonal contraceptives.Abstract
Introduction: Spasmodic dysmenorrhoea (SD) is defined as painful menses. Dysmenorrhoea may limit the day-to-day activities of a person. Its occurrence is 63% and it is severe in 15% of the people. It requires counselling and treatment.
Aims and Objectives: To know the efficacy of ethinyl estradiol and dienogest versus ethinyl estradiol and levonorgestrel in reducing pain among women with primary dysmenorrhoea
Methodology: This was a prospective observational study done for six months among 100 females having dysmenorrhoea. They were divided into Group A (N = 50) and Group B (N = 50). The participants of Group A received ethinyl estradiol 0.03 mg/ dienogest 2 mg and those of Group B received ethinyl estradiol 0.03 mg/ levonorgestrel 0.15 mg for three consecutive menstrual cycles. After consent from the participants, their menstrual history was noted and examinations and investigations were done. Drugs were given and follow-up was done. Side effects of these drugs seen in the subjects were noted. The collected data were analysed.
Results: Most of the subjects belonged to the age group of 15-18 years in Groups A and B (80% and 84% respectively). Severe pain was more in Group A (24%) than in Group B (16%). Absence from school was 54% versus 48% in Groups A and B respectively. Menstrual irregularities were present in 42% of subjects in Group A versus 36% in Group B. Additional symptoms were present in 12% and 8% of participants in Groups A and B respectively. Anxiety was observed among 8% and 6% of adolescents in Groups A and B respectively due to pain and menstrual irregularities. Severe pain relief was observed in 100% of participants in Group A and 96% in Group B.
Conclusion: SD is common in adolescents. It reduces the quality of life of women and should be treated. It was seen in this study that dienogest is a better option for its treatment due to a significant reduction of dysmenorrhoea with minimal side effects.
How to cite this article:
Vijayasree M, Choudary GM. A Comparative Study of Ethinyl Estradiol and Dienogest with Ethinyl Estradiol and Levonorgestrel in the Management of Spasmodic Dysmenorrhoea in Late Adolescence. Int J Adv Res Gynaecol Obstet. 2023;1(2):1-6.
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