Dr. Anhalt talks about Menstrual Cramps (AKA dysmenorrhoea).
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Host: Very common condition in adolescent females, they get little belly pain, the doctors see there is a little cyst and it burst and he says, oh, it's something called that gluteal cyst and it just, oh, medical endocrinologist or gynecologist, why? Male Speaker: Often times a gluteal cyst or a cyst that occurs in the ovary around the time that an egg has been released can cause a little bit of pain and discomfort when that egg is actually released or if the ovary is producing more than one egg at a time, there is a cyst or sort of a bubble that forms around that. That bubble can cause some sense of discomfort as it stretches the ovarian tissue and when it finally does rupture, can release a little bit of an inflammatory substance that causes a bit of discomfort, often times referred to as the mittelschmerz or the middle pain that occurs in the belly; a very common phenomenon in adolescent females and typically, some Motrin or Advil is sufficient enough to control the symptoms. Host: If it comes happening, it gets out of control, do they've to use birth control pills to control it? Guest: Severe mittelschmerz or severe pain that occurs with ovulation can be suppressed with the use of an oral contraceptive that should be prescribed after consultation with either endocrinologist or an adolescent OBGYN physician. Host: And that does control pretty good? Guest: In most patients, the use of an oral contraceptive at such a setting will essentially eliminate that discomfort. Host: And if we start oral contraceptives in the female, does that stop it from growing? Guest: Oral contraceptives in a female whose experiencing this kind of pain, most likely is going to be someone who is essentially dump with their growth. However, the use of an oral contraceptive in a child, who's not yet done with their growth, can result in premature termination of their growth. Therefore, it's very important for families to know that when they approach this issue with their physicians. Host: So in another words, if that's something you just do, is don't go to a pediatrician and write a prescription, it should be a consultation with the other gynecologist, the endocrinologist, pediatrician of the family, and the child should have a -- some say in this matter, she is probably, think she is an adult and we have to treat a little bit like this. Is that true? Guest: Absolutely, I am all in favor of children taking an active role in their healthcare and interacting with their physicians and healthcare team to the best of their level of maturity to understand that. Host: You also mention taking Advil or Motrin for mittelschmerz or pain, you can't really work well; it's sort of like that it's protected before because it's something that builds up our prostate glands. Guest: Yeah, as I mentioned there is an inflammatory substance called prostate gland and which is release when that cyst ruptures and so often times, the treatment coming after the rupture isn't as effective as sort of anticipating it. And if it's something that happens pretty routinely, a child can keep a menstrual calendar and that will tell them when to expect this pain to occur again and they can begin to pre-medicate with medication Motrin.
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