Primary Dysmenorrhea

15 y/o F with h/o early menarche and heavy menstrual periods presents with pain during first 2-3 days of menses. Pain accompanied by N/V, diarrhea. BMI <20 and normal pelvis on exam.

• Obtain U/A, test for G/C

• Pending normal results, start naproxen for pain

• F/u in 2-3 mo.; consider starting OCPs for refractory pain