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This Concept Map, created with IHMC CmapTools, has information related to: 135_Primary Dysmenorrhea, Symptoms resolve or improved to pts satisfaction? No Reevaluate. Consider changes in dose or agent. Refer to PCP if symptoms are worse, or if response to therapy changes in inadequate., Discuss non drug, OTC and CAM treatment options. Elicit pt preference for treatment approach. Can blend treatment options (e.g., topical heat & NSAID). Suggest lifestyle modifications. OTC drug therapy with NSAID: Initiate treatment at onset of menses & continue therapy for several days; use scheduled dosing of adequate dose. If drug provides benefit, use for several cycles., Obtain medical/medication history including age, symptoms, allergies or sensitivities Exclusion for self-treatment?, Symptoms resolve or improved to pts satisfaction? Yes Advise continued therapy during first few days of menstrual cycle. Repeat usage instructions., Exclusion for self-treatment? No Discuss non drug, OTC and CAM treatment options. Elicit pt preference for treatment approach. Can blend treatment options (e.g., topical heat & NSAID). Suggest lifestyle modifications., OTC drug therapy with NSAID: Initiate treatment at onset of menses & continue therapy for several days; use scheduled dosing of adequate dose. If drug provides benefit, use for several cycles. Symptoms resolve or improved to pts satisfaction?, Exclusion for self-treatment? Yes Referral, Woman with symptoms of dysmenorrhea Obtain medical/medication history including age, symptoms, allergies or sensitivities