A 14-year-old girl came to a general practitioner with complaints of weakness, loss of appetite, headache, rapid fatigability. Her last menstruation was profuse and lasted for 14 days after previous delay of 2 months. Objectively: the skin is pale, heart rate is 90/min., BP is 110/70 mm Hg, Hb is 88 g/l. Rectal examination: the uterus and its appendages are without changes, no discharge from the genital tracts. What complication occurred in the patient?

Answer options

1. Posthemorrhagic anemia
2. Somatoform autonomic dysfunction of hypotonic type
3. Dysmenorrhea
4. Gastritis
5. Migraine

Explanation

A 14-year-old girl came to the general practitioner with complaints of weakness, loss of appetite, headache, rapid fatigability. Her last menstruation was profuse and lasted for 14 days after the previous delay of 2 months. Objectively: the skin is pale, heart rate is 90/min., BP is 110/70 mm Hg. Hb is 88 g/L. Rectal examination the uterus and its appendages are without changes, no discharge from the genital tracts. What complication occurred in the patient?Dysmenorrhea → Painful menstruation (cramps)