Clinicians often neglect the issue of dysmenorrhea presented in the discussed case as a serious problem. However, there exist a variety of options for women to reduce pain during menstruation. The suggested method of IUD is one of the possible solutions, but patient education is necessary to lower hesitation and address certain questions. For instance, some women with dysmenorrhea who start using IUDs may not experience pain relief immediately or even in the first few months after the insertion. As a result, some patients choose to remove the device after just one year of use. This knowledge will allow the patient to make a more informed decision about the procedure.
Furthermore, a nurse can present the patient with other options, contraceptives, and other drugs. Continuous combined hormonal contraceptives (CHCs) are found to be effective in reducing dysmenorrhea, helping women to lead a healthy life during menses. Therefore, if the patient does not want to use any devices and agrees to an oral contraception method, a CHC can be advised. A cyclic regimen is not as effective as the combined one. Both suggestions (IUDs and CHCs) have a similar way of dealing with the pain, and their benefits are almost the same as well. However, the use of oral medications requires more commitment and attention as they need to be taken regularly. This drawback, as well as the side effects of taking such drugs, need to be included in patient education. As noted in the original post, the decision of the patient is the main argument for or against any medical interference. The role of the nurse is to present several options and educate the patient about their advantages and disadvantages.
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