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Data were collected from medical records of patients presenting with dysmenorrhea and\/or pelvic pain.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 154 patients, mean age of presentation was 15.7\u2009years (SD = 2.2) and mean duration of pain was 14.9\u2009months (SD = 10.8). Regular cycles were reported by 64.5%, and heavy menstrual bleeding (HMB) in 67.8%. Patients self\u2010reporting HMB reported less pain on the day prior to menses than those not reporting HMB (<jats:italic>P<\/jats:italic> &lt;\u20090.005). At follow\u2010up, therapeutic interventions included nonsteroidal anti\u2010inflammatory drugs, tranexamic acid and cyclic or continuous combined oral contraceptive pills. Laparoscopies were undertaken in 12 (8.1%) patients, with normal findings in 8 (66.7%). Secondary dysmenorrhea was identified in 10 patients: of these, endometriosis was identified in one patient and unilateral obstructive M\u00fcllerian anomalies in six. Overall, 92.2% of patients had improvement in symptoms after treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Laparoscopy and endometriosis rates in patients presenting to a tertiary center were lower than previously reported, with most patients achieving symptom improvement without laparoscopy.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.14532","type":"journal-article","created":{"date-parts":[[2020,10,21]],"date-time":"2020-10-21T01:50:52Z","timestamp":1603245052000},"page":"352-358","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Dysmenorrhea in young people: Experiences from a tertiary center with a focus on conservative management"],"prefix":"10.1111","volume":"47","author":[{"given":"Aalia","family":"Sachedina","sequence":"first","affiliation":[{"name":"Department of Gynaecology The Royal Children's Hospital  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mardiha","family":"ABU Bakar","sequence":"additional","affiliation":[{"name":"General Practice Creswick and Clunes Medical Centre  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela M.","family":"Dunford","sequence":"additional","affiliation":[{"name":"Department of Gynaecology and Women's Health John Hunter Hospital  Newcastle New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanda","family":"Morris","sequence":"additional","affiliation":[{"name":"Pediatric and Adolescent Gynecology, Department of Obstetrics, Gynecology &amp; Reproductive Sciences University of Manitoba  Winnipeg Manitoba Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdul Ghani","family":"NUR Azurah","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Universiti Kebangsaan Malaysia  Kuala Lumpur Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sonia R.","family":"Grover","sequence":"additional","affiliation":[{"name":"Department of Gynaecology The Royal Children's Hospital  Melbourne Victoria Australia"},{"name":"Department of Obstetrics and Gynaecology Universiti Kebangsaan Malaysia  Kuala Lumpur Malaysia"},{"name":"Department of Paediatrics University of Melbourne  Melbourne Victoria Australia"},{"name":"Murdoch Children's Research Institute  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,10,20]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"crossref","first-page":"762","DOI":"10.1093\/humupd\/dmv039","article-title":"What we know about primary dysmenorrhea today: A critical review","volume":"21","author":"Lacovides S","year":"2015","journal-title":"Hum Reprod 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