Nishchint Jain MBBS, Abstract Co-Author: Nothing to Disclose

Ritu Verma MBBS, MD, Presenter: Nothing to Disclose

Umesh Chandra Garga MBBS, MD, Abstract Co-Author: Nothing to Disclose

sachin kumar jain MD, Abstract Co-Author: Nothing to Disclose

  To understand various causes of dysmenorrhea and their imaging appearance on USG and MRI. To explain the utility of USG and MRI in evaluation of severe, intractable medically resistant dysmenorrhea  

Dysmenorrhoea is a chronic and recurring problem in females of reproductive age group. Apart from functional dysmenorrhoea,imaging plays a pivitol role in evaluation of other causes of dysmenorrhoea.  CAUSES: May be acquired like PID, endometriosis, pelvic congestion syndrome ,leiomyoma,adenomyosis and ovarian cyst or congenital including cervical stenosis and mullerian anomalies.Rare mullerian anomalies that are associated with severe, intractable, medically resistant yet surgically curable dysmenorrhoea are unicornuate uterus with hematometra of the rudimentary horn and juvenile cystic adenomyoma. IMAGING:USG pelvis and MRI plays a pivotal role in patient evaluation. The radiologist must carefully assess the uterine or adnexal mass if present, size and shape of the uterine cavity, junctional zone, endo-myometrial interface, bilateral ovaries, both uterine cornu and pelvic vasculature. CONCLUSION: USG and MRI are essential tools for correct diagnosis and management in patients with dysmenorrhea, especially the ones with medically resistant dysmenorrhoea . 

http://abstract.rsna.org/uploads/2014/14001837/14001837_a6lx.pdf

Jain, N, Verma, R, Garga, U, jain, s, Imaging in Dysmenorrhoea, Usual to Unusual Causes: Pictoral Essay and Approach to Diagnosis.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14001837.html