Adolescent dysmenorrhoea in general practice: tensions and uncertainties.
| Autor: | Dixon S; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom., Taghinejadi N; Nuffield Department of Women's Reproductive Health, Oxford, United Kingdom., Duddy C; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom., Holloway F; School of Social and Political Sciences, University of York, York, United Kingdom., Vincent K; Nuffield Department of Women's Reproductive Health, Oxford, United Kingdom., Ziebland S; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom. |
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| Jazyk: | angličtina |
| Zdroj: | Frontiers in reproductive health [Front Reprod Health] 2024 Aug 23; Vol. 6, pp. 1418269. Date of Electronic Publication: 2024 Aug 23 (Print Publication: 2024). |
| DOI: | 10.3389/frph.2024.1418269 |
| Abstrakt: | This Perspectives article reflects on findings from our systematic review about adolescent dysmenorrhoea Q, drawing on sociology of diagnosis theory. We consider tensions and uncertainties between presentation with symptoms of dysmenorrhoea and processes of symptom categorisation and diagnosis in adolescents, tracing these through research and clinical guidance, considering possible implications for clinical practice. We argue that challenges in distinguishing between primary and secondary dysmenorrhoea in research translate into challenges in differentiation in clinical practice. We argue that framing this distinction as clear cut and straightforward belies the well-documented challenges in diagnosis of endometriosis, and that not recognising uncertainty and complexity inherent in this task may benefit neither clinicians nor patients. Competing Interests: KV has received research funding from Bayer Healthcare and honoraria for talks and consultancy fees paid to her institution from Bayer Healthcare, AbbVie, Reckitts, Gedeon Richter and Eli Lilly. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (© 2024 Dixon, Taghinejadi, Duddy, Holloway, Vincent and Ziebland.) |
| Databáze: | MEDLINE |
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