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Master Thesis

Dysménorrhées de l'adolescence : vécu des jeunes patientes et des médecins généralistes

Abstract : Introduction: Dysmenorrhea is the first gynecological complaint of teenage girls. Endometriosis is a disabling condition affecting about 10% of women of childbearing age. Its delayed diagnostic is of approximately ten years. Dysmenorrhea affects teenage girls’ quality of life. The general practitioner’s role is essential in the screening and guiding of the patient. Our work will focus on evaluating teenage girls facing dysmenorrhea’s feelings, and the difficulties faced by general practitioners. We will study the knowledge of patients and doctors about endometriosis to try to explain the diagnosis delay, and improve the care of patients. Method: Qualitative study by semi-structured interviews with 13 doctors and 13 teenage girls. Results: The study highlights a gap between patients and doctors. Dysmenorrhea is a taboo subject for teenage girls, and doctors tend to not look for it. The latter, and the patients’ mothers, usually trivialize the teenage girls’ symptoms. They often turn to their friends to discuss it. GPs have good knowledge about dysmenorrhea and endometriosis but lack some reflexes in their practice. Discussion: Teenage girls are a fragile and difficult-to-take-care-of population. Thus, the doctor’s role is to go to them, discuss, question and reevaluate. There should be help for doctors in order to structure their consultation, such as a dedicated page in the health book, with decision trees. Conclusion: The lack of communication between doctors and patients makes it difficult to manage dysmenorrhea. A systematic approach to these symptoms could improve organic dysmenorrhea’s screening. Four points are essentials: pain intensity, resonance, already-tried treatments and their effectiveness.
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Submitted on : Wednesday, December 4, 2019 - 12:47:50 PM
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Mathilde Guigue, Fanny Coustoullier. Dysménorrhées de l'adolescence : vécu des jeunes patientes et des médecins généralistes. Sciences du Vivant [q-bio]. 2019. ⟨dumas-02393313⟩



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