There is little choice for treatment, so patient preference is of little significance. However, some patients prefer non-drug management strategies and this should be considered. Product selection Management of dysmenorrhoea mainly relies on drug therapy. However, some non-drug strategies are worth consideration. Simple measures such as local warmth provided by a hot water bottle are worth investigating.
Relaxation exercises are helpful in some patients.
If possible, treatment should be commenced about two days before expected menses. The usual cautions should be applied to the counter-prescribing of this drug. Cystitis An inflammation of the bladder or urethra usually results in the condition known as cystitis. It is commonly associated with bacteriuria. However, in as many as 50 per cent of patients with typical cystitis symptoms, examination of their urine fails to reveal bacterial involvement.