Normal Flow in Obstetrics & Gynecology — 28yo Woman | General Gynecology | SMLE Q#18562
SMLE Question #18562
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 28-year-old woman has recurrent severe lower abdominal cramping that starts 1–2 days before menses and continues through the first 2–3 days of bleeding. She misses work monthly. Cycles are regular with normal flow. She has no fever, vaginal discharge, dyspareunia, infertility, or abnormal uterine bleeding. Pelvic examination is normal. Pregnancy test is negative, and she has no contraindications to NSAIDs. Which medication is the most appropriate first-line treatment for her symptoms?
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