Refractory Dysmenorrhea Managed With a Glucagon-Like Peptide-1 Agonist: A Case Report

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Publicat a:Cureus vol. 17, no. 1 (2025)
Autor principal: Tran, Mary
Altres autors: Swartz, Nicholas, Elisèe, Sabine D
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Springer Nature B.V.
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Accés en línia:Citation/Abstract
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024 7 |a 10.7759/cureus.77387  |2 doi 
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100 1 |a Tran, Mary  |u Internal Medicine, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Davie, USA 
245 1 |a Refractory Dysmenorrhea Managed With a Glucagon-Like Peptide-1 Agonist: A Case Report 
260 |b Springer Nature B.V.  |c 2025 
513 |a Journal Article 
520 3 |a Dysmenorrhea includes symptoms such as abdominal pain, nausea, and vomiting. It is a clinical diagnosis with typical treatment involving the use of non-steroidal anti-inflammatory drugs (NSAIDs) and hormonal therapy. Even with conventional treatment, many women deal with dysmenorrhea refractory to treatment. They are often subject to dealing with the adverse effects of those treatments, such as peptic ulcer disease. We present a case of a patient with severe refractory dysmenorrhea who was able to minimize symptoms with the use of semaglutide, a glucagon-like peptide-1 (GLP-1) agonist. With no changes in the patient’s lifestyle and no additional medications added, the semaglutide therapy was able to minimize the patient’s symptoms to where she was able to continue activities of daily living and minimize the use of NSAID therapy. Moreover, the patient experienced no changes in weight and only transient loss of appetite while on semaglutide. We hypothesize that anti-estrogenic and anti-inflammatory properties are potential mechanisms of action in this case. This case brings to light the possible multifaceted applications of GLP-1 agonists beyond weight control and diabetes. The outcome of this case suggests that a controlled trial of GLP-1 agonist therapy is warranted to determine its potential for the management of dysmenorrhea. 
653 |a Vomiting 
653 |a Exercise 
653 |a Diabetes 
653 |a Nausea 
653 |a Blood pressure 
653 |a Weight control 
653 |a Menstruation 
653 |a Obesity 
653 |a Activities of daily living 
653 |a Nonsteroidal anti-inflammatory drugs 
653 |a Pain 
653 |a Glucagon 
653 |a Appetite 
653 |a Agonists 
653 |a Peptides 
653 |a GLP-1 receptor agonists 
653 |a Oxygen saturation 
653 |a Heart rate 
653 |a Analgesics 
700 1 |a Swartz, Nicholas  |u Internal Medicine, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Davie, USA 
700 1 |a Elisèe, Sabine D  |u Family Medicine, Cornerstone Medical Group, Coral Springs, USA 
773 0 |t Cureus  |g vol. 17, no. 1 (2025) 
786 0 |d ProQuest  |t Health & Medical Collection 
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