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August 17, 1979, Vol 242, No. 7 >
ARTICLE | August 17, 1979

Mefenamic Acid for Dysmenorrhea in Patients With Intrauterine Devices

Penny Wise Budoff, MD
JAMA. 1979;242(7):616-617. doi:10.1001/jama.1979.03300070014011.
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To the Editor.—  In their article on the use of intrauterine devices (IUDs) Kaye et al1 reported that 9% of their 150 patients discontinued use of IUDs because of dysmenorrhea or intermenstrual pain. I have successfully treated dysmenorrhea with mefenamic acid (Ponstan, Ponstel)2 (241:2713, 1979) and now have information about its effects in patients using IUDs who have dysmenorrhea.This information was collected in telephone interviews of 12 patients. One had a Copper 7 IUD; 11 had Progestasert IUDs. The IUDs had been in place an average of 16 months (range, six to 30 months). Nine of the patients had suffered menstrual cramps before the insertion of their IUD; three first suffered from cramps after insertion. Five of the patients had started using mefenamic acid for menstrual cramps before insertion of their IUD; the other seven started after insertion. The patients had been taking mefenamic acid for menstrual

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