Dysmenorrhea: contemporary perspectives

Obstetrical & Gynecological Survey
Brittany BettendorfFrank Tu

Abstract

Dysmenorrhea affects up to 80% of reproductive age women, in many cases causing sufficient pain to dramatically affect social and occupational roles. The prevalence varies across ethnic groups, which in part may reflect varying cultural attitudes toward women and menstruation. Key identified risk factors for dysmenorrhea include age of menarche, body mass, dietary habits, associated uterine bleeding disorders, comorbid pelvic pathology, and psychosocial problems. While much of the focus on the pathogenesis of dysmenorrhea has focused on aberrant inflammatory mediators in the uterine environment, recent studies using experimental quantitative sensory testing suggest central processing of pain is enhanced in many of these women as well, similar to both irritable bowel syndrome and painful bladder syndrome, which are closely related visceral pain disorders. The mainstays of treatment include nonsteroidal antiinflammatories and combined oral contraceptives; although only the former has extensive level I evidence to support its efficacy. Surgical treatments (presacral neurectomy or uterosacral nerve ablation) appear to be beneficial in a subset of women, but are associated with small, but serious, risks of visceral or vascular injur...Continue Reading

References

Jul 1, 1990·British Journal of Obstetrics and Gynaecology·G SundellB Andersch
Jan 1, 1985·Acta Obstetricia Et Gynecologica Scandinavica·T LundebergV Lundström
Apr 1, 1996·American Journal of Obstetrics and Gynecology·Z HarelS L Rosenthal
Jan 1, 1997·Journal of Psychiatric Research·D J ClauwJ Bresette
Aug 1, 1997·Obstetrics and Gynecology·P VercelliniP G Crosignani
Jun 5, 1998·Trends in Pharmacological Sciences·K R BleyJ A Smith
May 29, 2000·BJOG : an International Journal of Obstetrics and Gynaecology·R BrouardM Akerlund
Oct 3, 2000·Gynecologic and Obstetric Investigation·L ValentinP Melin
Dec 15, 2000·Archives of Pediatrics & Adolescent Medicine·C BanikarimS H Kelder
Sep 1, 2001·Obstetrics and Gynecology·M GranotE Z Zimmer
Nov 20, 2002·Expert Opinion on Pharmacotherapy·Mohamed F MitwallyUriel Halbreich
Jan 31, 2004·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Trudi M WalshPatrick J McGrath
Mar 11, 2004·BJOG : an International Journal of Obstetrics and Gynaecology·Alicia M WeissmanSusan R Johnson
Apr 24, 2004·The Journal of the American Association of Gynecologic Laparoscopists·Fulvio ZulloPasquale Mastrantonio
Aug 26, 2004·BJOG : an International Journal of Obstetrics and Gynaecology·N P JohnsonJ Suckling
Jul 29, 2005·Gynecological Endocrinology : the Official Journal of the International Society of Gynecological Endocrinology·Hugo MaiaElsimar Coutinho
Sep 15, 2005·Endocrine Reviews·Henry N JabbourHilary O D Critchley
Feb 18, 2006·BMJ : British Medical Journal·Pallavi LattheKhalid Khan
Feb 24, 2006·BJOG : an International Journal of Obstetrics and Gynaecology·V PatelP Nevrekar
Aug 2, 2006·Obstetrics and Gynecology·M Yusoff Dawood
Nov 9, 2006·Acta Obstetricia Et Gynecologica Scandinavica·Nicolas ChopinCharles Chapron
Jan 19, 2007·Acta Obstetricia Et Gynecologica Scandinavica·P M LattheK S Khan
Oct 9, 2007·Archives of Gynecology and Obstetrics·Ioannis M MatalliotakisAydin Arici

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Citations

Apr 20, 2013·Inflammatory Bowel Diseases·Sumona SahaMark Reichelderfer
May 11, 2012·Gynecologic and Obstetric Investigation·B W FentonV Von Gruenigen
Dec 31, 2011·Journal of Pediatric and Adolescent Gynecology·Amy HamiltonPamela J Murray
Oct 1, 2013·Journal of Pediatric and Adolescent Gynecology·Tinatin GaguaNino McHedlishvili
Jan 6, 2012·Journal of Pediatric and Adolescent Gynecology·Anne-Emmanuelle AmbresinFrançoise Narring
Dec 1, 2009·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Li Ping Wong, Ee Ming Khoo
Apr 25, 2014·Medical Acupuncture·Miguel de Jesús Reyes-CamposPrimo F Reyes-Campos
Nov 19, 2014·Tobacco Control·Hong JuGita D Mishra
May 30, 2013·Journal of Clinical Nursing·Min-Hui ChiuI-Ping Liu
Mar 25, 2015·Journal of Nursing Scholarship : an Official Publication of Sigma Theta Tau International Honor Society of Nursing·Cho Lee WongLai Wah Lam
Jun 1, 2016·Evidence-based Complementary and Alternative Medicine : ECAM·Michael ArmourCaroline A Smith
Jul 7, 2017·Current Opinion in Obstetrics & Gynecology·Christina Ramirez, Nicole Donnellan
Dec 5, 2018·Drug Development Research·Hongtao XiaoZhi Liao
Apr 1, 2019·Journal of Women's Health Physical Therapy·Meryl AlappattuMark Bishop
Dec 15, 2020·Complementary Therapies in Clinical Practice·Aslı Sis Çelik, Serap Ejder Apay
Nov 14, 2020·Journal of Pediatric and Adolescent Gynecology·Kristen N HumphreyShannon M Standridge
Sep 18, 2021·Health Care for Women International·Nurcan Kirca, AslıSis Celik

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