Menstrual Cycle Pain is Independent of Ovulation in Adolescents with Primary Dysmenorrhea

Author(s):  
Alkim Oden Akman ◽  
Gurkan Bozdag ◽  
Melis Pehlivanturk Kizilkan ◽  
Sinem Akgul ◽  
Orhan Derman ◽  
...  
Author(s):  
Archana Kamble

The diseases related to female genital system are elaborated under umbrella of ‘Yonivyapad’ in Ayurveda.  Vitiated Vatadosha causes pain during menstruation and subsides after menstruation. This condition is explained as Udavartini Yonivyapad in Charaka Samhita. Both Primary dysmenorrhea as per modern gynaecology and Udavartini Yonivyapad from Ayurveda show similarities in their signs and symptoms, especially pain during menstruation. After deliberation of Charaka Samhita, effect of oral administration of Rasnadi Ksheera and local Guduchyadi Kwatha Parisheka were considered for their textual reference on ‘Yonishoola’. For this single arm, open labelled, prospective study; 30 married females between the age of 18 to 42 years with Pratyatma Lakshana (cardinal features) of Udavartini Yonivyapad & signs and symptoms of primary dysmenorrhea were selected. They were given Rasnadi Ksheera 80 ml orally in Apana Kala (i.e. Before lunch & dinner) for two months. Guduchyadi Kwatha Parisheka (Vaginal Douche) was performed in Rutukala for 8 days duration (i.e. from 5th day of menstrual cycle to 12th day of menstrual cycle) for two consecutive cycles. The assessment was done on basis of standard parameters before treatment and after treatment. The subjective parameters such as Spasmodic pain in abdomen, Lumbo-sacral backache, Pain radiating to thigh, Vomiting, Constipation were assessed. The study data generated and collected was put to statistical analysis to reach to the final results and conclusions.  It was concluded that oral administration of Rasnadi Ksheera and local Guduchyadi Kwatha Parisheka were highly effective in symptomatic management of Udavarta Yonivyapad W. S. R. to primary dysmenorrhea.


2020 ◽  
Vol 42 (2) ◽  
pp. 345-356
Author(s):  
Chen Wang ◽  
Yang Liu ◽  
Wanghuan Dun ◽  
Tian Zhang ◽  
Jing Yang ◽  
...  

2021 ◽  
Vol 2 (1) ◽  
pp. 015-019
Author(s):  
Anita Rahmawati ◽  
Thatit Nurmawati ◽  
Nawang Wulandari ◽  
Dita Yanuar

 Dysmenorrhea is often occurred at the beginning of menstruation, especially in adolescents. If left untreated, pain experienced by adolescents with primary dysmenorrhea could lead to serious problems that ultimately require health services and could also reduce quality of reproductive health and general body health. The aim of gymnastics activity is to improve the reproductive health of adolescent women through the provision of dysmenorrhea gymnastics education. The activity was divided into 2 sessions, lecture and practice. The first session were explanations, questions and answers about the menstrual cycle, dysmenorrhoea and how to prevent or treat dysmenorrhoea pain using dysmenorrhea gymnastics. The second one was gymnastics practice in the same time between community service team and all of the participants, where the service team was divided as gymnastics instructor and the others as facilitator who correct participants' exercise movements that were not right. This activity was carried out on young women at the PSBR dormitory in Blitar City. Implementation was in the March 2021 and followed by 35 teenagers. The results of this activity indicated that all of the participants were able to follow and carry out activities that have been planned properly. Dysmenorrhea gymnastics were an easy, cheap and safe way to reduce and prevent dysmenorrhea pain so that it could be an independent dysmenorrhea therapeutics option for adolescents, especially teenagers in the PSBR dormitory in Blitar City.


Pain Medicine ◽  
2019 ◽  
Vol 21 (12) ◽  
pp. 3615-3623 ◽  
Author(s):  
Rodrigo Pegado ◽  
Luana Karyne Silva ◽  
Hégila da Silva Dantas ◽  
Hialison Andrade Câmara ◽  
Karime Andrade Mescouto ◽  
...  

Abstract Objective The aim of this trial was to investigate the effects of five consecutive sessions of anodal transcranial direct current stimulation (tDCS) over the motor cortex (M1) on pain, mood, and physical performance in patients with primary dysmenorrhea (PDM). Design This is a double-blind randomized controlled trial. Subjects Twenty-two participants with PDM according to the No. 345-PDM Consensus Guideline were included. Methods Eleven active treatment and 11 sham stimulation patients received five applications over a one-week period. The primary outcome measures were pain evaluated by numeric rating scale (NRS) and McGill Questionnaire score. Secondary outcomes measures were responses to the Positive and Negative Affect Schedule (PANAS), Hamilton Anxiety Scale (HAM-A), grip strength, and six-minute walk test (6MWT). Baseline data were performed during the first menstrual cycle, and during the second menstrual cycle, participants were conducted to tDCS treatment, and postintervention data were collected. Results The intervention provided significant improvements on NRS in active tDCS, shown as an interaction between group intervention vs pre/postintervention vs days of menstrual cycle (Wald x2 = 10.54, P = 0.005), main effect of days of menstrual cycle (Wald x2 = 25.42, P < 0.001), and pre/postintervention (Wald x2 = 6.97, P = 0.008). McGill showed an interaction effect between pre/postintervention and group of stimulation (Wald x2 = 18.45, P = 0.001), with a large reduction in active tDCS (P < 0.001, d = 0.75). Psychological and functional outcomes did not differ between groups or pre/postintervention. Conclusions tDCS could provide pain relief in subjects with PDM. These results provide some preliminary evidence for the potential role of tDCS as a contributor to the management of symptoms of PDM.


2008 ◽  
Vol 24 (9) ◽  
pp. 508-513 ◽  
Author(s):  
Ragner Liedman ◽  
Stefan R. Hansson ◽  
David Howe ◽  
Sarah Igidbashian ◽  
Alison McLeod ◽  
...  

2017 ◽  
Vol 2017 ◽  
pp. 1-9 ◽  
Author(s):  
Jihye Kim ◽  
Haebeom Lee ◽  
Hyunho Kim ◽  
Jong Yeol Kim ◽  
Keun Ho Kim

Background. The aims of this study were to investigate the relationships between tongue features and the existence of menstrual pain and to provide basic information regarding the changes in tongue features during a menstrual cycle. Methods. This study was conducted at the Kyung Hee University Medical Center. Forty-eight eligible participants aged 20 to 29 years were enrolled and assigned to two groups according to their visual analogue scale (VAS) scores. Group A included 24 females suffering from primary dysmenorrhea (PD) caused by qi stagnation and blood stasis syndrome with VAS ≥ 4. In contrast, Group B included 24 females with few premenstrual symptoms and VAS < 4. All participants completed four visits (menses-follicular-luteal-menses phases), and the tongue images were taken by using a computerized tongue image analysis system (CTIS). Results. The results revealed that the tongue coating color value and the tongue coating thickness in the PD group during the menstrual phase were significantly lower than those of the control group (P=0.031 and P=0.029, resp.). Conclusions. These results suggest that the tongue features obtained from the CTIS may serve as a supplementary means for the differentiation of syndromes and the evaluation of therapeutic effect and prognosis in PD. Trial Registration. This trial was registered with Clinical Research Information Service, registration number KCT0001604, registered on 27 August 2015.


2021 ◽  
Vol 3 (8) ◽  
pp. 630-641
Author(s):  
Yani Amaliah Hikma ◽  
Moch. Yunus ◽  
Anindya Hapsari

Abstract: Dysmenorrhea is a form of pain that occurs during menstruation and manifests as abdominal pain. 90 percent of the 1,769,425 women in the study had dysmenorrhea, with 10-15 percent of whom had serious dysmenorrhea. Endocrine conditions, organic, constitutional, allergies, age at first menstruation 12 years, long menstrual cycle (greater than 7 days), heavy menstrual bleeding, and so on are risk factors for primary dysmenorrhea. The aim of this study at the Sabilurrosyad Gasek Islamic Boarding School in Malang was to see how the menstrual cycle, sleep quality, and nutritional status affect primary dysmenorrhea in adolescent girls. The research tool used in this analysis is correlational research with a cross sectional design approach. Purposive sampling was used to select 75 young women. To collect research data, a questionnaire/questionnaire was distributed. Spearman's rho test was used as bivariate analysis, and logistic regression test was used as multivariate analysis. The results showed that the menstrual cycle and primary dysmenorrhea in adolescent girls had a significant relationship (0.000 0.05) with a strong relationship (0.771). Furthermore, there was a significant relationship between sleep quality and primary dysmenorrhea in adolescent girls (0.034 0.05) (0.246 is weak), but there is no relationship between nutritional status and primary dysmenorrhea in adolescent girls (0.364 greater than 0.05), (0.106 is very weak). However, there was no significant relationship between the three independent variables in the multivariate analysis, with an EXP (B) value of 0.012 menstrual cycles. Abstrak: Dismenore merupakan nyeri yang terjadi pada waktu menstruasi memiliki tanda seperti rasa sakit di abdomen perut. Kejadian dismenore di alami oleh 90 persen dari 1.769.425 wanita, dimana 10-15 persen wanita mengalami dismenore berat. Terdapat beberapa faktor risiko yang dapat menyebabkan dismenore primer yaitu kelainan endokrin, organik, konstitusi, alergi, usia saat menstruasi pertama kurang dari 12 tahun, periode lama menstruasi (lebih dari 7 hari), perdarahan menstruasi yang berlebihan, merokok, dan lain sebagainya. Penelitian ini bertujuan untuk mengetahui hubungan antara siklus menstruasi, kualitas tidur, dan status gizi terhadap dismenore primer pada remaja putri di Pondok Pesantren Sabilurrosyad Gasek Malang. Penelitian korelasional dengan pendekatan desain cross sectional merupakan metode penelitian yang dipilih dalam penelitian ini. Subjek pada penelitian ini merupakan remaja putri sebanyak 75 responden dengan menggunakan teknik purposive sampling. Penyebaran angket/kuesioner dilakukan untuk memperoleh data penelitian. Analisis bivariat menggunakan uji Spearman’x rho dan uji regresi logistik yang digunakan sebagai analisis multivariat. Hasil dari analisis tersebut membuktikan bahwa terdapat hubungan yang signifikan antara siklus menstruasi terhadap dismenore primer pada remaja putri (0,000 kurang dari 0,05) dengan kekuatan korelasi kuat (0,771). Selanjutnya terdapat hubungan yang signifikan antara kualitas tidur terhadap dismenore primer pada remaja putri (0,034 kurang dari 0,05) (0,246 yang berarti lemah), dan tidak terdapat hubungan yang signifikan antara status gizi terhadap dismenore primer pada remaja putri (0,364 lebih dari 0,05) (0,106 yang berarti sangat lemah). Untuk analisis multivariat tidak ada hubungan signifikan yang bersamaan dari ketiga variabel bebas, akan tetapi nilai EXP(B) siklus menstruasi yakni 0,012.


Biomedicine ◽  
2021 ◽  
Vol 41 (2) ◽  
pp. 315-317
Author(s):  
S Zainab ◽  
P. Nithyashree ◽  
R Jumanah ◽  
M Kamalakannan ◽  
Suganthirababu Prathap ◽  
...  

Introduction and Aim:The common gynaecological problem among females found to be Dysmenorrhea, which is a cramping pain in the lower abdomen occurring at menstruation in the absence of any identifiable pelvic disease with a prevalence rate of 60%-90%. The consequences of primary dysmenorrhea affect quality of life (QOL) and limitations in daily activities as well as absenteeism. There is no open literature on which phase of the menstrual cycle is better to exercise in and is more effective. The aim of this study was to compare the effectiveness of core strengthening exercises for Phase I and Phase II of menstrual cycle in primary dysmenorrhea subjects and find out which phase is best to exercise in.   Materials and Methods: A total of 150 subjects were selected using convenient sampling technique based on inclusion and exclusion criteria and randomly allotted into 2 groups (group A and group B)containing 75 subjects each. Group A (Phase I follicular phase)and group B (Phase II luteal phase) performed core strengthening exercise protocol for a duration of 3 menstrual cycles (12 weeks). Working ability, location, intensity, days of pain, dysmenorrhea (WaLIDD) score as well as EQ 5-D 5-L (Euroql5 dimension 5 level quality of life questionnaire) values were obtained before and after the intervention.   Results: An unpaired t-test of the post-test mean values of phase I and II groups show that there is a significant difference between the two groups(p-value<0.0001)   Conclusion: From the results,it can be concluded that there is a significant difference in effectiveness of core strengthening exercises between phase I and phase II and thus exercising in Phase I is most effective.  


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