CELLMED (셀메드)

Cellmed Orthocellular Medicine and Pharmaceutical Association (셀메드 세포교정의약학회)
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An observational population based study on dysmenorrhea and its risk factors

  • Received : 2015.01.17
  • Accepted : 2015.08.06
  • Published : 2015.08.31
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Abstract

Dysmenorrhea is the most common gynecological disorder in women of reproductive age. The prevalence of menstrual pain is relatively high and has been shown to be related to many factors like age, age at menarche, menstrual cycle regularity, parity, cigarette smoking, and dietary habits etc. This study was conducted to determine the possible link between dysmenorrhea and the factors related to it. We investigated the associated risk factors that could influence menstrual pain. This Cross Sectional Study was conducted at Dept. of OBG, NIUM, Bangalore. The study consisted of 230 women between the ages of 20 - 49 years. Included volunteers were newly married, nulliparious and parous women. The detailed reproductive history was recorded and was analyzed statistically. It was observed that there were only two factors that were influencing Dysmenorrhea namely the early age at menarche and increase parity. It was hypothesis that earlier start to reproductive life in some way decreases the sensitivity of the uterus to prostaglandin, whereas delayed menarche and postponing reproductive life increase sensitivity of the uterus to prostaglandins and cause severe menstrual pain. It is concluded that early age at menarche and high parity decrease menstrual pain.

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References

  1. Akerlund M, Melin P, Maggi M. Potential use of oxytocin and vasopressin via antagonists in the treatment of preterm labor and labor and primary dysmenorrhea. Adv Exp Med Biol. 1995;395:595-600.
  2. Andersch B, Milsom I. An epidemiologic study of young women with dysmenorrhea. Am J Obstet Gynecol. 1982;144:655-660. https://doi.org/10.1016/0002-9378(82)90433-1
  3. Balbi C, Musone R, Menditto A, Di Prisco L, Cassese E, D'Ajello M, Ambrosio D, Cardone1 A. Influence of menstrual factors and dietary habits on menstrual pain in adolescence age. Eur J Obstet Gynecol Reprod Biol. 2000;91:143-148. https://doi.org/10.1016/S0301-2115(99)00277-8
  4. Banikarim C, Chacko MR, Kelder SH. Prevalence and impact of dysmenorrhea on hispanic female adolescents. Arch Pediatr Adolesc Med 2000;154:1226-1229. https://doi.org/10.1001/archpedi.154.12.1226
  5. Bossmar T, Akerlund M, Szamatowicz J, Laudanski T, Fantoni G, Maggi M. Receptor-mediated uterine effects of vasopressin and oxytocin in nonpregnant women. Br J Obstet Gynaecol. 1995;102:907-912. https://doi.org/10.1111/j.1471-0528.1995.tb10880.x
  6. Derman O, Kanbur NO , Baltaci G, Akbayrak T, Tokur T. The pain intensity level in adolescence with primary dysmenorrhea. The Pain Clinic. 2004;16:349-352. https://doi.org/10.1163/1568569041798353
  7. Harlow SD, Park M. A longitudinal study of risk factors for the occurrence, duration and severity of menstrual cramps in a cohort of college women. Br J Obstet Gynaecol. 1996;103:1134-1142. https://doi.org/10.1111/j.1471-0528.1996.tb09597.x
  8. Ju H, Jones M, Mishra G. The prevalence and risk factors of dysmenorrhea. Epidemiol Rev. 2014;36:104-113. https://doi.org/10.1093/epirev/mxt009
  9. Juang CM, Yen MS, Horng HC, Cheng CY, Yuan CC, Chang CM. Natural progression of menstrual pain in nulliparous women at reproductive age: an observational study. J Chin Med Assoc. 2006;69:484-488. https://doi.org/10.1016/S1726-4901(09)70313-2
  10. Kaprio J, Rimpelä A, Winter T, Viken RJ, Rimpelä M, Rose RJ. Common genetic influences on BMI and age at menarche. Hum Biol. 1995;67:739-753.
  11. Kennedy S. Primary dysmenorrhoea. Lancet. 1997;349:1116. https://doi.org/10.1016/S0140-6736(05)63018-8
  12. Klein JR, Litt IF. Epidemiology of adolescent dysmenorrhea. Pediatrics. 1981;68:661-664.
  13. Latthe P, Mignini L, Gray R, Hills R, Khan K. Factors predisposing women to chronic pelvic pain: systematic review. BMJ. 2006;332:749-755. https://doi.org/10.1136/bmj.38748.697465.55
  14. Locke RJ, Warren MP. Curbside consult: What is the effect of exercise on primary dysmenorrhea?. West J Med. 1999;171:264-265.
  15. Loto OM, Adewumi TA, Adewuya AO. Prevalence and correlates of dysmenorrhea among Nigerian college women. Aust N Z J Obstet Gynaecol. 2008;48:442-444. https://doi.org/10.1111/j.1479-828X.2008.00869.x
  16. Montero P, Bernis C, Loukid M, Hilali K, Baali A. Characteristics of menstrual cycles in Moroccan girls: prevalence of dysfunctions and associated behaviours. Ann Hum Biol. 1999;26:243-249. https://doi.org/10.1080/030144699282741
  17. Ng TP, Tan NC, Wansaicheong GK. A prevalence study of dysmenorrhoea in female residents aged 15-54 years in Clementi Town, Singapore. Ann Acad Med Singapore. 1992;21:323-327.
  18. Padhye S, Karki C, Padhye SB. A profile of menstrual pain among nulliparous women in a private set up. Kathmandu Univ Med J (KUMJ). 2003;1:20-26.
  19. Patel V, Tanksale V, Sahasrabhojanee M, Gupte S, Nevrekar P. The burden and determinants of dysmenorrhoea: a populationbased survey of 2262 women in Goa, India. BJOG. 2006;113:453-463. https://doi.org/10.1111/j.1471-0528.2006.00874.x
  20. Pawlowski B. Prevalence of menstrual pain relation to the reproductive life history of women from the Mayan Rural community. Ann Hum Biol. 2004;31:1-8 https://doi.org/10.1080/03014460310001602072
  21. Rosenwaks Z, Seegar-Jones G. Menstrual pain: its origin and pathogenesis. J Reprod Med. 1980;25:207-212.
  22. Skierska E, Leszczynska-Bystrzanowska J, Gajewski AK. Risk analysis of menstrual disorders in young women from urban population. Przegl Epidemiol. 1996;50:467-474.
  23. Solomon CG, Hu FB, Dunaif A, Rich-Edwards JE, Stampfer MJ, Willett WC, Speizer FE, Manson JE. Menstrual cycle irregularity and risk for future cardiovascular disease. J Clin Endocrinol Metab. 2002;87:2013-2017. https://doi.org/10.1210/jcem.87.5.8471
  24. Sterasam BI, The Biology of Menstruation in Homo Sapiens: Total Lifetime Menses, Fecundity, and Nonsynchrony in a Natural-Fertility Population. Current anthropology. 1997;38:123-129. https://doi.org/10.1086/204592
  25. Sundell, G, Milsom.I, and Andersch. B, Factors influencing the prevalence and severity of dysmenorhoea in youg women, BJ of OBG. 1990;97:123-129.
  26. Tangchai K, Titapant V, Boriboonhirunsarn D. Dysmenorrhea in Thai adolescents: prevalence, impact and knowledge of treatment. J Med Assoc Thai. 2004;87:S69-S73.
  27. Vink CW, Labots-Vogelesang SM, Lagro-Janssen AL. Menstruation disorders more frequent in women with a history of sexual abuse. Ned Tijdschr Geneeskd. 2006;150:1886-1890.
  28. Walraven G, Ekpo G, Coleman R, Scherf C, Morison L, Harlow SD. Menstrual disorders in rural Gambia. Stud Fam Plann. 2002;33:261-268. https://doi.org/10.1111/j.1728-4465.2002.00261.x
  29. Weissman AM, Hartz AJ, Hansen MD, Johnson SR. The natural history of primary dysmenorrhoea: a longitudinal study. BJOG. 2004;111:345-352. https://doi.org/10.1111/j.1471-0528.2004.00090.x
  30. Wong CL, Farquhar C, Roberts H, Proctor M. Oral contraceptive pill for primary dysmenorrhoea. Cochrane Database Syst Rev. 2009;7:CD002120.
  31. Zukri SM, Naing L, Hamzah TNT, Hussain NHN. Primary dysmenorrhea among medical and dental university students in Kelantan: prevalence and associated factors. IMJ 2009;16:93-99.