• Clinical and Experimental Reproductive Medicine
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• 제13권1호
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• pp.21-28
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• 1986

It is now apparent that many cases of amenorrhea. oligomenorrhea. corpus luteum deficiency, galactorrhea, and infertility are due to hyperprolactinemia. We investigated the relationships between serum prolactin values and factors such as menstrual pattern, frequency of galactorrhea etc, in 135 hyperproIactinemic patients at the Seoul National University Hospital during a period of 6 years, from January, 1979 to December, 1984. The results was as follows: 1. Menstrual pattern changed according to the serum prolactin level. The frequency of amenorrhea is 1.7 percent in patients with serum prolactin levels ranged from $25{\sim}40ng/ml$, whereas 72.4 percent in patients with serum prolactin levels above 100ng/ml. 2. The incidence of galactorrhea in hyperprolactinemic patients was 3.1 percent and the frequency of galactorrhea had direct relationship with the serum prolactin level and/or the frequency of abnormal menstrual pattern. 3. The incidence of pituitary tumor in hyperprolactinemic patients was 104 percent and sixty percent of patients with serum prolactin levels above 100ng/ml had a pituitary tumor . 4. There was an inverse correlation between serum prolactin and progesletone value. 5. The frequency of anovulatory menstrual cycle evidenced by basal body temperature is 23.9 percent in patients with serum prolactin levels ranged from $20{\sim}40ng/ml$, whereas 76.9 percent in patients with serum prolactin levels above 100ng/ml.

• 여성건강간호학회지
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• 제7권3호
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• pp.359-372
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• 2001

The study was intended to investigate the bothersome level of premenstrual symptoms, their pattern and to examine the relationships between menstrual attitude and the premenstrual symptoms. Two hundred sixty eight female students were recruited from a college located in Kyungido from March 1, 2001 to July 1, 2001. A general characteristics questionnaires, the premenstrual assessment form(PAF) and the menstrual distress questionnaire(MDQ) were used to measure the bothersome level of the premenstrual symptoms and the menstrual attitude. The data were analyzed by SPSS-PC+ program. The results of this study were as follows ; 1. All subject who were participated in the research reported more than one symptom in premenstrual period and the mean score of total categories in PAF was low(1.89). The subject had more symptoms of fatigue, abdominal bloating and discomfort, backache and muscle stiffness and among the 21 categories fatigue feature, hysteroid feature, water retention feature and miscellaneous mood/behavior change feature were prevalent. On the other hand organic mental feature and increased well-being feature were rare that premenstrual symptom has negative aspect than positive. 2. Degree of discomfort in premenstrual symptom was related with dysmenorrhea but other general characteristics. 3. In Menstruation attitude, the student in college recognized menstruation as natural but bothersome and causes negatives effects on body and emotion. 4. There were significant correlation(r=.395, p<0.000) between premenstrual symptom and level of Menstrual attitude. 5. Menstrual attitude explained 15.3% variance of PMS and five categories of menstrual attitude, especially factor 1(menstruation is a phenomena that weakens women physically and psychologically) was most highly correlated with PMS and explained 21.1% variance of PMS.

• 대한상한금궤의학회지
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• 제7권1호
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• pp.133-147
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• 2015

Objective : The purpose of this paper is to report the effect of Danggwihweyeokgaohsuyu-saenggang-tang(DHGOST) on primary dysmenorrhea from the disease pattern identification diagnostic system based on Shanghanlun provisions. Methods : According to a disease pattern identification diagnostic system based on Shanghanlun provisions, the patient was diagnosed with 'Reverting Yin Disease'. She took DHGOST for 75 days. This paper evaluated the results of treatment by Measure of Menstrual Pain(MMP) and Menstrual Symptom Severity List(MMSL) Results : The MMP score was declined from 8.3 to 3.5. And the MMSL score was declined from 46 to 38. Conclusions : This case study suggests that DHGOST has effectiveness on primary dysmenorrhea who is diagnosed with 'Reverting Yin Disease'.

• 대한한방부인과학회지
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• 제26권2호
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• pp.46-65
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• 2013

Purpose: Generally menstrual disorder caused by functional deficiency of ovary is not treated clinically because it manifests as normal process of growth. In this study we collected experimental group having several or severe menstrual disorder and we tried to find out whether there is any relationship between menstrual disorders and the function of Thoroughfare and Conception vessels or not. Methods: First, this study was researched to learn the meaning and the symptoms of 'the emaciation of Thoroughfare and Conception vessels', and to learn the relationship between menstrual disorders and 'the emaciation of Thoroughfare and Conception vessels' through literature review. And we set up a experimental group who have two or more menstrual disorders or severe degree of menstrual disorders(N=97) and control group who don't have menstrual disorders(N=97) as a result of the menstruation survey. Afterwards we conducted the DSOM in both experimental group and control group. Results and Conclusions: The meaning of 'the emaciation of Thoroughfare and Conception vessels' is deficiency of qi and blood from the Thoroughfare and Conception vessels. As a result, the female reproductive system is difficult to be worked properly with deficiency of skin, muscles, bone, and vessels. Symptoms of the emaciation of Thoroughfare and Conception vessels are classified into drying, skinny body, feeling of cold, menstrual disorders, pain and personality traits. In this study, severity of drying, skinny body, feeling of cold, menstrual disorders, pain and personality traits is significantly higher in experimental group than in control group. Like this, symptoms of 'the emaciation of Thoroughfare and Conception vessels' appear with menstrual disorders because disorder of circulation is occurred by qi and blood deficiency of Thoroughfare and Conception vessels. It is appropriate to identify this case as 'the emaciation of Thoroughfare and Conception vessels' pattern and necessary to treat actively through regulating qi and blood in advance.

• 대한한방부인과학회지
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• 제20권1호
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• pp.169-185
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• 2007

Purpose : The purpose of this study was to investigate menstrual symptoms and patterns of high school girls by Sasang constitution and relationship between such symptoms and Sasang constitution. Methods : For the study, QSCCII and 'M.B.Q' employed to analyze the data collected from 581 high school girls in Pusan from July 11 to July 20, 2006. Results : As for menstrual characteristics of the subjects by Sasang constitution Taeeumins start menarche is relatively early in contrast with Soeumins who experienced menarche relatively late(P=.012). This survey proves that menses last relatively long for Soeumin whereas Soyangins have relatively short period of menstruation(P=.043). Furthermore, Taeeumins account for majority of those who have much quantity of menstruation with 22.7% while Soeumins account for majority with 13.2%. From the analysis into menstrual symptoms of the subjects put under 5 categories of Sasang constitution, it became evident that Soeumins turned out to have most negative affect(11.8${\pm}$3.78) (P=.053). Soeumins scored the highest points in the response area of autonomic reactions(10.6${\pm}$3.24)(P=.014). In the total points of menstrual symptoms including the above 5 sub-categories, Soeumins recorded the highest scores(52.4${\pm}$12.5), followed by Soyangins(50.0${\pm}$12.2) and Taeeumins in order, showing that there is no statistically significant difference(F = 2.859, p = .058) among them although Soeumins seem to feel slightly more menstrual symptoms than Soyangins and Taeeumins. Conclusion : We hope these results could be helpful to diagnosis and treatment of mestrual diseases.

• 대한지역사회영양학회지
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• 제21권5호
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• pp.405-414
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• 2016

Objectives: The associations between the eating behavior and energy and macronutrient intake from meals and snacks consumed during different times of the day across the menstrual cycle were investigated in 74 healthy female college students. Methods: A 9-day food record was collected during the last 3 days before menstrual onset (phase 1) and the first 3 days after menstrual onset (phase 2) and from the 4th to the 6th day after menstrual onset (phase 3), respectively. Anthropometry was assessed and eating behaviors were measured using the Dutch Eating Behavior Questionnaire (DEBQ). Results: External eating was the most prevalent type of eating behavior, followed by restrained eating and emotional eating. Restrained eating was positively associated with energy, carbohydrate and lipid intake at the breakfast and midmorning snack during phase 3. However, emotional eating was also positively related to energy and macronutrient intake at the dinner and after-dinner snack during phase 1 and phase 3, with higher level detected in the phase 1. The association of emotional eating with the snack consumption was highest in phase 1. External eating was positively associated with energy and macronutrient intakes at the dinner and after-dinner snack across the three phases, the highest level being phase 1. In addition, restrained eating was positively associated with the weight, body mass index(BMI), fat mass, waist and hip girth of the subjects. Conclusions: Eating behaviors varied with regard to meals and snacks consumed during different times of the day across the three menstrual phases. Dinner and afterdinner snack consumption in premenstrual phase could be considered as a time when women are more prone to overconsumption and uncontrolled eating.

• 여성건강간호학회지
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• 제8권1호
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• pp.85-95
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• 2002

This study was undertaken to obtain the incidence of dysmenorrhea and differance of dysmenorrhea according to the general characteristics, lifestyle, and menstrual pattern in women community college students. For the data collection, self-administered questionnaire survey was made from April 7, 1999 to April 14, 1999 among the 204 women community college students. The resultant data were processed by SAS program for frequency, proportion, and Chi-square test. The results of this study are as follows ; 1) Prevalence rate of dysmenorrhea was 81.9%. Among women who had dysmenorrhea, 42.6% of them had family history on dysmenorrhea, 47% of them experienced the dysmenorrhea 'monthly', 89.2% of them had experienced dysmenorrhea on the first-second day, 38.5% of them responded that the most painful region was 'low abdomen', 61.5% of them responded that they used 'analgesics' to soothe dysmenorrhea, 92.3% of them responded that they had analgesics without doctor's prescription, and 42.6% of them responded that they experienced digestive system related symptoms during menstrual period. 2) The incidence of dysmenorrhea was significantly different by ordering of sisters, blood type, and body shape. 3) The incidence of dysmenorrhea was no significantly different by life style. 4) The incidence of dysmenorrhea was no significantly different by menstrual pattern.

• 대한상한금궤의학회지
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• 제8권1호
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• pp.67-85
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• 2016

Objectives: In this paper, two cases which showed the meaningful results on the patients' chief complaints were analyzed. The patients were treated with the Mahwang-Haengin-Gamcho-seokgo-tang herbal medication based on Shanghanlun disease pattern identification diagnostic system. Methods: The patients were diagnosed based on Shanghanlun, disease pattern identification diagnostic system. In case 1, the change of menstruation cycle was noted and pre-menstrual discomforts were measured with Menstrual Distress Questionnaire(MDQ). In case 2, Quality of life questionnaire for adult Korean asthmatics (QLQAKA) was used to estimate the quality of the patient's life. Results: All the symptoms were improved after the Mahwang-Haengin-Gamcho-seokgotang treatment. In case 1, the menstruation cycle decreased to 30 days average. MDQ score decreased 143 to 103. In case 2, the change of the QLQAKA score as 1.647 average point is considered as a meaningful improvement. Conclusion: With great difference to a 'Symptom-Medicine' diagnostic system, the disease pattern identification diagnostic system seeks the pathologic pattern through the patient's whole life. More studies and multiple cases based on the diagnostic system are needed to prove this possibility later.

• 대한한방부인과학회지
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• 제32권1호
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• pp.108-126
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• 2019

Objectives: The purpose of this study is to report the effect of Korean medical treatment in case of irregular menstruation (amenorrhea, oligomenorrhea) patients due to Polycystic ovarian syndrome (PCOS). There are some case reports about effectiveness of the Korean medical treatment to this disease, but cases are still deficient. And this case has significance for ascertaining PCOS patients' ovulation. Methods: 6 Amenorrhea or oligomenorrhea patients with PCOS were treated with Korean medical treatment (herbal medicine, moxibustion, acupuncture) at least 3 months. We estimated the effects of treatments through the change of menstrual pattern. Also, we checked follicles by ultrasonography for ovulation. Results: All patients recovered ovulatory menstrual cycle after taking Korean medical treatment for 3~9 months. Conclusions: These cases show the Korean medical treatment is effective on PCOS patients with irregular menstruation by recovering ovulatory menstrual cycle.

• 대한한방부인과학회지
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• 제22권2호
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• pp.189-208
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• 2009

Purpose: In oriental medicine, doctors have mainly made diagnosis and treatment with amenorrhea or delayed menstrual period based on overall analysis of symptoms and signs patients have. We think patients with amenorrhea or delayed menstrual period to have symptoms that are classified into one differentiation of syndromes, and then studied to make the index. This study has been carried out to investigate pattern identifications and classify symptoms according to them. Methods: We examined 52 patients who visited Dong-eui university oriental medical center from June 2005 to February 2009 for undergoing treatment for amenorrhea or delayed menstrual period and made OB & GY questionnaires up Results: We investigated whether the patients had symptoms concerned with symptom types by analyzing the result of DSOM(Diagnos System of Oriental Medicine, hearafter DSOM). It came out 51 cases among 52 with pathogenesis that was related to the symptom types. The symptom types of were surveyed into Insufficiency of Kidney and Liver(肝腎不足), Insufficiency of Qi and Blood(氣血虛弱), Insufficiency of Yin & Dryness of blood(陰虛血燥), stagnation of Qi and Blood(氣滯血瘀), phlegm and damp(痰濕阻滯), coldness of Blood(血寒), Heat of Heart(心火). Conclusion: As a result of the investigation, one case did not have symptoms of differentiation of syndromes of amenorrhea or delayed menstrual period. 29 cases had 1 or 2 differentiation of syndromes. 21 patients had such complex symptoms of diverse differentiation of syndromes that it was difficult to diagnose a differentiation of syndromes in clinical survey. It is necessary to put the priority among the differentiation of syndromes in diagnosis in the future.