Dismenorrea primaria: visión actual

Castro, Álvaro Monterrosa

doi:10.18597/rcog.700

Cited by 5 publications

(5 citation statements)

References 52 publications

(127 reference statements)

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“…The peak is usually between 24 and 48 h, coinciding with the time of maximum blood flow, and pain usually subsides after 2 or 3 days, as the blood volume decreases. In secondary dysmenorrhea, however, pain might begin before the start of menstrual bleeding and remain after its end (8 to 72 h) [3,[11][12][13].…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Physiotherapy Treatment in Primary Dysmenorrhea: A Systematic Review and Meta-Analysis

Liria

Torres-Álamo

Vega-Ramírez

et al. 2021

IJERPH

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Primary dysmenorrhea (PD) refers to painful cramps before and/or during menstruation. There is a need for emphasis on alternative methods of conservative treatment, so as to reduce the dependence on drugs for alleviating the symptoms. The aim was to find out the effectiveness of some physiotherapy techniques in the treatment of PD. A systematic review and meta-analysis was conducted according to PRISMA standards. The descriptors were “dysmenorrhea”, “physical the-rapy”, “physiotherapy”, and “manual therapy”. The search was performed in five databases: Scopus, PubMed, PEDro, Web of Science, and Medline, in February 2021. The inclusion criteria were randomized controlled trials over the last six years. Articles not related to the treatment of PD or using pharmacology as the main treatment were excluded. Nine articles met the objectives and criteria, with a total of 692 participants. The most used scale to measure pain was the VAS (visual analogue scale). The main techniques were isometric exercises, massage therapy, yoga, electrotherapy, connective tissue manipulation, stretching, kinesio tape, progressive relaxation exercises and aerobic dance. Meta-analysis shows benefits of physiotherapy treatment for pain relief compared with no intervention or placebo (MD: −1.13, 95% CI: −1.61 to −0.64, I2: 88%). The current low-quality evidence suggests that physiotherapy may provide a clinically significant reduction in menstrual pain intensity. Given the overall health benefits of physiotherapy and the low risk of side effects reported, women may consider using it, either alone or in conjunction with other therapeutic modalities.

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Section: Introductionmentioning

confidence: 99%

Efficacy of Physiotherapy Treatment in Primary Dysmenorrhea: A Systematic Review and Meta-Analysis

Liria

Torres-Álamo

Vega-Ramírez

et al. 2021

IJERPH

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“…A case of dysmenorrhea was identified by fulfillment of the following five criteria: 1) hypogastrium pain during menstruation, 2) irradiation to the lower back, lower limbs, or inguinal region, 3) intensity ≥2 on the Wong–Baker scale during the last 3 months, 4) inability to perform daily activity, and 5) the need for medical management or self-medication to control pain. 1 , 3 , 4 , 10 …”

Section: Methodsmentioning

confidence: 99%

“…During the days of menstrual bleeding, at least one out of three young women had to be absent due to the intensity of the pain or expressed their limitation to do daily activities. 10 – 14 …”

Section: Introductionmentioning

confidence: 99%

WaLIDD score, a new tool to diagnose dysmenorrhea and predict medical leave in university students

Teherán¹,

Piñeros²,

Guatibonza³

2018

IJWH

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BackgroundDysmenorrhea is a frequent and misdiagnosed symptom affecting the quality of life in young women. A working ability, location, intensity, days of pain, dysmenorrhea (WaLIDD) score was designed to diagnose dysmenorrhea and to predict medical leave.MethodsThis cross-sectional design included young medical students, who completed a self-administered questionnaire that contained the verbal rating score (VRS; pain and drug subscales) and WaLIDD scales. The correlation between scales was established through Spearman test. The area under the receiver operating characteristic (ROC) curve, sensitivity, specificity, and likelihood ratio (LR +/−) were evaluated to diagnose students availing medical leave due to dysmenorrhea; moreover, to predict medical leave in students with dysmenorrhea, a binary logistic regression was performed.ResultsIn all, 585 students, with a mean age of 21 years and menarche at 12 years, participated. Most of them had regular cycles, 5 days of menstrual blood flow and 1–2 days of lower abdominal pain. The WaLIDD scale presented an adequate internal consistency and strong correlation with VRS subscales. With a cutoff of >6 for WaLIDD and 2 for VRS subscales (drug subscale and pain subscale) to identify students with dysmenorrhea, these scales presented an area under the curve (AUC) ROC of 0.82, 0.62, and 0.67, respectively. To identify students taking medical leave due to dysmenorrhea, WaLIDD (cutoff >9) and VRS subscales (cutoff >2) presented an AUC ROC of 0.97, 0.68, and 0.81; moreover, the WaLIDD scale showed a good LR +14.2 (95% CI, 13.5–14.9), LR −0.00 (95% CI, undefined), and predictive risk (OR 5.38; 95% CI, 1.78–16.2).ConclusionThis research allowed a comparison between two multidimensional scales regarding their capabilities, one previously validated and a new one, to discriminate among the general population of medical students, among those with dysmenorrhea or those availing medical leave secondary to dysmenorrhea. WaLIDD score showed a larger effect size than the pain and drug score in the students. In addition, this study demonstrated the ability to predict this combination of events.

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“…La dismenorrea es un término utilizado para designar el dolor pélvico asociado con el ciclo menstrual. Esta patología presenta alta prevalencia y recurrencia en las mujeres; incluso se estima que por lo menos 60% de las mujeres ha sufrido un episodio de dolor (ya sea pélvico, cefálico) en los días del sangrado menstrual (1) , y de ellas entre 10 y 15% presentan cuadros severos de dolor (2) . Se conoce también que la dismenorrea genera un impacto negativo importante en el desempeño cotidiano de quienes la padecen, incapacidad en cerca de 5% de quienes sufren esta patología (1) .…”

Section: Introductionunclassified

Factores que condicionan la dismenorrea en adolescentes, según estrato socioeconómico

Paredes

Jaramillo

Paz

2013

Rev peru ginecol obstet.

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Objetivos: Determinar la prevalencia de dismenorrea y sus factores asociados en estudiantes de tres colegios de Lima de estratos socioeconómicos diferentes. Diseño: Estudio de tipo observacional, de corte transversal y comparativo. Institución: Universidad Nacional Mayor de San Marcos. Participantes: Adolescentes estudiantes de tres colegios. Intervenciones: Se realizó una encuesta anónima a 392 adolescentes de 3 colegios: Newton College (estrato A), De Jesús (estrato B) y Ciro Alegría (estrato C). Principales medidas de resultados:Presencia de dismenorrea. Resultados: La edad promedio de las adolescentes entrevistadas fue 14,8 ± 1,0 años e IMC 22,7 ± 12,9, con edad de menarquía a los 11,9 años. Los días promedio de sangrado menstrual fueron 4,9 días. El porcentaje de adolescentes con dismenorrea fue de 51,7%. El dolor menstrual duró en promedio 1,95 días. El ausentismo escolar fue señalado en 34,2%, 26,4% y 21,3%, en los estratos A, B y C, respectivamente. El antecedente materno tuvo un OR 1,85 (1,38 a 2,58) y p 0,0240, el ejercicio físico OR 0,93 (0,81 a 1,25) y p 0,7794, el consumo de pescado OR 0,96 (0,66 a 1,40) y p 0,0836, el consumo de tabaco OR 1,33 (0,68 a 2,60) y p 0,4207. El consumo de tabaco fue claramente mayor en el estrato A, casi 16% frente al 4% del estrato C.Conclusiones: La edad de la menarquía fue la misma de estudios nacionales. La duración del periodo menstrual fue 4,9 días, superior en un día a lo encontrado en mujeres adultas. Una de cada dos adolescentes presentó dismenorrea y el dolor menstrual duró en promedio dos días. Hubo ausentismo escolar en una de cada cuatro alumnas, por causa del dolor menstrual, mayor en el estrato social alto. La presencia de dismenorrea estuvo relacionada significativamente con el antecedente materno. El consumo de pescado, la actividad física y el hábito de fumar no estuvieron asociados a la presencia de dismenorrea. El consumo de tabaco fue elevado en los estratos sociales altos en comparación con los bajos.Palabras clave: Dismenorrea; adolescentes; ciclo menstrual; prevalencia; ausentismo escolar.

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Dismenorrea primaria: visión actual

Cited by 5 publications

References 52 publications

Efficacy of Physiotherapy Treatment in Primary Dysmenorrhea: A Systematic Review and Meta-Analysis

Efficacy of Physiotherapy Treatment in Primary Dysmenorrhea: A Systematic Review and Meta-Analysis

WaLIDD score, a new tool to diagnose dysmenorrhea and predict medical leave in university students

Factores que condicionan la dismenorrea en adolescentes, según estrato socioeconómico

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