1978
DOI: 10.1016/0002-9378(78)90320-4
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Endogenous levels of prostaglandin F2α and its main metabolites in plasma and endometrium of normal and dysmenorrheic women

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Cited by 207 publications
(82 citation statements)
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“…Dysmenorrhoea is associated with uterine hypercontractility resulting in episodes of reduced endometrial blood flow leading to ischaemia and increased pain (Rees 1989). This observation may be a consequence of increased PGF 2a production as explants from women with dysmenorrhoea produce more PGF 2a in response to arachidonic acid compared with normal endometrial explants (Lundstrom & Green 1978). Further evidence of the role of PGs comes from the administration of COX enzyme inhibitors such as ibuprofen, which have been demonstrated to reduce menstrual blood flow (Makarainen & Ylikorkala 1986) and selective COX2 inhibitors that have been used in the treatment of dysmenorrhoea and heavy menstrual blood loss (Daniels et al 2002).…”
Section: Menstrual Disordersmentioning
confidence: 99%
“…Dysmenorrhoea is associated with uterine hypercontractility resulting in episodes of reduced endometrial blood flow leading to ischaemia and increased pain (Rees 1989). This observation may be a consequence of increased PGF 2a production as explants from women with dysmenorrhoea produce more PGF 2a in response to arachidonic acid compared with normal endometrial explants (Lundstrom & Green 1978). Further evidence of the role of PGs comes from the administration of COX enzyme inhibitors such as ibuprofen, which have been demonstrated to reduce menstrual blood flow (Makarainen & Ylikorkala 1986) and selective COX2 inhibitors that have been used in the treatment of dysmenorrhoea and heavy menstrual blood loss (Daniels et al 2002).…”
Section: Menstrual Disordersmentioning
confidence: 99%
“…In addition, PGE 2 and PGF 2α concentrations are higher in the menstrual fluid of women with dysmenorrhoea than in women with painless periods (Rees et al, 1984b;Rees, 1989). Studies in vitro have demonstrated that endometrial explants from women with dysmenorrhoea produce more PGF 2α in response to arachidonic acid compared with endometrium from pain-free women (Lundstrom and Green, 1978). This finding has prompted the use of COX enzyme inhibitors such as mefenamic acid, ibuprofen and naproxen as therapeutic regimens for management of this disorder; treatment being administered during menstruation, or before the onset of menses (Rees, 1989).…”
Section: Dysmenorrhoeamentioning
confidence: 99%
“…Primary dysmenorrhea is derived from an abnormal increase in the contractile activity of the uterus [41]. It is usually due to functional immaturity in ovarian sex steroid hormone production that stimulates local production of chemical mediators such as prostaglandins E2, F2 and leukotrienes in the uterus during menstruation [42]. Clinically, when the matured women have dysmenorrhea without apparent signs for ovarian dysfunction such as irregular menstruation, several organic disorders such as uterine myoma should be suspected.…”
Section: B Dysmenorrheamentioning
confidence: 99%
“…Dysmenorrhea is an important sign of functional disturbance in the hypothalamic-pituitary-ovarian axis and subsequent local inflammation in the pelvic cavity [39][40][41][42][43], which also is an excellent parameter that reflects female psychophysiological status. It begins within 6-12 months from the menarche and is characterized by localized pain in the abdominal inferior quadrants.…”
Section: B Dysmenorrheamentioning
confidence: 99%