Irish Journal of Medical Science (1926-1967)

, Volume 14, Issue 2, pp 73–79 | Cite as

Ovarian dysmenorrhœa

A short review of the ætiology, diagnosis and treatment
  • O’Donel Browne


This communication is a very brief but complete survey of the ovarian nerve system, its distribution relative to the ovary and other structures and its importance in the consideration of ovarian pain. No effort is made to make any final statement on the subject, nor to include statistics, nor to discuss the various cases of secondary ovarian pain which are closely associated with gross pelvic abnormality. Tentative opinions are expressed as a possible means of making an accurate diagnosis between the dysmenorrhœa of uterine and that of ovarian origin and the certainty of ovarian dysmenorrhœa being a definite entity is asserted. Bilateral ovarian denervation is described, together with an outline of the scanty literature relative to the operation, but it must be very clearly understood that this particular operation is not recommended unless the signs and symptoms clearly point to the case as being truly ovarian in origin and until all such other means as are at our disposal have been proved ineffective.

It is suggested that both ovarian denervation and presacral sympathectomy may be necessary in a severe case of both ovarian and uterine dysmenorrhœa which had not yielded to therapeutic measures and the lesser operative procedures.


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  1. 1.
    Eden and Lockyer (B. Whitehouse):Gynœcology. 4th Ed. P. 179.Google Scholar
  2. 2.
    Blair Bell, W.The Principles of Gynœcology. 4th Ed. P. 304.Google Scholar
  3. 3.
    Davis, A. A.:Dysmenorrhœa, 1938.Google Scholar
  4. 4.
    Wright, S.:Applied Physiology. 4th Ed. P. 141.Google Scholar
  5. 5.
    Kraul:Arch. f. Gyn., Berlin, 1928, 301, 600–650.CrossRefGoogle Scholar
  6. 6.
    Fontaine and Herman:Surg. Gyn. and Obst., 1932, 54, 133, 136, 137, 141.Google Scholar
  7. 7.
    L’Hermitte et Dupont:Gyn. et Obst., 1927, Vol. xv, p. 161.Google Scholar
  8. 8.
    Wallart:Z. f. Geburtsch. Gynak., 1915, 76, 321, 368.Google Scholar
  9. 9.
    MoIlroy:Proc. Roy. Soc. Med., Edin., 1910, 31, 151–178.Google Scholar
  10. 10.
    Berger:Arch. f. Gyn., 1933, 43, 565.Google Scholar
  11. 11.
    Young, J.:Brit. Med. Jo., 1938, Jan. 15th.Google Scholar
  12. 12.
    Bland Sutton:Diseases of Women. 7th Ed. P. 375.Google Scholar
  13. 13.
    Winter:Gynœcological Diagnosis. 3rd English Ed. P. 623.Google Scholar
  14. 14.
    Pozzi:Medical and Surgical Gynœcology, 1892, Vol. 1, pp. 556 and 559.Google Scholar
  15. 15.
    Dudley:Principles and Practice of Gynœcology, 1905. 4th Ed. P. 732.Google Scholar
  16. 16.
    Kelly and Noble:Practical Gynœcology, 1906, Vol. 1, p. 238.Google Scholar
  17. 17.
    Winchel:Handbook of the Diseases of Women, 1890. 2nd Ed. P. 663.Google Scholar
  18. 18.
    Ashton:Textbook of the Practice of Gynœcology, 1812. 5th Ed. Pp. 733, 743.Google Scholar
  19. 19.
    Diseases of Women, Ten Teachers, 1919. 1st Ed. Pp. 90, 91.Google Scholar
  20. 20.
    Diseases of Women, Bland Sutton. 7th Ed. Pp. 398, 399.Google Scholar
  21. 21.
    McKenzie:Symptoms and Their Interpretation, 1920. 4th Ed. Pp. 198, 199, 205.Google Scholar
  22. 22.
    Lebate and Reynolds:Sensory Pathways of the Ovarian Plexus. Amer. Jo. Obs. and Gyn., 1937, xxxiv, p. 1.Google Scholar
  23. 23.
    Kotz and Parker:Primary Dysmenorrhœa, Ibid., p. 38.Google Scholar
  24. 24.
    Ehrenfest:Menstruation and its Disorders, Ibid., Vol 4, p. 727.Google Scholar
  25. 25.
    Wright, S.:Applied Physiology. 4th Ed. P. 143.Google Scholar
  26. 26.
    Leriche, R.:La Presse Méd., 1925, 33, 465.Google Scholar
  27. 27.
    Leriche and Fontaine:Jo. de Chir., 1929, 34, 282.Google Scholar
  28. 28.
    Letarjet and Rochet:Lyon. Chir., 1913, 10, 425.Google Scholar
  29. 29.
    Letarjet and Rochet:Lyon. Chir., 1922, 19, 564.Google Scholar
  30. 30.
    Cotte, G.:Lyon. Méd., 1925, 56, 153.Google Scholar
  31. 31.
    Chianello:J. Arch. ital. di. Chir., 1930, 25, 566.Google Scholar
  32. 32.
    Abel and McIlroy:Proc. Roy. Soc. Med., 1912, 6, 240.Google Scholar
  33. 33.
    Shaw, W.:Lancet, 1933, 2, 143.CrossRefGoogle Scholar
  34. 34.
    Cotte, G.:Amer. Jo. Obst. and Gyn., Vol. xxxiii, No. 6, p. 1, 034.Google Scholar

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© Springer 1939

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  • O’Donel Browne

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