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Dysmenorrhea and Chronic Pelvic Pain

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Office Gynecology

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Abstract

Dysmenorrhea, the most common gynecologic problem, means painful monthly flow. It affect between 30% and 75% of all women in the reproductive age group. Primary or physiologic dysmenorrhea is painful menses that occurs in the absence of pelvic disease. It has been shown that excessive production of prostaglandins by the endometrium can result in uterine ischemia and hypercontractibility and can cause severe dysmenorrhea. This has clarified a previous “psychosomatic” disorder, and many strides have been made in effective treatment of dysmenorrhea using nonsteroidal anti-inflammatory medications.1,2

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References

  1. Dawood MY. Nonsteroidal anti-inflammatory drugs and changing attitudes toward dysmenorrhea. Am J Med. 1988; 84 (suppl 5A): 23–29.

    Article  PubMed  CAS  Google Scholar 

  2. Pasquale SA, Rothhauser R, Dolese HM. A double-blind, placebo controlled study comparing three single-dose regimens of piroxicam with ibuprofen in patients with primary dysmenorrhea. Am J Med. 1988; 84 (suppl 5A): 30–34.

    Article  PubMed  CAS  Google Scholar 

  3. Kresch AJ, Seifer DB, Sach LB, et al. Laparoscopy in 100 women with chronic pelvic pain. Obstet Gynecol. 1984; 64: 672.

    PubMed  CAS  Google Scholar 

  4. Fedele L, Parazzini F, Bianchi S, et al. Stage and localization of pelvic endometriosis and pain. Fertil Steril. 1990; 53: 155.

    PubMed  CAS  Google Scholar 

  5. Melzack R. Neurophysiologic foundations of pain. In: Sternbach RA, ed. The Psychology of Pain. New York: Raven Press; 1986: 1–24.

    Google Scholar 

  6. Walker E, Katon W, Harrop-Griffiths H, Holm L, Russ J, Hickok LR. Relationship of chronic pelvic pain to psychiatric diagnoses and childhood sexual abuse. Am J Psychiatry. 1988; 145: 75–80.

    PubMed  CAS  Google Scholar 

  7. Reiter RC, Gambone JC. Demographic and historical variables in women with idiopathic chronic pelvic pain. Obstet Gynecol. 1990; 70: 428–432.

    Google Scholar 

  8. Reiter RC, Shakerin RL, Gambone JC, Milburn AK. Correlation between sexual abuse and somatization in women with somatic and non-somatic chronic pelvic pain. Am J Obstet Gynecol. 1991; 165: 104–109.

    PubMed  CAS  Google Scholar 

  9. Vargyas JM. Chronic pelvic pain. In: Mishell DR, Brenner PF, eds. Management of Common Problems in Obstetrics and Gynecology. NJ: Medical Economics Company Inc; 1988: 322.

    Google Scholar 

  10. Steege JF. Assessment and treatment of chronic pelvic pain. In: Thompson JD, Rock JA, eds. TeLindes Operative Gynecology (Update Vol 1, No. 2 ). Philadelphia, Pa: JB Lippincott Company; 1992: 3.

    Google Scholar 

  11. Williams TJ, Pratt JH. Endometriosis in 1,000 consecutive celiotomies: incidence and management. Am J Obstet Gynecol. 1977; 116: 245.

    Google Scholar 

  12. McArthur JW, Ulfelder H. The effect of pregnancy on endometriosis. Obstet Gynecol Survey. 1965; 20: 709.

    Article  CAS  Google Scholar 

  13. Nunley WC, Kitchen JD. Endometriosis. In: Sciarra JJ, ed. Obstetrics and Gyencology. Vol 1, no. 20. Philadelphia, Pa: JB Lippincott Company; 1992: 10.

    Google Scholar 

  14. Lundorff P, Hahlin M, Kallfelt B, et al. Adhesion formation after laparoscopic surgery in tubal pregnancy: a randomized trial verses laparotomy. Fertil Steril. 1991; 55: 911.

    PubMed  CAS  Google Scholar 

  15. Peters AAE, Trimbos-Kemper GLM, Admiral C, Trimbos JB, Hermans J. A randomized clinical trial on the benefit of adhesiolysis patients with intraperitoneal adhesions and chronic pelvic pain. Br J Obstet Gynecol 1991; 99: 59.

    Google Scholar 

  16. Andreyko JL, Marshall LA, Kumesic DA, Jaffe RB. Therapeutic uses of gonadotropin releasing hormone analygos. Obstet Gynecol Survey. 1987; 40: 11–12.

    Google Scholar 

  17. Beard RW, Highman JH, Pearce S, et al. Diagnosis of pelvic varicosities in women with chronic pelvic pain. Lancet. 1984; 2: 946.

    Article  PubMed  CAS  Google Scholar 

  18. Farquhar CM, Rogers V, Franks S, et al. A randomized controlled trial of medroxy-progesterone acetate and psychotherapy for the treatment of pelvic congestion. Br J Obstet Gynaecol. 1989; 96: 1153.

    Article  PubMed  CAS  Google Scholar 

  19. Julian TM. Chronic pelvic pain. 1. Workup and diagnosis. The Female Patient. 1989; 14: 37.

    Google Scholar 

  20. Edelin KC. Evaluation of female pelvic pain. (pictorial) Hosp Med. 1983 March;19:201–203, 207, 210–212.

    Google Scholar 

  21. Precis IV. Washington, DC: American College of Obstetricians and Gynecologists; 1990:15.

    Google Scholar 

  22. Anderson F. How Gn Rh agonists facilitate fibroid surgery. Contemp Ob Gyn. 1992: 37: 55–65.

    Google Scholar 

  23. TTjaden B, Schlaff WD, Kimball A, Rock JA. The efficacy of presacral neurectomy for the relief of dysmenorrheal. Obstet Gynecol. 1990; 76: 89.

    PubMed  CAS  Google Scholar 

  24. Molinak LR. Enometriosis. In: Conn HF, ed. Current Therapy. Philadelphia, Pa: WB Saunders; 1980.

    Google Scholar 

  25. Garcia C-r, Davis SS. Pelvic endometriosis: infertility and pelvic pain. Am J Obstet Gynecol. 1997; 129: 740.

    Google Scholar 

  26. Lee RB, Stone K, Magelssen D. Presacral neurectomy for chronic pelvic pain. Obstet Gynecol. 1986; 618: 517.

    Google Scholar 

  27. Key WR, Hanse LW, Astin M. Argon laser therapy for endometriosis: a review of 92 consecutive patients. Fertil Steril. 1987; 47: 208–212.

    Google Scholar 

  28. Steege JF. Assessment and treatment of chronic pelvic pain. In: Thompson JD, Rock JA, eds. TeLindes Operative Gynecology (Update Vol 1, no. 2 ). Philadelphia, Pa: JB Lippincott Company; 1992: 7.

    Google Scholar 

  29. Stoval TG, Ling FW, Crawford DA. Hysterectomy for chronic pelvic pain of presumed uterine etiology. Obstet Gynecol. 1990; 75: 676.

    Google Scholar 

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Authors
  1. H. Jacob Saleh
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Editors and Affiliations

  1. Stritch School of Medicine, Loyola University of Chicago, Maywood, IL, 60153, USA

    John V. Knaus D.O. (Clinical Associate Professor of Obstetrics and Gynecology, Chairman, Chief) & John H. Isaacs M.D. (Professor of Obstetrics and Gynecology, Gynecologist-in-Chief) (Clinical Associate Professor of Obstetrics and Gynecology, Chairman, Chief) &  (Professor of Obstetrics and Gynecology, Gynecologist-in-Chief)

  2. Department of Obstetrics and Gynecologic, St. Francis Hospital, Evanston, IL, 60202, USA

    John V. Knaus D.O. (Clinical Associate Professor of Obstetrics and Gynecology, Chairman, Chief) (Clinical Associate Professor of Obstetrics and Gynecology, Chairman, Chief)

  3. Section of Gynecologic Oncology, St. Francis Hospital, Evanston, IL, 60202, USA

    John V. Knaus D.O. (Clinical Associate Professor of Obstetrics and Gynecology, Chairman, Chief) (Clinical Associate Professor of Obstetrics and Gynecology, Chairman, Chief)

  4. St. Francis Hospital, Evanston, IL, 60202, USA

    John H. Isaacs M.D. (Professor of Obstetrics and Gynecology, Gynecologist-in-Chief) (Professor of Obstetrics and Gynecology, Gynecologist-in-Chief)

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© 1993 Springer-Verlag New York, Inc.

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Saleh, H.J. (1993). Dysmenorrhea and Chronic Pelvic Pain. In: Knaus, J.V., Isaacs, J.H. (eds) Office Gynecology. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-4340-3_11

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  • DOI: https://doi.org/10.1007/978-1-4612-4340-3_11

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4612-8740-7

  • Online ISBN: 978-1-4612-4340-3

  • eBook Packages: Springer Book Archive

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