Skip to main content

The Clinical Classification and Causes of Dysmenorrhea

  • Chapter
  • First Online:
Dysmenorrhea and Menorrhagia

Abstract

Unlike many conditions in medicine, the classification of painful menstruation into primary and secondary dysmenorrhea is not based on the temporal appearance of symptoms or the condition, as it is in primary and secondary amenorrhea, or primary and secondary infertility. The taxonomy of primary and secondary dysmenorrhea is based upon the absence or presence (respectively) of clinically identifiable causes. In both cases, a great deal is known about the pathophysiology underlying the development of menstrual pain. It is, therefore, not an issue of a lack of identifiable causation; it is the lack of clinically identifiable processes that drive the assignment.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 54.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 69.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 99.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Thomas TG. A practical treatise on the disease of women. Philadelphia: Henry C. Lea; 1872. p. 574.

    Google Scholar 

  2. Levasseur F. Clinical observations on amenorrhea and dysmenorrhea. Milwaukee Med J. 1902;10(11):323–5.

    Google Scholar 

  3. Devasseur F. Clinical observations on amenorrhea and dysmenorrhea. J Med Sci. 1902;8:208–11.

    Google Scholar 

  4. Bland PB. Dysmenorrhea; its significance and treatment. J Med Soc NJ. 1910;6(12):591–4.

    Google Scholar 

  5. Bell WB. Intrinsic dysmenorrhea. J Obstet Gynec Brit Emp. 1923;30(2):119.

    Article  Google Scholar 

  6. Caillé A. Postgraduate medicine, prevention and treatment of disease. New York and London: D. Appleton and Company; 1922. p. 661.

    Google Scholar 

  7. Crossen HS. The diagnosis and treatment of diseases of women. St. Louis: C.V. Mosby Medical Book and Pub. Co.; 1907. p. 8.

    Google Scholar 

  8. Gilliam T. A text-book of practical gynecology for practitioners and students. Philadelphia: FA Davis; 1913. p. 323.

    Google Scholar 

  9. Chan WY, Dawood MY, Fuchs F. Relief of dysmenorrhea with the prostaglandin synthetase inhibitor ibuprofen: effect on prostaglandin levels in menstrual fluid. Am J Obstet Gynecol. 1979;135:102–8.

    CAS  PubMed  Google Scholar 

  10. Mechsner S, Grum B, Gericke C, Loddenkemper C, Dudenhausen JW, Ebert AD. Possible roles of oxytocin receptor and vasopressin-1α receptor in the pathomechanism of dysperistalsis and dysmenorrhea in patients with adenomyosis uteri. Fertil Steril. 2010;94(7):2541–6.

    Article  CAS  PubMed  Google Scholar 

  11. Smith RP. A brief history of intrauterine pressure measurement. Acta Obstet Gynecol Scand. 1984;129(Suppl):1–24.

    Article  CAS  Google Scholar 

  12. Smith RP, Powell JR. The objective evaluation of dysmenorrhea therapy. Am J Obstet Gynecol. 1980;137:314–9.

    Article  CAS  PubMed  Google Scholar 

  13. Smith RP, Powell JR. Intrauterine pressure changes during Mefenamic acid treatment of primary spasmodic dysmenorrhea. Am J Obstet Gynecol. 1982;143:286–92.

    CAS  PubMed  Google Scholar 

  14. Smith RP, Powell JR. Simultaneous objective and subjective evaluation of meclofenamate sodium in the treatment of primary dysmenorrhea. Am J Obstet Gynecol. 1987;157(3):611–6.

    Article  CAS  PubMed  Google Scholar 

  15. Smith RP, Heltzel J. Interrelation of analgesia and uterine activity in women with primary dysmenorrhea. A preliminary report. J Reprod Med. 1991;36:260–4.

    CAS  PubMed  Google Scholar 

  16. Altunyurt S, Göl M, Altunyurt S, et al. Primary dysmenorrhea and uterine blood flow: a color Doppler study. J Reprod Med. 2005;50:251–5.

    PubMed  Google Scholar 

  17. Dmitrović R. Transvaginal color Doppler study of uterine blood flow in primary dysmenorrhea. Acta Obstet Gynecol Scand. 2000;79:1112–6.

    PubMed  Google Scholar 

  18. Gatta L, Piscitelli F, Giordano C, et al. Discovery of prostamide F2α and its role in inflammatory pain and dorsal horn nociceptive neuron hyperexcitability. PLoS One. 2012;7(2):e31111.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Grulović B, Pucelj MR, Krnić M, Kokić V. Impact of prostaglandin F2-alpha and tumor necrosis factor-alpha (TNF-alpha) on pain in patients undergoing thermal balloon endometrial ablation. Coll Antropol. 2013;37(4):1185–90.

    PubMed  Google Scholar 

  20. Kunori S, Matsumura S, Mabuchi T, et al. Involvement of prostaglandin F 2 alpha receptor in ATP-induced mechanical allodynia. Neuroscience. 2009;163(1):362–71.

    Article  CAS  PubMed  Google Scholar 

  21. Latthe P, Mignini L, Gray R, et al. Factors predisposing women to chronic pelvic pain: systematic review. BMJ. 2006;332:749–55.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Hornsby PP, Wilcox AJ, Weinberg CR. Cigarette smoking and disturbance of menstrual function. Epidemiology. 1998;9:193–8.

    Article  CAS  PubMed  Google Scholar 

  23. Burnett MA, Antao V, Black A, et al. Prevalence of primary dysmenorrhea in Canada. J Obstet Gynaecol Can. 2005;27(8):765–70.

    Article  PubMed  Google Scholar 

  24. Ju H, Jones M, Mishra G. The prevalence and risk factors of dysmenorrhea. Epidemiol Rev. 2014;36:104–13.

    Article  PubMed  Google Scholar 

  25. Dzoljic E, Vlajinac H, Sipetic S, Marinkovic J, Grbatinic I, Kostic V. A survey of female students with migraine: what is the influence of family history and lifestyle? Int J Neurosci. 2014;124(2):82–7.

    Article  PubMed  Google Scholar 

Additional Resources

  • More detailed coverage of many of the causes of secondary dysmenorrhea can be found here:

    Google Scholar 

  • Smith RP. Netter’s obstetrics & gynecology. 3rd ed. Philadelphia: Elsevier; 2017.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Smith, R.P. (2018). The Clinical Classification and Causes of Dysmenorrhea. In: Dysmenorrhea and Menorrhagia. Springer, Cham. https://doi.org/10.1007/978-3-319-71964-1_4

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-71964-1_4

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-71963-4

  • Online ISBN: 978-3-319-71964-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics