In cases of EPN, shock, serum creatinine >5.0 mg/dl and DIC at admission are poor prognostic factors. Larger prospective studies are needed to confirm our findings.

Background: Dysmenorrhea refers to the occurrence of painful menstrual cramps of uterine origin. TENS may be an alternative treatment option for women with dysmenorrhea who wish to stop using non-steroidal antiinflammatory drugs (NSAIDs), oral contraceptives, or other analgesics because the existing medication is ineffective, has unacceptable adverse effects, or due to personal choice. An effective non-pharmacological method of treating dysmenorrhea would be of great potential value in treating dysmenorrhea.Materials and Methods: 50 females with age group of 20-30 years having moderate or severe degree of disability due to dysmenorrhea with VAS score > 7 without athletic background were taken into the study. Conventional TENS was applied on 1 st and 2 nd day of menses over the abdomen in criss-cross pattern and effect of TENS was evaluated in present and next two menstrual cycles. Assessment tools were Visual analogue scale (VAS), Shortform McGill Pain Questionnaire(SF-MPQ) and Short-form Moos Menstrual Distress Questionnaire (SF-MMDQ) and Outcome measures were Pain ( assessed by VAS and SF-MPQ), Quality of life (assessed by SF-MMDQ) and Number of analgesics used.Results: The present study demonstrates that there is decrease in pain and improvement in quality of life after application of TENS in present cycle as well as in next two menstrual cycles in primary dysmenorrhea as evident by decrease in VAS (mean) score, SF-MPQ (mean) score and SF-MMDQ (mean) score(p=0.05). Conclusion:Conventional TENS is effective in relieving pain and improving quality of life in moderate degree of disability due to primary dysmenorrhea. Majority of subjects have shown relief of pain and improvement in quality of life in next 2 menstrual cycles and didn't need any analgesic after one time TENS treatment.