BackgroundPrimary dysmenorrhea is a common and sometimes disabling condition. In recent years, some studies aimed to improve the treatment of dysmenorrhea, and therefore, introduced several therapeutic measures. This study was designed to compare the analgesic effect of iron chip containing heat wrap with ibuprofen for the treatment of primary dysmenorrhea.MethodsIn this randomized (IRCT201107187038N2) controlled trial, 147 students (18–30 years old) with the diagnosis of primary dysmenorrhea were enrolled considering the CONSORT guideline. Screening for primary dysmenorrhea was done by a two-question screening tool. The participants were randomly assigned into one of the intervention groups (heat Patch and ibuprofen). Data regarding the severity and emotional impact of the pain were recorded by a shortened version of McGill Pain Questionnaire (SF-MPQ). Student's t test was used for statistical analysis.ResultsThe maximum and minimum pain severities were observed at 2 and 24 hours in both groups. The severity of sensual pain at 8, 12, and 24 hours was non-significantly less in the heat Patch group. There was also no significant difference between the groups regarding the emotional impact of pain at the first 2, 4, 8, 12 and 12 hours of menstruation.ConclusionsHeat patch containing Iron chip has comparable analgesic effects to ibuprofen and can possibly be used for primary dysmenorrhea.Trial registrationIRCT201107187038N2

INTRODUCTION: Secondary infertility can cause some problems for the couples involved, particularly the women. It is supposed that the life style could influence the fertility status of the couples. This study was aimed to comparison the life style between secondary infertile and fertile women.MATERIALS AND METHODS: In this case-control study, 125 secondary infertile women as case group and 140 fertile women as control group were investigated in 2015. The subjects were selected from the fertility clinics and private office of the gynecologists in Zahedan, southeast of Iran. The data were collected using a structured questionnaire including reproductive history, socio-demographic variables, physical activity and Pittsburgh sleep quality. To analyze the data were used Chi-square and multiple logistic regression with Hosmer&Lemeshow method.RESULTS: By adjusting for potential confounders the secondary infertile women were more likely to have had higher BMI and be overweight (OR=2.89, 95%CI: 1.15-10.1) than fertile women. The sedentary and low sleep quality were significantly more common in infertile women than fertile women (OR=2.37, 95%CI: 1.005-9.7 and OR=2.92, 95% CI: 1.6-9.3, respectively). Also the chance of nutritional related disease among cases was more that controls (P<0.05). CONCLUSION: As life style related factors were associated with some reproductive variables in this study, thus it could be concluded that the life style and nutritional status not only influence the obstetric events, but directly effect on fertility via another paths. However, decreasing weight and increasing physical activity, improvement of sleep quality are all likely to decrease secondary infertility in women.