An Unusual Cause of Adolescent Dysmenorrhea

Ryan, Ginny L.; Stolpen, Alan H.; Voorhis, Bradley J. Van

doi:10.1097/01.aog.0000237163.98010.b3

Cited by 24 publications

(12 citation statements)

References 10 publications

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“…Adenomyosis is another cause of secondary dysmenorrhea, defined as the benign invasion of endometrial tissue into the myometrium (Bird et al, 1972), and historically was only identifiable from histological examination of the uterus following a hysterectomy. With such a selection bias, adenomyosis was commonly thought to be a condition confined to adulthood, with limited clinical cases in adolescents (Ryan et al, 2006). Recent advancements in imaging have led to improvements in the non-invasive identification of adenomyosis, and demonstrate that the prevalence is likely underestimated and that it may not be confined to older women (Kunz et al, 2007;Benagiano et al, 2015).…”

Section: Definition Of Dysmenorrheamentioning

confidence: 99%

What we know about primary dysmenorrhea today: a critical review

Iacovides

Avidon

Baker

2015

Hum. Reprod. Update

709

682

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Further study is needed to determine whether effectively blocking dysmenorrheic pain ameliorates risk for the development of chronic pain disorders and to explore whether it is possible to prevent the development-and not just treat-severe dysmenorrheic pain in adolescent girls. In conclusion, we demonstrate the extensive multi-factorial impact of dysmenorrhea and we encourage and direct researchers to necessary future studies.

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Section: Definition Of Dysmenorrheamentioning

confidence: 99%

What we know about primary dysmenorrhea today: a critical review

Iacovides

Avidon

Baker

2015

Hum. Reprod. Update

709

682

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“…Historically, a diagnosis of adenomyosis was made after hysterectomy in women later in their reproductive years, however the use of preoperative imaging has shown that adenomyosis may also occur in adolescents. 5 The prevalence has been reported to range from 1% 6 to 70%; this large range is likely reflective of the lack of standard diagnostic criteria both by imaging modalities and pathological analyses.…”

Section: Prevalence and Incidencementioning

confidence: 99%

Adenomyosis: A Clinical Review of a Challenging Gynecologic Condition

Struble

Reid

Bedaiwy

2016

Journal of Minimally Invasive Gynecology

248

225

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“…Like its prevalence, the clinical presentation is also heterogeneous. While, 20-30% of cases may stay asymptomatic [7] , patients may complain of one or more complaint. Abnormal uterine bleeding (heavy menstrual bleeding and inter-menstrual bleeding) and/ or painful menstruation are the most frequent [8,9] .…”

Section: Introductionmentioning

confidence: 99%

Three-dimensional transvaginal ultrasonographic and power Doppler features of adenomyosis : Are they related to symptoms?

Ahmad

2019

Evidence Based Women's Health Journal

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Aim of the work: To investigate the relationship between specific 2D and 3D ultrasound and power Doppler features of adenomyosis and the commonly associated adenomyosis symptoms in absence of other pelvic pathologies. Patients and Methods: This is a prospective observational study done at the Obstetrics and Gynecology Ultrasound Unit, Zagazig University Hospitals. This study was carried out from September 2015 to February 2017. It included all premenopausal women complaining of abnormal uterine bleeding, pain, subfertility and others. Cases without ultrasound detected pathology were collected as a control group (273), while cases having only adenomyosis ultrasonographic features by 2D-transvaginal sonography were collected as adenomyosis group (148). 2D-TVS myometrial assessment was performed for all women. 3D-TVS was then performed for full visualization of the junctional zone. VOCAL was used to calculate the Doppler indices of the myometrium. Results: The number of ultrasound findings was independent predictor for occurrence of menstrual disorders and chronic pelvic pain. Junctional zone irregularity was a predictor for heavy menstruation and chronic pelvic pain, increased uterine volume and asymmetry were significantly correlated with chronic pelvic pain, while subfertility might be predictable with fan shaped shadowing and myometrial cysts. All myometrial Doppler indices were significantly higher in adenomyotic cases compared to control group. Increased myometrial VI and VFI were strongly correlated with the occurrence of heavy menstruation and inter-menstrual bleeding. Conclusion: We found a relationship between certain ultrasound features of adenomyosis and some of associated symptoms. This relationship can help in understanding the pathophysiology of symptoms related to adenomyosis.

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An Unusual Cause of Adolescent Dysmenorrhea

Cited by 24 publications

References 10 publications

What we know about primary dysmenorrhea today: a critical review

What we know about primary dysmenorrhea today: a critical review

Adenomyosis: A Clinical Review of a Challenging Gynecologic Condition

Three-dimensional transvaginal ultrasonographic and power Doppler features of adenomyosis : Are they related to symptoms?

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