Severity of pain and circadian changes in uterine artery blood flow in primary dysmenorrhea

Çelik, Hüsnü; Gürateş, Bilgin; Parmaksız, Cem; Polat, Aytac; Hanay, Fethi; Kavak, Burçin; Yavuz, Adem; Artaş, Zeynep Doğan

doi:10.1007/s00404-009-0966-7

Cited by 18 publications

(17 citation statements)

References 16 publications

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“…A similar reflex response exists in humans, increasing uterine blood flow by reducing sympathetic activity on vasoconstrictor fibres that innervate the uterus[25, 54]. Uterine blood flow is often reduced in women with primary dysmenorrhea[55, 56] and increasing uterine blood flow appears to be related to some of the analgesic benefits of acupuncture in primary dysmenorrhea[50, 57]. The magnitude of the impact of needling SP6 and, to a lesser extent, REN4 and SP8, may be larger than stimulation-specific differences.…”

Section: Discussionmentioning

confidence: 99%

The role of treatment timing and mode of stimulation in the treatment of primary dysmenorrhea with acupuncture: An exploratory randomised controlled trial

et al. 2017

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ObjectivesWe examined the effect of changing treatment timing and the use of manual, electro acupuncture on the symptoms of primary dysmenorrhea.MethodsA randomised controlled trial was performed with four arms, low frequency manual acupuncture (LF-MA), high frequency manual acupuncture (HF-MA), low frequency electro acupuncture (LF-EA) and high frequency electro acupuncture (HF-EA). A manualised trial protocol was used to allow differentiation and individualized treatment over three months. A total of 74 women were randomly assigned to one of the four groups (LF-MA n = 19, HF-MA n = 18, LF-EA n = 18, HF-EA n = 19). Twelve treatments were performed over three menstrual cycles, either once per week (LF groups) or three times in the week prior to menses (HF groups). All groups received a treatment in the first 48 hours of menses. The primary outcome was the reduction in peak menstrual pain at 12 months from trial entry.ResultsDuring the treatment period and nine month follow-up all groups showed statistically significant (p < .001) reductions in peak and average menstrual pain compared to baseline but there were no differences between groups (p > 0.05). Health related quality of life increased significantly in six domains in groups having high frequency of treatment compared to two domains in low frequency groups. Manual acupuncture groups required less analgesic medication than electro-acupuncture groups (p = 0.02). HF-MA was most effective in reducing secondary menstrual symptoms compared to both–EA groups (p<0.05).ConclusionAcupuncture treatment reduced menstrual pain intensity and duration after three months of treatment and this was sustained for up to one year after trial entry. The effect of changing mode of stimulation or frequency of treatment on menstrual pain was not significant. This may be due to a lack of power. The role of acupuncture stimulation on menstrual pain needs to be investigated in appropriately powered randomised controlled trials.

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Section: Discussionmentioning

confidence: 99%

The role of treatment timing and mode of stimulation in the treatment of primary dysmenorrhea with acupuncture: An exploratory randomised controlled trial

et al. 2017

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“…24,25 Reversing the vasoconstriction caused by prostaglandins in women with dysmenorrhea decreases menstrual pain. 24,25 Reversing the vasoconstriction caused by prostaglandins in women with dysmenorrhea decreases menstrual pain.…”

Section: Discussionmentioning

confidence: 99%

Predicting Painful or Difficult Intrauterine Device Insertion in Nulligravid Women

Kaislasuo

Heikinheimo

Lähteenmäki

et al. 2014

Obstetrics &Amp; Gynecology

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“…Menstrual pain is strongly correlated with reductions in uterine blood flow. 13 Stener-Victorin et al 12 found a dose-response relationship between the number of EA treatments and increases in uterine blood flow, which may also be relevant for menstrual pain. There is also evidence of a dose-response relationship when acupuncture and related techniques are used for non-gynaecological pain conditions 14 or subfertility.…”

Section: Introductionmentioning

confidence: 99%

Treating Primary Dysmenorrhoea with Acupuncture: A Narrative Review of the Relationship between Acupuncture ‘dose— and Menstrual Pain Outcomes

Armour

Smith

2016

Acupunct Med

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Objective A number of randomised controlled trials have been performed to determine the effectiveness or efficacy of acupuncture in primary dysmenorrhoea. The objective of this review was to explore the relationship between the ‘dose’ of the acupuncture intervention and menstrual pain outcomes. Methods Eight databases were systematically searched for trials examining penetrating body acupuncture for primary dysmenorrhoea published in English up to September 2015. Dose components for each trial were extracted, assessed by the two authors and categorised by neurophysiological dose (number of needles, retention time and mode of stimulation), cumulative dose (total number and frequency of treatments), needle location and treatment timing. Results Eleven trials were included. Components of acupuncture dose were well reported across all trials. The relationship between needle location and menstrual pain demonstrated conflicting results. Treatment before the menses appeared to produce greater reductions in pain than treatment starting at the onset of menses. A single needle during menses may provide greater pain reduction compared to multiple needles. Conversely, multiple needles before menses were superior to a single needle. Electroacupuncture may provide more rapid pain reduction compared to manual acupuncture but may not have a significantly different effect on overall menstrual pain. Conclusions There appear to be relationships between treatment timing and mode of needle stimulation, and menstrual pain outcomes. Needle location, number of needles used and frequency of treatment show clear dose-response relationships with menstrual pain outcomes. Current research is insufficient to make definitive clinical recommendations regarding optimum dose parameters for treating primary dysmenorrhoea.

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Severity of pain and circadian changes in uterine artery blood flow in primary dysmenorrhea

Abstract: Uterine artery blood flow is reduced at night in dysmenorrhea cases. In correlation with this, the cases feel more pain at night. Our results may be important on the planning of working hours and their quality of life.

Cited by 18 publications

References 16 publications

The role of treatment timing and mode of stimulation in the treatment of primary dysmenorrhea with acupuncture: An exploratory randomised controlled trial

The role of treatment timing and mode of stimulation in the treatment of primary dysmenorrhea with acupuncture: An exploratory randomised controlled trial

Predicting Painful or Difficult Intrauterine Device Insertion in Nulligravid Women

Treating Primary Dysmenorrhoea with Acupuncture: A Narrative Review of the Relationship between Acupuncture ‘dose— and Menstrual Pain Outcomes

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