The incidence of primary dysmenorrhea in teenagers

Svanberg, L; Ulmsten, Ulf

doi:10.1007/bf02111800

Cited by 57 publications

(25 citation statements)

References 9 publications

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“…Some researchers, in line with the present study, have indicated that women who were older at menarche have a higher risk of dysmenorrhea [18]. However, these findings are inconsistent with the results of several other researchers who showed that women who underwent menarche at a younger age faced a higher risk for dysmenorrhea [1].…”

Section: Discussionsupporting

confidence: 58%

Prevalence and predictors of dysmenorrhea among students at a university in Turkey

Özerdoğan

Sayiner

Ayrancı

et al. 2009

Intl J Gynecology & Obste

115

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Section: Discussionsupporting

confidence: 58%

Prevalence and predictors of dysmenorrhea among students at a university in Turkey

Özerdoğan

Sayiner

Ayrancı

et al. 2009

Intl J Gynecology & Obste

115

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“…40 Although it is possible that the mechanisms underlying chronic pelvic pain exacerbate dysmenorrhea, dysmenorrhea is more genetically stable than chronic pelvic pain 41,42 and typically precedes the onset of chronic pelvic pain. 43,44 …”

Section: Commentmentioning

confidence: 99%

The association of dysmenorrhea with noncyclic pelvic pain accounting for psychological factors

Westling

Griffith

et al. 2013

American Journal of Obstetrics and Gynecology

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OBJECTIVE The factors that underlie pelvic pain are poorly understood. Specifically, the relative influence of dysmenorrhea and psychological factors in the etiology of noncyclic pelvic pain conditions, such as interstitial cystitis and irritable bowel syndrome, is unknown. To further characterize pelvic pain, we compared the frequency of menstrual, somatosensory, and psychological risk factors between women with and without severe noncyclic pelvic pain symptoms. STUDY DESIGN A total of 1012 reproductive-aged women completed a 112-item questionnaire with domains including mood, fatigue, physical activity, somatic complaint, and pain. Questionnaire items included existing items for menstrual distress and newly written items derived from qualitative interviews. The relationship of dysmenorrhea and noncyclic pelvic pain complaints (dyspareunia, dyschezia, or dysuria) was modeled using quantile regression. RESULTS Among women who menstruate regularly, those with dysmenorrhea had disproportionally more severe noncyclic pelvic pain (54/402, 13%) than women without dysmenorrhea (5/432, 1%; odds ratio, 13; 95% confidence interval, 5–33). In a multivariate-adjusted model, dysmenorrhea (β = .17), activity capability (β = .17), somatic complaint (β = .17), and bodily pain (β = .12) were the primary predictors of noncyclic pelvic pain. Depression (β = .03) and anxiety (β = .01) were not significantly predictive. The presence of dysmenorrhea, somatic complaint, and low activity capability predicted 90% of the cases of women with noncyclic pelvic pain. CONCLUSION The association between dysmenorrhea and noncyclic pelvic pain suggests that menstrual pain is an etiological factor in noncyclic pelvic pain, whereas depression and anxiety may be secondary effects. Longitudinal studies are needed to determine whether dysmenorrhea causally influences development of noncyclic pelvic pain or shares common underlying neural mechanisms.

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“…The reported prevalence of primary dysmenorrhoea, which occurs in the absence of organic pelvic lesions, ranges from 43% to 90% among various populations. [1][2][3][4][5] Approximately 10-15% of women have severe, disabling dysmenorrhoea, which can contribute to school absenteeism, lost work time, and reduced quality of life. 4 6 7 There is growing evidence of an association between various measures of psychosocial stress and adverse pregnancy outcomes, such as preterm delivery.…”

mentioning

confidence: 99%

Stress and dysmenorrhoea: a population based prospective study

2004

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Background: Dysmenorrhoea is the most common gynaecological disorder in women of reproductive age. Despite the association between stress and pregnancy outcomes, few studies have examined the possible link between stress and dysmenorrhoea. Aims and Methods: Using a population based cohort of Chinese women, the independent effect of women's perceived stress in the preceding menstrual cycle on the incidence of dysmenorrhoea in the subsequent cycle was investigated prospectively. The analysis included 1160 prospectively observed menstrual cycles from 388 healthy, nulliparous, newly married women who intended to conceive. The perception of stress and the occurrence of dysmenorrhoea in each menstrual cycle were determined from daily diaries recorded by the women. Results: After adjustment for important covariates, the risk of dysmenorrhoea was more than twice as great among women with high stress compared to those with low stress in the preceding cycle (OR = 2.4; 95% CI 1.4 to 4.3). The risk of dysmenorrhoea was greatest among women with both high stress and a history of dysmenorrhoea compared to women with low stress and no history of dysmenorrhoea (OR = 10.4, 95% CI 4.9 to 22.3). Stress in the follicular phase of the preceding cycles had a stronger association with dysmenorrhoea than stress in the luteal phase of the preceding cycles. Conclusion: This study shows a significant association between stress and the incidence of dysmenorrhoea, which is even stronger among women with a history of dysmenorrhoea.

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The incidence of primary dysmenorrhea in teenagers

Cited by 57 publications

References 9 publications

Prevalence and predictors of dysmenorrhea among students at a university in Turkey

Prevalence and predictors of dysmenorrhea among students at a university in Turkey

The association of dysmenorrhea with noncyclic pelvic pain accounting for psychological factors

Stress and dysmenorrhoea: a population based prospective study

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