Primary Dysmenorrhea: Diagnosis and Therapy.

Abstract:

:Primary dysmenorrhea is defined as pain during the menstrual cycle in the absence of an identifiable cause. It is one of the most common causes of pelvic pain in women. Dysmenorrhea can negatively affect a woman's quality of life and interfere with daily activities. The pathophysiology of primary dysmenorrhea is likely a result of the cyclooxygenase pathway producing increased prostanoids, particularly prostaglandins (PGs). The increased PGs cause uterine contractions that restrict blood flow and lead to the production of anaerobic metabolites that stimulate pain receptors. Women with a history typical for primary dysmenorrhea can initiate empiric treatment without additional testing. Shared decision making is key to effective management of dysmenorrhea to maximize patient compliance and satisfaction. After a discussion of their risks and benefits, extremely effective empiric therapies are nonsteroidal antiinflammatory drugs and contraceptive hormonal therapy. Other treatments for primary dysmenorrhea can be employed solely or in combination with other modalities, but the literature supporting their use is not as convincing. The physician should initiate an evaluation for secondary dysmenorrhea if the patient does not report improved symptomatology after being compliant with their medical regimen.

journal_name

Obstet Gynecol

authors

Ferries-Rowe E,Corey E,Archer JS

doi

10.1097/AOG.0000000000004096

subject

Has Abstract

pub_date

2020-11-01 00:00:00

pages

1047-1058

issue

5

eissn

0029-7844

issn

1873-233X

pii

00006250-202011000-00030

journal_volume

136

pub_type

杂志文章,评审
  • ACOG Committee Opinion No. 766 Summary: Approaches to Limit Intervention During Labor and Birth.

    abstract::Obstetrician-gynecologists, in collaboration with midwives, nurses, patients, and those who support them in labor, can help women meet their goals for labor and birth by using techniques that require minimal interventions and have high rates of patient satisfaction. Many common obstetric practices are of limited or un...

    journal_title:Obstetrics and gynecology

    pub_type: 社论

    doi:10.1097/AOG.0000000000003081

    authors:

    更新日期:2019-02-01 00:00:00

  • Hysteroscopic morcellation compared with electrical resection of endometrial polyps: a randomized controlled trial.

    abstract:OBJECTIVE:To evaluate whether hysteroscopic morcellation or bipolar electrosurgical resection is more favorable for removing endometrial polyps in an office setting in terms of feasibility, speed, pain, and acceptability. METHODS:A multicenter, single-blind, randomized, controlled trial of office hysteroscopic morcell...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/AOG.0000000000000187

    authors: Smith PP,Middleton LJ,Connor M,Clark TJ

    更新日期:2014-04-01 00:00:00

  • Amniotic fluid cortisol as an index of fetal lung maturity.

    abstract::Amniotic fluid cortisol concentration was compared with lecithin/sphingomyelin ratio, gestational age, and eventual birth-weight in a large series of normal and high-risk human pregnancies in an effort to determine whether cortisol could be used as a reliable indicator of fetal maturity. It appears that when used alon...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Gewolb IH,Hobbins JC,Tan SY

    更新日期:1977-04-01 00:00:00

  • Ethical analysis of the intrapartum management of pregnancy complicated by fetal hydrocephalus with macrocephaly.

    abstract::The intrapartum management of pregnancy complicated by fetal hydrocephalus with macrocephaly often confronts the physician with a complex array of moral obligations to both mother and fetus that may sometimes come into direct conflict. The authors analyze the component beneficence-based and autonomy-based obligations ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Chervenak FA,McCullough LB

    更新日期:1986-11-01 00:00:00

  • Local and Systemic Inflammation in Localized, Provoked Vestibulodynia: A Systematic Review.

    abstract:OBJECTIVE:To synthesize and critically evaluate all available evidence investigating whether localized, provoked vestibulodynia is associated with a specific inflammatory profile at both a local and a systemic level. DATA SOURCES:Comprehensive electronic searches were performed in MEDLINE, EMBASE, Scopus, PubMed, Web ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/AOG.0000000000001510

    authors: Chalmers KJ,Madden VJ,Hutchinson MR,Moseley GL

    更新日期:2016-08-01 00:00:00

  • Fetal femur length: a critical reevaluation of the relationship to menstrual age.

    abstract::This investigation has reexamined the measurement of the femur length and the use of this measurement as a growth and dating parameter. Straight-line measurements of shaft length were found to be smaller than measurements made along the bone curvature. However, the maximum difference did not exceed 2 mm. Thus, because...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Warda AH,Deter RL,Rossavik IK,Carpenter RJ,Hadlock FP

    更新日期:1985-07-01 00:00:00

  • Epidemiologic characteristics of women with idiopathic recurrent vulvovaginal candidiasis.

    abstract:OBJECTIVE:To evaluate risk factors related to anamnestic variables, sexual behavior, feminine hygiene habits, and microbiologic findings in women with idiopathic recurrent vulvovaginal candidiasis. METHODS:We conducted a multivariate observational study comparing sociodemographic, anamnestic, clinical, and microbiolog...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Spinillo A,Pizzoli G,Colonna L,Nicola S,De Seta F,Guaschino S

    更新日期:1993-05-01 00:00:00

  • The effect of double gloving on frequency of glove perforations.

    abstract:OBJECTIVE:The purposes of this prospective investigation were to determine the frequency of glove perforation during obstetric and gynecologic procedures and to assess the value of double gloving in preventing damage to the inner glove. METHODS:During a 2-month period, surgeons in the Department of Obstetrics and Gyne...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Bennett B,Duff P

    更新日期:1991-12-01 00:00:00

  • Ticarcillin/clavulanic acid versus clindamycin and gentamicin in the treatment of post-cesarean endometritis following antibiotic prophylaxis.

    abstract::One hundred fifty-two women who received cefazolin prophylaxis and subsequently developed postpartum endometritis were randomized to treatment with either ticarcillin/clavulanic acid (75) or clindamycin-gentamicin (77). Bacteria isolated from the endometrium were predominantly facultative anaerobic bacteria. The ratio...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Faro S,Martens M,Hammill H,Phillips LE,Smith D,Riddle G

    更新日期:1989-05-01 00:00:00

  • Time from cervical conization to pregnancy and preterm birth.

    abstract:OBJECTIVE:To estimate whether the time interval between cervical conization and subsequent pregnancy is associated with risk of preterm birth. METHODS:Our study is a case control study nested in a retrospective cohort. Women who underwent colposcopic biopsy or conization with loop electrosurgical excision procedure, l...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000251497.55065.74

    authors: Himes KP,Simhan HN

    更新日期:2007-02-01 00:00:00

  • Obstetric complications after treatment of intrauterine synechiae (Asherman's syndrome).

    abstract::This review comprises 36 patients who were treated for Asherman's syndrome from 1968 to 1974 at the Sloane Hospital for Women. Of the 18 patients who later conceived only 6 had uncomplicated term deliveries. Four had premature deliveries resulting in neonatal death. Three had placenta accreta and postpartum hemorrhage...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Jewelewicz R,Khalaf S,Neuwirth RS,Vande Wiele RL

    更新日期:1976-06-01 00:00:00

  • Influence of Lymphadenectomy on Survival for Early-Stage Endometrial Cancer.

    abstract:OBJECTIVE:To use a number of methods to control for confounding and selection bias to examine the association between lymphadenectomy and survival in a large cohort of women with endometrial cancer. METHODS:A retrospective cohort study using the National Cancer Data Base was performed to identify women with endometrio...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000001194

    authors: Wright JD,Huang Y,Burke WM,Tergas AI,Hou JY,Hu JC,Neugut AI,Ananth CV,Hershman DL

    更新日期:2016-01-01 00:00:00

  • Antepartum pituitary infarction.

    abstract::Antepartum pituitary infarction occurs only in insulin-dependent diabetic patients. It is manifested by severe headache, followed by decreasing insulin requirements. Delivery is frequently premature, with high fetal wastage and increased maternal mortality. During the puerperium, the first manifestation of pituitary d...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Dorfman SG,Dillaplain RP,Gambrell RD Jr

    更新日期:1979-03-01 00:00:00

  • Cushing's syndrome complicating pregnancy. A case report.

    abstract::A case of a rare association between pregnancy and the development of Cushing's syndrome is discussed. A 29-year-old woman developed Cushing's syndrome, characterized by hypokalemia, a high level of urinary 17-hydroxycorticoids not suppressed by dexamethasone therapy, a high level of plasma 11-hydroxycorticoids which...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Wieland RG,Shaffer MB Jr,Glove RP

    更新日期:1971-12-01 00:00:00

  • Prelabor Rupture of Membranes: ACOG Practice Bulletin, Number 217.

    abstract::Preterm birth occurs in approximately 10% of all births in the United States and is a major contributor to perinatal morbidity and mortality (). Prelabor rupture of membranes (PROM) that occurs preterm complicates approximately 2-3% of all pregnancies in the United States, representing a significant proportion of pret...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,实务指引

    doi:10.1097/AOG.0000000000003700

    authors:

    更新日期:2020-03-01 00:00:00

  • Persistent tubal pregnancy.

    abstract::Persistent tubal pregnancy may be manifest by either acute symptoms or a persistent or rising beta-hCG titer following conservative surgery. This condition is a relatively new complication, related to the recent practice of conservative surgical management of tubal pregnancy. Much has been written on the identificatio...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/00006250-199102000-00021

    authors: Stock RJ

    更新日期:1991-02-01 00:00:00

  • First- and second-trimester evaluation of risk for Down syndrome.

    abstract:OBJECTIVE:To investigate the differences in costs and outcomes of Down syndrome screening using data from the First and Second Trimester Evaluation of Risk (FASTER) Trial. METHODS:Seven possible screening options for Down syndrome were compared: 1) Triple Screen-maternal serum alpha fetoprotein, estriol, and hCG; 2) Q...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000263470.89007.e3

    authors: Ball RH,Caughey AB,Malone FD,Nyberg DA,Comstock CH,Saade GR,Berkowitz RL,Gross SJ,Dugoff L,Craigo SD,Timor-Tritsch IE,Carr SR,Wolfe HM,Emig D,D'Alton ME,First and Second Trimester Evaluation of Risk (FASTER) Research Consor

    更新日期:2007-07-01 00:00:00

  • Is urinary incontinence a barrier to exercise in women?

    abstract:OBJECTIVE:To describe the prevalence of urinary incontinence during exercise in women, estimate whether exercise intensity is related to leakage severity, and report women's assessments of incontinence as a barrier to exercise. METHODS:Questionnaires were mailed to 5,130 women aged 18-60 years drawn from National Fami...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000168455.39156.0f

    authors: Nygaard I,Girts T,Fultz NH,Kinchen K,Pohl G,Sternfeld B

    更新日期:2005-08-01 00:00:00

  • Discrepancy in the interpretation of cervical histology by gynecologic pathologists.

    abstract:OBJECTIVE:To determine if subspecialty review of cervical histology improves diagnostic consensus of cervical intraepithelial neoplasia (CIN). METHODS:After routine histologic assessment within the hospital pathology department, 119 colposcopic cervical biopsies were interpreted by two subspecialty-trained gynecologic...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(02)02058-6

    authors: Parker MF,Zahn CM,Vogel KM,Olsen CH,Miyazawa K,O'Connor DM

    更新日期:2002-08-01 00:00:00

  • The effect of L-dopa and clomiphene citrate on peripheral plasma levels of luteinizing hormone-releasing factor.

    abstract::Response of luteinizing hormone-releasing factor (LRF) and gonadotropin levels to orally administered L-dopa and clomiphene citrate were measured in 13 healthy female volunteers. Testing was carried out during the early follicular phase of the menstrual cycle. The results indicated a suggestive but statistically nonsi...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Polansky S,Muechler E,Sorrentino S Jr

    更新日期:1976-07-01 00:00:00

  • Ultrasound and amniotic fluid alpha-fetoprotein in the prenatal diagnosis of spina bifida.

    abstract::Amniotic fluid alpha-fetoprotein (AFP) assays and detailed ultrasound examinations were performed in 376 prenatal patients at risk for a neural tube defect (high-risk group). In addition, 2436 patients who underwent amniocentesis for other indications underwent preamniocentesis ultrasound screening and amniotic fluid ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Allen LC,Doran TA,Miskin M,Rudd NL,Benzie RJ,Sheffield LJ

    更新日期:1982-08-01 00:00:00

  • The preterm prediction study: fetal fibronectin testing and spontaneous preterm birth. NICHD Maternal Fetal Medicine Units Network.

    abstract:OBJECTIVE:To evaluate the presence of fetal fibronectin in the cervix and vagina as a screening test for spontaneous preterm birth. METHODS:Two thousand nine hundred twenty-nine women at ten centers were routinely screened every 2 weeks from 22-24 to 30 weeks for cervical and vaginal fetal fibronectin. A positive test...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,多中心研究

    doi:10.1016/0029-7844(96)00035-x

    authors: Goldenberg RL,Mercer BM,Meis PJ,Copper RL,Das A,McNellis D

    更新日期:1996-05-01 00:00:00

  • Intracorporeal electromechanical tissue morcellation: a critical review and recommendations for clinical practice.

    abstract::Electromechanical morcellators have come under scrutiny with concerns about complications involving iatrogenic dissemination of both benign and malignant tissues. Although the rapidly rotating blade has resulted in morcellator-related vascular and visceral injuries, equally concerning are the multiple reports in the l...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/AOG.0000000000000448

    authors: Kho KA,Anderson TL,Nezhat CH

    更新日期:2014-10-01 00:00:00

  • Transforming growth factor-beta1 in fetal serum correlates with insulin-like growth factor-I and fetal growth.

    abstract:OBJECTIVE:To estimate whether transforming growth factor-beta1 in fetal serum obtained by umbilical cord sampling at delivery is correlated with fetal growth. We also estimated whether transforming growth factor-beta1 is correlated with insulin-like growth factor-I and insulin-like growth factor binding protein-1, whic...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Ostlund E,Tally M,Fried G

    更新日期:2002-09-01 00:00:00

  • ACOG Practice Bulletin No. 75: Management of alloimmunization during pregnancy.

    abstract::When any fetal blood group factor inherited from the father is not possessed by the mother, antepartum or intrapartum fetal-maternal bleeding may stimulate an immune reaction in the mother Maternal immune reactions also can occur from blood product transfusion. The formation of maternal antibodies, or"alloimmunization...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,实务指引

    doi:10.1097/00006250-200608000-00044

    authors: American College of Obstetricians and Gynecologists.

    更新日期:2006-08-01 00:00:00

  • Amniotic fluid volume and in vivo permeability of ovine fetal membranes.

    abstract::Serial measurements of amniotic fluid volume were made using a tracer dilution technique in sheep during the last half of gestation. No consistent trends were observed in amniotic fluid volume changes over this period. Disappearance of tracer-labeled urea and water from the amniotic fluid was observed at various gesta...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Lingwood BE,Wintour EM

    更新日期:1984-09-01 00:00:00

  • Urinary calcium as an early marker for preeclampsia.

    abstract::Women who develop preeclampsia during pregnancy excrete less calcium than healthy pregnant women. Whether this reduction in calcium excretion precedes or follows hypertension is unknown. We prospectively measured urinary calcium excretion in 103 consecutive nulliparous women at risk for preeclampsia and presenting for...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Sanchez-Ramos L,Jones DC,Cullen MT

    更新日期:1991-05-01 00:00:00

  • A clinical and microbiologic analysis of risk factors for puerperal endometritis.

    abstract::Predictors of postpartum endometritis were identified in 607 asymptomatic, laboring women. One hundred (16.5%) developed postpartum endometritis. Multivariate analysis using stepwise logistic regression identified cesarean delivery (relative risk 12.8; P less than .0001) as the dominant overall predictor. In patients ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Newton ER,Prihoda TJ,Gibbs RS

    更新日期:1990-03-01 00:00:00

  • Determination of gestational age by serum concentrations of human chorionic gonadotropin.

    abstract::To examine the accuracy and predictability of human chorionic gonadotropin concentrations in determining gestational age, serum concentrations of human chorionic gonadotropin (beta-subunit) were measured during the first 157 days after last menses. Using the regression curve generated, human chorionic gonadotropin con...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Lagrew DC,Wilson EA,Jawad MJ

    更新日期:1983-07-01 00:00:00

  • Influence of an "opt-out" test strategy and patient factors on human immunodeficiency virus screening in pregnancy.

    abstract:OBJECTIVE:To estimate both human immunodeficiency virus (HIV) testing acceptance rates in pregnancy using an opt-out policy and patient characteristics influencing acceptance. METHODS:At the first prenatal visit, HIV testing was offered using an opt-out approach. Reasons for refusing testing were explored. Demographic...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000267497.39041.06

    authors: Yudin MH,Moravac C,Shah RR

    更新日期:2007-07-01 00:00:00