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BMC Women's Health Sep 2023Menstrual disturbances harm women's health, and general well-being. As growing evidence highlights the relationship between sleep and menstrual disturbances, it is...
BACKGROUND
Menstrual disturbances harm women's health, and general well-being. As growing evidence highlights the relationship between sleep and menstrual disturbances, it is imperative to comprehensively examine the association between sleep and menstrual disturbance considering the multiple dimensions of sleep. This systematic review aims to identify the association between sleep and menstrual disturbances by evaluating using Buysse's sleep health framework.
METHODS
A comprehensive search of the literature was conducted in PubMed, EMBASE, psychINFO, and CINAHL to identify publications describing any types of menstrual disturbances, and their associations with sleep published between January 1, 1988 to June 2, 2022. Quality assessment was conducted using the Joanna Briggs Institute Critical Appraisal Checklist for Analytical Cross-Sectional Studies. The findings were iteratively evaluated menstrual disturbances and their association with sleep using Buysse's sleep health framework. This framework understands sleep as multidimensional concept and provides a holistic framing of sleep including Satisfaction, Alertness during waking hours, Timing of sleep, Efficiency, and Sleep duration. Menstrual disturbances were grouped into three categories: premenstrual syndrome, dysmenorrhea, and abnormal menstrual cycle/heavy bleeding during periods.
RESULTS
Thirty-five studies were reviewed to examine the association between sleep and menstrual disturbances. Premenstrual syndrome and dysmenorrhea were associated with sleep disturbances in sleep health domains of Satisfaction (e.g., poor sleep quality), Alertness during waking hours (e.g., daytime sleepiness), Efficiency (e.g., difficulty initiating/maintaining sleep), and Duration (e.g., short sleep duration). Abnormal menstrual cycle and heavy bleeding during the period were related to Satisfaction, Efficiency, and Duration. There were no studies which investigated the timing of sleep.
CONCLUSIONS/IMPLICATIONS
Sleep disturbances within most dimensions of the sleep health framework negatively impact on menstrual disturbances. Future research should longitudinally examine the effects of sleep disturbances in all dimensions of sleep health with the additional objective sleep measure on menstrual disturbances. This review gives insight in that it can be recommended to provide interventions for improving sleep disturbances in women with menstrual disturbance.
Topics: Female; Humans; Dysmenorrhea; Cross-Sectional Studies; Menstruation Disturbances; Premenstrual Syndrome; Sleep; Sleep Wake Disorders
PubMed: 37658359
DOI: 10.1186/s12905-023-02629-0 -
American Family Physician May 2021
Topics: Dysmenorrhea; Exercise; Exercise Therapy; Female; Humans
PubMed: 33929165
DOI: No ID Found -
JPMA. the Journal of the Pakistan... Jul 2020To determine the frequency of primary dysmenorrhea and its association with body mass index in female students.
OBJECTIVE
To determine the frequency of primary dysmenorrhea and its association with body mass index in female students.
METHODS
The cross-sectional study was conducted from January to March, 2018, in two districts of Karachi, and comprised female undergraduate students aged 15-25 years who had reached menarche at an appropriate age. A semi-structured questionnaire was used to assess dysmenorrhea while Seca scale was used for nutritional status. The association between body mass index and dysmenorrhea was worked out statistically using SPSS 23.
RESULTS
Of the 410 students approached, 384(93.6%) responded. They had a mean age of 21±5.2 years. Dysmenorrhea was mild in 150(39%) subjects, 145(37.8%) moderate and 89(23.2%) severe. Overall, 273(71.1%) subjects had reached menarche aged 8-13 years. Dysmenorrhea was associated with radiating pain in 265(69%) and vomiting in 111(28.9%) subjects. Nutritional status was normal in 235(61.2%) subjects, 88(22.9%) were underweight, and 61(15.9%) were overweight and obese. Significant difference was observed in dysmenorrhea among underweight students (p<0.05). Age ?21 years also had a significant association with dysmenorrhea (p<0.05).
CONCLUSION
Dysmenorrhea was found to have a significant association with body mass index and age.
Topics: Adolescent; Adult; Body Mass Index; Child; Cross-Sectional Studies; Dysmenorrhea; Female; Humans; Prevalence; Students; Young Adult
PubMed: 32799302
DOI: 10.5455/JPMA.18303 -
Cellular and Molecular Biology... Mar 2023Dysmenorrhea is the combination of cramps and pain associated with the menstrual period, and the symptoms affect at least 30% of women worldwide. Tolerance to symptoms... (Review)
Review
Dysmenorrhea is the combination of cramps and pain associated with the menstrual period, and the symptoms affect at least 30% of women worldwide. Tolerance to symptoms depends on each person's pain threshold; however, dysmenorrhea seriously affects daily activities and chronically reduces the quality of life. Some dysmenorrhea cases even require hospitalization due to unbearable symptoms of severe pain. Dysmenorrhea is an underestimated affectation and remains even in different first-world countries as a taboo subject, promoted by the establishment of an apparent policy of gender equality. A person with primary or secondary dysmenorrhea requires medical assistance in choosing the best treatment and an integral approach. This review intends to demonstrate the impact of dysmenorrhea on quality of life. We describe the pathophysiology of this disorder from a molecular point of view and perform a comprehensive compilation and analysis of the most critical findings in the therapeutic management of dysmenorrhea. Likewise, we propose an interdisciplinary approach to the phenomenon of dysmenorrhea at the cellular level in a concise way and the botanical, pharmacological, and medical applications for its management. Since dysmenorrhea symptoms can vary between individuals, medical treatment cannot be generalized and depends on each patient. Therefore, we hypothesized that a suitable strategy could result from the combination of pharmacological therapy aided by a non-pharmacological approach.
Topics: Female; Humans; Dysmenorrhea; Quality of Life; Pain Measurement
PubMed: 37300689
DOI: 10.14715/cmb/2023.69.3.7 -
Pain Medicine (Malden, Mass.) Sep 2023Dysmenorrhea is pelvic pain associated with menstruation and is one of the most common pain conditions among reproductive-age women. It is commonly treated with... (Meta-Analysis)
Meta-Analysis Review
Dysmenorrhea is pelvic pain associated with menstruation and is one of the most common pain conditions among reproductive-age women. It is commonly treated with medications, complementary and alternative medicine, and self-management techniques. However, there is increased focus on psychological interventions which modify thoughts, beliefs, emotions, and behavioral responses to dysmenorrhea. This review examined the efficacy of psychological interventions on dysmenorrhea pain severity and interference. We conducted a systematic search of the literature using PsycINFO, PubMed, CINHAL, and Embase. A total of 22 studies were included; 21 examined within-group improvement (ie, within-group analysis) and 14 examined between-group improvement (ie, between-group analysis). Random-effects meta-analyses were conducted on pain severity and interference, with average effect sizes calculated using Hedges's g. Within-group analyses showed decreased pain severity and interference at post-treatment (g = 0.986 and 0.949, respectively) and first follow-up (g = 1.239 and 0.842, respectively). Between-group analyses showed decreased pain severity at post-treatment (g = 0.909) and decreased pain severity and interference at first follow-up (g = 0.964 and 0.884, respectively) compared to control groups. This review supports the efficacy of psychological interventions for dysmenorrhea, but conclusions are tempered by suboptimal methodological quality of the included studies and high heterogeneity across studies. Additional, rigorous research is needed to determine the clinical utility of psychological interventions for dysmenorrhea.
Topics: Female; Humans; Dysmenorrhea; Psychosocial Intervention; Pelvic Pain
PubMed: 37154693
DOI: 10.1093/pm/pnad058 -
Spinal Cord Aug 2022This was a single-centre, prospective, descriptive, hospital-based study in females with spinal cord injuries (SCI).
STUDY DESIGN
This was a single-centre, prospective, descriptive, hospital-based study in females with spinal cord injuries (SCI).
OBJECTIVES
To study menstrual changes after SCI.
SETTING
The in-patient and out-patient services of the Department of Physical Medicine and Rehabilitation of a tertiary care institute in India between October 2018 and October 2020.
METHODS
SCI females who were included in the study answered a questionnaire regarding amenorrhea after injury, menstrual cycle regularity, frequency, duration, flow, dysmenorrhoea and presence of autonomic dysreflexia during menstruation. All the study related data was analysed using SPSS version 24. A p value < 0.05 was considered as statistically significant.
RESULTS
40 females were included. 31 (77.5%) had amenorrhea. The mean duration of return of menstruation was 2.65 months. There was significant reduction in the duration of menstrual flow (p value < 0.001), amount of flow (p value = 0.041) and dysmenorrhea (p value < 0.001) after SCI.
CONCLUSIONS
Amenorrhea was seen in 77.5% females. Most of them resumed their menstrual cycle. The menstruation duration and flow were reduced significantly. There is a need to address concerns and reassure females regarding resumption of menstruation after SCI.
Topics: Amenorrhea; Dysmenorrhea; Female; Humans; Male; Menstruation; Prospective Studies; Spinal Cord Injuries
PubMed: 35169301
DOI: 10.1038/s41393-022-00765-2 -
Gynecological Endocrinology : the... Apr 2021Primary dysmenorrhea (PD) is the most common gynecologic disorder during adolescence and it is characterized by crampy lower abdominal pain that occurs during... (Review)
Review
Primary dysmenorrhea (PD) is the most common gynecologic disorder during adolescence and it is characterized by crampy lower abdominal pain that occurs during menstruation. Secondary dysmenorrhea, in contrast, has the same clinical features but occurs in women with a disease that could account for their symptoms (endometriosis, adenomyosis, uterine fibroids, pelvic inflammatory disease). Endometriosis is the most common cause of secondary dysmenorrhea and it should be considered in patients with persistent and clinically significant dysmenorrhea despite treatment. It is often diagnosed after a long delay, increasing the likelihood of pain chronicity and fertility problems at a later age. Women who suffer from dysmenorrhea in adolescence have higher risk of endometriosis in future. The open question is if endometriosis was already present at the onset of dysmenorrhea but undiagnosed or if PD favors subsequent development of endometriosis-associated pain. Since PD is associated with higher risk for developing chronic pain state and shares some of the same pain pathways of endometriosis (prostaglandins overproduction, inflammation, peripheral sensitization, central sensitization and abnormal stress responses), a correlation between PD and endometriosis is suggested. To know whether it is a risk factor for the development of endometriosis-associated pain may provide an opportunity for early intervention and prevention. The present review aims to investigate the clinical and pathogenetic features of PD and endometriosis in order to identify a possible association between the two conditions.
Topics: Contraceptives, Oral, Combined; Dysmenorrhea; Endometriosis; Female; Humans; Inflammation; Pelvic Pain; Risk Factors
PubMed: 33569996
DOI: 10.1080/09513590.2021.1878134 -
Journal of Acupuncture and Meridian... Apr 2021Primary dysmenorrhea is defined as cramping pain in the lower abdomen with no pelvic diseases, and it has a high prevalence in many countries. Acupressure is a widely... (Review)
Review
Primary dysmenorrhea is defined as cramping pain in the lower abdomen with no pelvic diseases, and it has a high prevalence in many countries. Acupressure is a widely used complementary treatment method for primary dysmenorrhea. This review examined experimental studies to determine the effects of acupressure on primary dysmenorrhea using the databases PubMed, Google Scholar, and CINAHL with the keywords "Acupressure" and "Dysmenorrhea". There were 2227 records in the databases, and 330 articles were published between 1989 and March 2020. Experimental studies in the English language were reviewed according to the PRISMA guidelines. This review included 28 published studies that were assessed using the Jadad score for quality. The studies were categorized as studies of acupressure at the LR3 point (n = 4), at the SP6 point (n = 9), at auricular points (n = 5), at multiple points (n = 8), and with devices (n = 2). Moreover, studies of self-acupressure (n = 9) were identified. The studies demonstrated that acupressure could reduce menstrual symptoms, the severity and duration of menstrual pain, distress, and anxiety. Furthermore, it helped improve the quality of life and well-being of patients and provide psychological support and self-care. Acupressure is an inexpensive, easy-to-apply, and non-pharmacological treatment and is useful for reducing primary dysmenorrhea, and women can apply this method anywhere by themselves. However, high-quality randomized controlled trials with larger samples are necessary to establish the evidence for acupressure as an effective intervention.
Topics: Acupressure; Acupuncture Points; Dysmenorrhea; Female; Humans; Quality of Life; Research Design
PubMed: 35770538
DOI: 10.51507/j.jams.2021.14.2.33 -
Health Care For Women International Sep 2022This descriptive and cross-sectional study was conducted to investigate the prevalence of factors affecting dysmenorrhea and its effects on work life among nurses in...
This descriptive and cross-sectional study was conducted to investigate the prevalence of factors affecting dysmenorrhea and its effects on work life among nurses in Turkey. In total, 574 nurses were included. The prevalence of dysmenorrhea was 69.9%, and 86.0% of the nurses suffered from moderate and severe dysmenorrhea. According to the severity of dysmenorrhea, work satisfaction, work performance, quality of service, communication problems with teammates and patients/patient relatives, official leave of absence and requests for sick leave significantly differed. Therefore, prevalence and severity of dysmenorrhea are high in nurses, and problems experienced in the workplace differ according to its severity.
Topics: Cross-Sectional Studies; Dysmenorrhea; Female; Hospitals; Humans; Job Satisfaction; Surveys and Questionnaires; Workplace
PubMed: 33021897
DOI: 10.1080/07399332.2020.1800015 -
Fertility and Sterility Apr 2023To evaluate the prevalence on magnetic resonance imaging (MRI) of ovarian endometrioma (OMA) and deep infiltrating endometriosis (DIE) in adolescents presenting with...
OBJECTIVE
To evaluate the prevalence on magnetic resonance imaging (MRI) of ovarian endometrioma (OMA) and deep infiltrating endometriosis (DIE) in adolescents presenting with severe dysmenorrhea.
DESIGN
Prospective study.
SETTING
Clinic.
PATIENT(S)
A total of 345 adolescents aged 12-20 years referred to the radiologic MRI department unit between September 2019 and June 2020.
INTERVENTION(S)
Multiplanar pelvic MRI with cine MRI was performed. Data on the medical history with systematic questioning were collected for each patient before the scan.
MAIN OUTCOME MEASURE(S)
Data on the endometriosis phenotypes (OMA and/or DIE), distribution of anatomical lesions, and adenomyosis were evaluated and recorded using a dedicated MRI spreadsheet. Myometrial contractions were systematically reported for each case. The data were correlated with the characteristics of the patients and severity of painful symptoms evaluated using a visual analog scale.
RESULT(S)
The prevalence rates of endometriosis and adenomyosis were 39.3% (121 patients) and 11.4% (35 patients), respectively. Among the adolescents with endometriosis, 25 (20.7%) presented with OMA, and 107 (88.4%) presented with DIE. The odds ratios (confidence intervals) for each pairwise comparison between the age distributions were 2.3 (1.4-3.8) for 15-18 vs. <15 years of age and 3.3 (1.2-8.5) for 18-20 vs. <15 years of age, highlighting a predominance of cases after 18 years of age. Uterine contractions were visualized in 34.4% of cases, with no particular association with endometriosis. No clinical risk factor was identified as being particularly associated with endometriosis. Notably, the visual analog scale score was the same for cases with and without endometriosis.
CONCLUSION(S)
Severe endometriosis phenotypes (OMA and/or DIE) can be observed in adolescents with intense dysmenorrhea, with a linear increase in prevalence over time resulting in a clear predominance after 18 years of age. Endometriosis in adolescents is a challenging clinical problem with a long delay in diagnosis. Imaging can help reduce this delay in young patients with suggestive symptoms.
CLINICAL TRIAL REGISTRATION NUMBER
NCT05153512.
Topics: Female; Humans; Pregnancy; Adenomyosis; Dysmenorrhea; Endometriosis; Magnetic Resonance Imaging; Prevalence; Prospective Studies
PubMed: 36592649
DOI: 10.1016/j.fertnstert.2022.12.039