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Scope of the Problems

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Dysmenorrhea and Menorrhagia

Abstract

Pain, whether acute, chronic, or recurring, is a major source of morbidity and disability, costing uncounted billions of dollars annually in both direct and indirect costs. The diagnosis and treatment of pain have taken on increased importance in recent years and are now identified as a “vital sign” by the Joint Commission on Accreditation Healthcare Organizations (JCAHO). The treatment of both acute and chronic pain with opiate pain relievers has led to a national crisis over opiate abuse and dependence. For women, pelvic pain is by far the most common type of pain complaint for which treatment is sought. The cyclic pain of dysmenorrhea has been estimated to affect up to 80% of women at some point in their life, with 50% or more experiencing it on a regular basis. Without access to effective treatments, this scope of incapacity should be intolerable to any developed society.

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References

  1. Collett B. Visceral pain: the importance of pain management services. Br J Pain. 2013;7(1):6–7.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Nur Azurah AG, Sanci L, Moore E, Grover S. The quality of life of adolescents with menstrual problems. J Pediatr Adolesc Gynecol. 2013;26(2):102–8.

    Article  PubMed  Google Scholar 

  3. Burnett MA, Antao V, Black A, et al. Prevalence of primary dysmenorrhea in Canada. J Obstet Gynaecol Can. 2005;27:765–70.

    Article  PubMed  Google Scholar 

  4. Klein JR, Litt IF. Epidemiology of adolescent dysmenorrhea. Pediatrics. 1981;68:661–4.

    CAS  PubMed  Google Scholar 

  5. Andersch B, Milson I. An epidemiologic study of young women with dysmenorrhea. Am J Obstet Gynecol. 1982;144:655–60.

    Article  CAS  PubMed  Google Scholar 

  6. Ortiz MI. Primary dysmenorrhea among Mexican university students: prevalence, impact and treatment. Eur J Obstet Gynecol Reprod Biol. 2010;152:73–7.

    Article  PubMed  Google Scholar 

  7. Polat A, Celik H, Gurates B, et al. Prevalence of primary dysmenorrhea in young adult female university students. Arch Gynecol Obstet. 2009;279:527–32.

    Article  PubMed  Google Scholar 

  8. Hillen TI, Grbavac SL, Johnston PJ, et al. Primary dysmenorrhea in young Western Australian women: prevalence, impact, and knowledge of treatment. J Adolesc Health. 1999;25:40–5.

    Article  CAS  PubMed  Google Scholar 

  9. Agarwal A, Venkat A. Questionnaire study on menstrual disorders in adolescent girls in Singapore. J Pediatr Adolesc Gynecol. 2009;22:365–71.

    Article  PubMed  Google Scholar 

  10. Kamel DM, Tantawy SA, Abdelsamea GA. Experience of dysmenorrhea among a group of physical therapy students from Cairo University: an exploratory study. J Pain Res. 2017;10:1079–85.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Subasinghe AK, Happo L, Jayasinghe YL, Garland SM, Gorelik A, Wark JD. Prevalence and severity of dysmenorrhoea, and management options reported by young Australian women. Aust Fam Physician. 2016;45(11):829–34.

    PubMed  Google Scholar 

  12. De Sanctis V, Soliman AT, Elsedfy H, Soliman NA, Soliman R, El Kholy M. Dysmenorrhea in adolescents and young adults: a review in different country. Acta Biomed. 2017;87(3):233–46.

    PubMed  Google Scholar 

  13. Abd El-Mawgod MM, Alshaibany AS, Al-Anazi AM. Epidemiology of dysmenorrhea among secondary-school students in Northern Saudi Arabia. J Egypt Public Health Assoc. 2016;91(3):115–9.

    Article  PubMed  Google Scholar 

  14. Iacovides S, Avidon I, Baker FC. What we know about primary dysmenorrhea today: a critical review. Hum Reprod Update. 2015;21(6):762–78.

    Article  PubMed  Google Scholar 

  15. Smith RP. Gynecology in primary care. Baltimore, MD: Williams and Wilkins; 1996. p. 471–500.

    Google Scholar 

  16. Hoppenbrouwers K, Roelants M, Meuleman C, et al. Characteristics of the menstrual cycle in 13-year-old Flemish girls and the impact of menstrual symptoms on social life. Eur J Pediatr. 2016;175(5):623–30.

    Article  PubMed  Google Scholar 

  17. De Sanctis V, Soliman A, Bernasconi S, et al. Primary dysmenorrhea in adolescents: prevalence, impact and recent knowledge. Pediatr Endocrinol Rev. 2015;13(2):512–20.

    PubMed  Google Scholar 

  18. Grandi G, Ferrari S, Xholli A, et al. Prevalence of menstrual pain in young women: what is dysmenorrhea? J Pain Res. 2012;5:169–74.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Svanborg L, Ulmsten U. The incidence of primary dysmenorrhea in teenagers. Arch Gynecol. 1981;230:173–7.

    Article  Google Scholar 

  20. Sundell G, Milsom I, Andersch B. Factors influencing the prevalence and severity of dysmenorrhoea in young women. Br J Obstet Gynaecol. 1990;97:588–94.

    Article  CAS  PubMed  Google Scholar 

  21. Weissman AM, Hartz AJ, Hansen MD, Johnson SR. The natural history of primary dysmenorrhea: a longitudinal study. BJOG. 2004;111:345–52.

    Article  PubMed  Google Scholar 

  22. Kural M, Noor NN, Pandit D, Joshi T, Patil A. Menstrual characteristics and prevalence of dysmenorrhea in college going girls. J Family Med Prim Care. 2015;4(3):426–31.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Zhu X, Wong F, Bensoussan A, Lo SK, Zhou C, Yu J. Are there any cross-ethnic differences in menstrual profiles? A pilot comparative study on Australian and Chinese women with primary dysmenorrhea. J Obstet Gynaecol Res. 2010;36(5):1093–101.

    Article  PubMed  Google Scholar 

  24. Westling AM, Tu FF, Griffith JW, Hellman KM. The association of dysmenorrhea with noncyclic pelvic pain accounting for psychological factors. Am J Obstet Gynecol. 2013;209(5):422.e1–10.

    Article  Google Scholar 

  25. Wildholm O. Dysmenorrhea during adolescence. Acta Obstet Gynaecol Scand. 1979;87(Suppl):61–6.

    Article  Google Scholar 

  26. Zhang WY, Li Wan Po A. Efficacy of minor analgesics in primary dysmenorrhoea: a systematic review. Br J Obstet Gynaecol. 1998;105:780–9.

    Article  CAS  PubMed  Google Scholar 

  27. Campbell MA, McGrath PJ. Non-pharmacologic strategies used by adolescents for the management of menstrual discomfort. Clin J Pain. 1999;15:313–20.

    Article  CAS  PubMed  Google Scholar 

  28. Campbell MA, McGrath PJ. Use of medication by adolescents for the management of menstrual discomfort. Arch Pediatr Adolesc Med. 1997;151:905–13.

    Article  CAS  PubMed  Google Scholar 

  29. Johnson J. Level of knowledge among adolescent girls regarding effective treatment for dysmenorrhea. J Adolesc Health. 1988;9:398–402.

    Article  CAS  Google Scholar 

  30. Jung HS, Lee J. Prevalence of primary dysmenorrhea in young adult female university students. Eur J Obstet Gynecol Reprod Biol. 2013;170(2):480–6.

    Article  PubMed  Google Scholar 

  31. Karlsson TS, Marions LB, Edlund MG. Heavy menstrual bleeding significantly affects quality of life. Acta Obstet Gynecol Scand. 2014;93:52–7.

    Article  PubMed  Google Scholar 

  32. Santos IS, Minten GC, Valle NC, et al. Menstrual bleeding patterns: a community-based cross-sectional study among women aged 18–45 years in Southern Brazil. BMC Womens Health. 2011;11:26–33.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Friberg B, Ornö AK, Lindgren A, Lethagen S. Bleeding disorders among young women: a population-based prevalence study. Acta Obstet Gynecol Scand. 2006;85:200–6.

    Article  PubMed  Google Scholar 

  34. Hallberg L, Hogdahl AM, Nilsson L, Rybo G. Menstrual blood loss – a population study. Acta Obstet Gynaecol Scand. 1966;45:320–51.

    Article  CAS  Google Scholar 

  35. Chimbira TH, Anderson ABM, Turnbull AC. Relation between measured menstrual loss and the patient’s subjective assessment of loss, duration of bleeding, numbers of sanitary towels used, uterine weight and endometrial surface area. Br J Obstet Gynaecol. 1980;87:603–8.

    Article  CAS  PubMed  Google Scholar 

  36. Munro MG, Critchley HO, Fraser IS. The FIGO systems for nomenclature and classification of causes of abnormal uterine bleeding in the reproductive years: who needs them? Am J Obstet Gynecol. 2012;207:259–65.

    Article  PubMed  Google Scholar 

  37. Haynes PJ, Hodgson H, Anderson ABM, Turnbull AC. Measurement of menstrual blood loss in patients complaining of menorrhagia. Br J Obstet Gynaecol. 1977;84:763–8.

    Article  CAS  PubMed  Google Scholar 

  38. Fraser IS, MaCarron G, Markham R, Resta T. Blood and total fluid content of menstrual discharge. Obstet Gynecol. 1985;65:194–8.

    CAS  PubMed  Google Scholar 

  39. Schumacher U, Schumacher J, Mellinger U, Gerlinger C, Wienke A, Endrikat J. Estimation of menstrual blood loss volume based on menstrual diary and laboratory data. BMC Womens Health. 2012;12:24–31.

    Article  PubMed  PubMed Central  Google Scholar 

  40. Higham JM, O’Brien PM, Shaw RM. Assessment of menstrual blood loss using a pictorial chart. Br J Obstet Gynaecol. 1990;8:734–9.

    Article  Google Scholar 

  41. Grabell J, Albert S, Young J, et al. Generation and optimization of the self-administered bleeding assessment tool and its validation as a screening test for von Willebrand disease. Haemophilia. 2015;21(5):e384–8.

    Article  PubMed  PubMed Central  Google Scholar 

  42. Pawar A, Krishnan R, Davis K, Bosma K, Kulkarni R. Perceptions about quality of life in a school-based population of adolescents with menorrhagia: implications for adolescents with bleeding disorders. Haemophilia. 2008;14:579–83.

    Article  CAS  PubMed  Google Scholar 

  43. Wang W, Bourgeois T, Klima J, Berlan ED, Fischer AN, O’Brien SH. Iron deficiency and fatigue in adolescent females with heavy menstrual bleeding. Haemophilia. 2013;19:225–30.

    Article  PubMed  Google Scholar 

  44. Taylor S, Rampton D. Treatment of iron deficiency anemia: practical considerations. Pol Arch Med Wewn. 2015;125:452–60.

    PubMed  Google Scholar 

  45. Bruinvels G, Burden R, Brown N, Richards T, Pedlar C. The prevalence and impact of heavy menstrual bleeding (menorrhagia) in elite and non-elite athletes. PLoS One. 2016;11(2):e0149881.

    Article  PubMed  PubMed Central  Google Scholar 

  46. Fraser IS, Mansour D, Breymann C, Hoffman C, Mezzacasa A, Petraglia F. Prevalence of heavy menstrual bleeding and experiences of affected women in a European patient survey. Int J Gynaecol Obstet. 2015;128:196–200.

    Article  PubMed  Google Scholar 

  47. McCormick A, Fleming D, Charlton J. Morbidity statistics from general practice: fourth national study 1991–1992. London: HMSO; 1995.

    Google Scholar 

  48. Coulter A, Bradlow J, Agass M, Martin-Bates C, Tulloch A. Outcomes of referrals to gynaecology outpatient clinics for menstrual problems: an audit of general practice records. Br J Obstet Gynaecol. 1991;98:789–96.

    Article  CAS  PubMed  Google Scholar 

  49. Royal College of Obstetricians and Gynaecologists. RCOG evidence-based clinical guideline number 1: the initial management of menorrhagia. London: RCOG; 1998.

    Google Scholar 

  50. James AH, Ragni MV, Picozzi VJ. Bleeding disorders in premenopausal women: (another) public health crisis for hematology? Hematology Am Soc Hematol Educ Program. 2006;2006:474–85.

    Google Scholar 

Additional Resources

  • A general review:

    Google Scholar 

  • Davies J, Kadir RA. Heavy menstrual bleeding: an update on management. Thromb Res. 2017;151(Suppl 1):S70–7.

    Article  CAS  PubMed  Google Scholar 

  • Practice Bulletins from the American College of Obstetricians and Gynecologists:

    Google Scholar 

  • American College of Obstetricians and Gynecologists. Diagnosis of abnormal uterine bleeding in reproductive-aged women. Practice Bulletin No. 128. Obstet Gynecol. 2012;120:197–206.

    Article  Google Scholar 

  • American College of Obstetricians and Gynecologists. Noncontraceptive uses of hormonal contraceptives. Practice Bulletin No. 110. Obstet Gynecol. 2010;115:206–18.

    Article  Google Scholar 

  • An excellent compilation of studies:

    Google Scholar 

  • National Collaborating Centre for Women’s and Children’s Health (UK). Heavy menstrual bleeding. London: RCOG Press; 2007. January (NICE Clinical Guidelines, No. 44).

    Google Scholar 

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Authors and Affiliations

  1. Florida Atlantic University, Boca Raton, Florida, USA

    Roger P. Smith

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  1. Roger P. Smith
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Smith, R.P. (2018). Scope of the Problems. In: Dysmenorrhea and Menorrhagia. Springer, Cham. https://doi.org/10.1007/978-3-319-71964-1_2

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  • DOI: https://doi.org/10.1007/978-3-319-71964-1_2

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-71963-4

  • Online ISBN: 978-3-319-71964-1

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