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Dysmenorrhö: Diagnostik und Therapie

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Die Gynäkologie

Part of the book series: Springer Reference Medizin ((SRM))

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Zusammenfassung

Als Dysmenorrhö werden schmerzhafte Menstruationsblutungen bezeichnet. Verursacht werden die Schmerzen werden dabei durch eine vermehrte Sekretion von Prostaglandinen und durch eine gesteigerte uterine Kontraktilität. Man unterscheidet zwischen einer primären Dysmenorrhö (keine organische Pathologie erkennbar) und einer sekundären Dysmenorrhö (beruhend auf verschiedensten organischen Pathologien). Die Diagnosestellung erfolgt überwiegend anhand einer ausführlichen Anamnese und klinischen Untersuchung. Zum Ausschluss einer sekundären Dysmenorrhö hilft eine Vaginalsonografie weiter. Therapieoptionen umfassen nicht-steroidale Antiphlogistika, orale Kontrazeptiva, aber auch physikalische Maßnahmen.

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Literatur

  • Akin MD, Weingand KW et al (2001) Continuous low-level topical heat in the treatment of dysmenorrhea. Obstet Gynecol 97(3):343–349

    CAS  PubMed  Google Scholar 

  • Benagiano G, Brosens I et al (2015) Adenomyosis: a life-cycle approach. Reprod BioMed Online 30(3):220–232

    Article  CAS  PubMed  Google Scholar 

  • Berkley KJ, McAllister SL (2011) Don’t dismiss dysmenorrhea! Pain 152(9):1940–1941

    Article  PubMed  Google Scholar 

  • Brown J, Brown S (2010) Exercise for dysmenorrhoea. Cochrane Database Syst Rev (2):CD004142

    Google Scholar 

  • Campbell MA, McGrath PJ (1999) Non-pharmacologic strategies used by adolescents for the management of menstrual discomfort. Clin J Pain 15(4):313–320

    Article  CAS  PubMed  Google Scholar 

  • Coco AS (1999) Primary dysmenorrhea. Am Fam Physician 60(2):489–496

    CAS  PubMed  Google Scholar 

  • Cox DJ (1977) Menstrual symptom questionnaire: further psychometric evaluation. Behav Res Ther 15(6):506–508

    Article  CAS  PubMed  Google Scholar 

  • Dawood MY (1986) Current concepts in the etiology and treatment of primary dysmenorrhea. Acta Obstet Gynecol Scand Suppl 138:7–10

    Article  CAS  PubMed  Google Scholar 

  • Dawood MY (2006) Primary dysmenorrhea: advances in pathogenesis and management. Obstet Gynecol 108(2):428–441

    Article  PubMed  Google Scholar 

  • Edelman A, Micks E, Gallo MF, Jensen JT, Grimes DA (2014) Continuous or extended cycle vs. cyclic use of combined hormonal contraceptives for contraception. Cochrane Database Syst Rev (7):CD004695

    Google Scholar 

  • Fall M, Baranowski AP et al (2010) EAU guidelines on chronic pelvic pain. Eur Urol 57(1):35–48

    Article  PubMed  Google Scholar 

  • French L (2008) Dysmenorrhea in adolescents: diagnosis and treatment. Paediatr Drugs 10(1):1–7

    Article  PubMed  Google Scholar 

  • Harel Z (2004) Cyclooxygenase-2 specific inhibitors in the treatment of dysmenorrhea. J Pediatr Adolesc Gynecol 17(2):75–79

    Article  PubMed  Google Scholar 

  • Harlow SD, Ephross SA (1995) Epidemiology of menstruation and its relevance to women’s health. Epidemiol Rev 17(2):265–286

    Article  CAS  PubMed  Google Scholar 

  • Harlow SD, Park M (1996) A longitudinal study of risk factors for the occurrence, duration and severity of menstrual cramps in a cohort of college women. Br J Obstet Gynaecol 103(11):1134–1142

    Article  CAS  PubMed  Google Scholar 

  • Iacovides S, Avidon I et al (2015) What we know about primary dysmenorrhea today: a critical review. Hum Reprod Update 21(6):762–778

    Article  CAS  PubMed  Google Scholar 

  • Janssen EB, Rijkers AC et al (2013) Prevalence of endometriosis diagnosed by laparoscopy in adolescents with dysmenorrhea or chronic pelvic pain: a systematic review. Hum Reprod Update 19(5):570–582

    Article  CAS  PubMed  Google Scholar 

  • Ju H, Jones M et al (2014) The prevalence and risk factors of dysmenorrhea. Epidemiol Rev 36:104–113

    Article  PubMed  Google Scholar 

  • Juang CM, Yen MS et al (2006) Natural progression of menstrual pain in nulliparous women at reproductive age: an observational study. J Chin Med Assoc 69(10):484–488

    Article  PubMed  Google Scholar 

  • Latthe PM, Proctor ML et al (2007) Surgical interruption of pelvic nerve pathways in dysmenorrhea: a systematic review of effectiveness. Acta Obstet Gynecol Scand 86(1):4–15

    Article  CAS  PubMed  Google Scholar 

  • Marjoribanks J, Ayeleke RO et al (2015) Nonsteroidal anti-inflammatory drugs for dysmenorrhoea. Cochrane Database Syst Rev 7:CD001751

    Google Scholar 

  • Matthewman G, Lee A, Kaur JG, Daley AJ (2018) Physical activity for primary dysmenorrhea: a systematic review and meta-analysis of randomized controlled trials. Am J Obstet Gynecol 219:255.e1–255.e20

    Article  Google Scholar 

  • McGovern CE, Cheung C (2018) Yoga and quality of life in women with primary dysmenorrhea: a systematic review. J Midwifery Womens Health. https://doi.org/10.1111/jmwh.12729

  • Morrow C, Naumburg EH (2009) Dysmenorrhea. Prim Care 36(1):19–32, vii

    Article  PubMed  Google Scholar 

  • Osayande AS, Mehulic S (2014) Diagnosis and initial management of dysmenorrhea. Am Fam Physician 89(5):341–346

    PubMed  Google Scholar 

  • Parazzini F, Tozzi L et al (1994) Cigarette smoking, alcohol consumption, and risk of primary dysmenorrhea. Epidemiology 5(4):469–472

    Article  CAS  PubMed  Google Scholar 

  • Parker MA, Sneddon AE, Arbon P (2010) The menstrual disorder of teenagers (MDOT) study: determining typical menstrual patterns and menstrual disturbance in a large population-based study of Australian teenagers. BJOG 117:185–192

    Article  CAS  PubMed  Google Scholar 

  • Patel V, Tanksale V et al (2006) The burden and determinants of dysmenorrhoea: a population-based survey of 2262 women in Goa, India. BJOG 113(4):453–463

    Article  CAS  PubMed  Google Scholar 

  • Prentice A, Deary AJ et al (2000) Gonadotrophin-releasing hormone analogues for pain associated with endometriosis. Cochrane Database Syst Rev (2):CD000346

    Google Scholar 

  • Proctor M, Farquhar C (2002) Dysmenorrhoea. Clin Evid (7):1639–1653

    Google Scholar 

  • Proctor M, Farquhar C (2006) Diagnosis and management of dysmenorrhoea. BMJ 332(7550):1134–1138

    Article  PubMed  PubMed Central  Google Scholar 

  • Proctor ML, Farquhar CM (2007) Dysmenorrhoea. BMJ Clin Evid 2007:0813 [PMCID: PMC2943779]

    Google Scholar 

  • Proctor ML, Smith CA et al (2002) Transcutaneous electrical nerve stimulation and acupuncture for primary dysmenorrhoea. Cochrane Database Syst Rev (1):CD002123

    Google Scholar 

  • Proctor ML, Murphy PA et al (2007) Behavioural interventions for primary and secondary dysmenorrhoea. Cochrane Database Syst Rev (3):CD002248

    Google Scholar 

  • Ruoff G, Lema M (2003) Strategies in pain management: new and potential indications for COX-2 specific inhibitors. J Pain Symptom Manag 25(2 Suppl):S21–S31

    Article  CAS  Google Scholar 

  • Sandahl B, Ulmsten U et al (1979) Trial of the calcium antagonist nifedipine in the treatment of primary dysmenorrhoea. Arch Gynecol 227(2):147–151

    Article  CAS  PubMed  Google Scholar 

  • Selak V, Farquhar C et al (2007) Danazol for pelvic pain associated with endometriosis. Cochrane Database Syst Rev (4):CD000068

    Google Scholar 

  • Slap GB (2003) Menstrual disorders in adolescence. Best Pract Res Clin Obstet Gynaecol 17(1):75–92

    Article  PubMed  Google Scholar 

  • Stoelting-Gettelfinger W (2010) A case study and comprehensive differential diagnosis and care plan for the three Ds of women’s health: primary dysmenorrhea, secondary dysmenorrhea, and dyspareunia. J Am Acad Nurse Pract 22(10):513–522

    Article  PubMed  Google Scholar 

  • Weissman AM, Hartz AJ et al (2004) The natural history of primary dysmenorrhoea: a longitudinal study. BJOG 111(4):345–352

    Article  PubMed  Google Scholar 

  • Wong CL, Farquhar C et al (2009) Oral contraceptive pill for primary dysmenorrhoea. Cochrane Database Syst Rev (4):CD002120

    Google Scholar 

  • Woo HL, Ji HR, Pak YK, Lee H, Heo SJ, Lee JM, Park KS (2018) The efficacy and safety of acupuncture in women with primary dysmenorrhea: a systematic review and meta-analysis. Medicine (Baltimore) 97:e11007

    Article  Google Scholar 

  • Yunus MB (2007) Role of central sensitization in symptoms beyond muscle pain, and the evaluation of a patient with widespread pain. Best Pract Res Clin Rheumatol 21(3):481–497

    Article  PubMed  Google Scholar 

  • Yunus MB (2008) Central sensitivity syndromes: a new paradigm and group nosology for fibromyalgia and overlapping conditions, and the related issue of disease versus illness. Semin Arthritis Rheum 37(6):339–352

    Article  PubMed  Google Scholar 

  • Zahradnik HP, Hanjalic-Beck A et al (2010) Nonsteroidal anti-inflammatory drugs and hormonal contraceptives for pain relief from dysmenorrhea: a review. Contraception 81(3):185–196

    Article  CAS  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Endokrinologikum Hamburg, Hamburg, Deutschland

    Sabine Segerer

  2. Amedes experts, Hamburg, Deutschland

    Sabine Segerer

Authors
  1. Sabine Segerer
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Correspondence to Sabine Segerer .

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Editors and Affiliations

  1. Otto-von-Guericke-Universität Universitäts-Frauenklinik, Magdeburg, Deutschland

    Serban-Dan Costa

  2. Abt. Gynäkologie, Klinikum St. Marien Amberg Frauenklinik, Amberg, Deutschland

    Anton Scharl

  3. Abt. Gynäkol. Endokrinologie, Univ.Klinik für Frauenheilkunde, Bern, Schweiz

    Petra Stute

  4. Frauenklinik, Universität Ulm, Ulm, Baden-Württemberg, Deutschland

    Wolfgang Janni

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Segerer, S. (2021). Dysmenorrhö: Diagnostik und Therapie. In: Costa, SD., Scharl, A., Stute, P., Janni, W. (eds) Die Gynäkologie. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-47329-0_16-1

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  • DOI: https://doi.org/10.1007/978-3-662-47329-0_16-1

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  • Print ISBN: 978-3-662-47329-0

  • Online ISBN: 978-3-662-47329-0

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