Investigating the Burden and Predictors of Neurological and Gastrointestinal Symptoms in Women with Dysmenorrhea
DOI:
https://doi.org/10.46568/bios.v6i1-2.229Keywords:
BMI, Blood pressure, dysmenorrhea, , blood glucose, mood changesAbstract
Dysmenorrhea is one of the most common gynecological problems throughout the world. Dysmenorrhea is defined as pain in lower anterior pelvic area associated with periods. It can also be defined as difficulty in menstruation or painful menstruation due to reduction in blood flow and concomitant uterine ischemia.
The present study was cross sectional study conducted on 300 individuals (200 patients and 100 controls). The subject’s profile, the anthropometric measurement (BMI, waist to hip ratio and percent body fats), vitals (B.P, pulse rate, pulse pressure) and stress score was recorded. The neurologic and GIT symptoms associated with dysmenorrhea, menstrual history, eating habits and personal medical history was also determined by using a questionnaire.
The participants of the study (age 18 to 24 years), mean 20.79 ± 1.56 with a mean BMI of 19.98 ± 3.72, mean W/H ratio of 0.80 ± 0.60, mean percent body fats of 23.15 ± 4.40, mean stress score of 19.81 ± 20.75. Various dysmenorrhea symptoms such as nausea, vomiting, abdominal bloating, aggressive behavior, depression, dull or cry mood, sleeplessness, irritability, headache, lack of control and guilty feeling shows a significant difference (p <0.05) between patients and controls. Limitation of activities, menorrhagia, pain in abdomen, thighs, low back also shows a significant difference (p <0.0.5) between patients and controls.
Hence, It is concluded that dysmenorrhea symptoms in Pakistani females associated with GIT and neurological symptoms were common in females such as abdominal bloating, aggressive behavior and mood disturbances.
References
Akyuz A, Kuguoglu S, Akyol A. Evaluating dysmenorrhea in a sample of Turkish nursing students. Pain Manag Nurs. 2014;15(3):664–671.
Smith RP. The clinical classification and causes of dysmenorrhea. InDysmenorrhea and Menorrhagia: A Clinician’s Guide 2018 Jan 11 (pp. 55-64). Cham: Springer International Publishing.
Ayadilord M, Mahmoudzadeh S, Hoseini ZS, Askari M, Rezapour H, Saharkhiz M, et al. Neuropsychological function is related to irritable bowel syndrome in women with premenstrual syndrome and dysmenorrhea. Arch Gynecol Obstet. 2020;302(4):915–923.
Itani R, Soubra L, Karout S, Rahme D, Karout L, Khojah HM. Primary dysmenorrhea: pathophysiology, diagnosis, and treatment updates. Korean J Fam Med. 2022;43(2):101–108.
Francavilla R, Petraroli M, Messina G, Stanyevic B, Bellani AM, Esposito SM, et al. Dysmenorrhea: epidemiology, causes and current state of the art for treatment. Clin Exp Obstet Gynecol. 2023;50(12):274.
Yamamoto Y, Furukawa S, Watanabe J, Miyake T, Kato A, Kusumoto K, et al. Association between menstrual pain and functional dyspepsia in a Japanese young population. Neurogastroenterol Motil. 2022;34(8):e14324.
Affaitati G, Costantini R, Fiordaliso M, Giamberardino MA, Tana C. Pain from internal organs and headache: the challenge of comorbidity. Diagnostics. 2024;14(16):1750.
Calis KA. Dysmenorrhea. Medscape. 2011. Available from: http://emedicine.medscape.com/article/253812-overview. Accessed 2011 Nov 24.
Agarwal A, Venkat A. Questionnaire study on menstrual disorders in adolescent girls in Singapore. J Pediatr Adolesc Gynecol. 2009;22(6):365–371.
Apay SE, Arslan S, Akpinar RB, Celebioglu A. Effect of aromatherapy massage on dysmenorrhea in Turkish students. Pain Manag Nurs. 2010;13(4):236–240.
Bata MS. Age at menarche, menstrual patterns, and menstrual characteristics in Jordanian adolescent girls. Int J Gynecol Obstet. 2012;119(3):281–283.
Cheng HF, Lin YH. Selection and efficacy of self-management strategies for dysmenorrhea in young Taiwanese women. J Clin Nurs. 2011;20(7–8):1018–1025.
Guvenc G, Kilic A, Akyuz A, Ustunsoz A. Premenstrual syndrome and attitudes toward menstruation in a sample of nursing students. J Psychosom Obstet Gynaecol. 2012;33(3):106–111.
Grandi G, Ferrari S, Xholli A, Cannoletta M, Palma F, Romani C, et al. Prevalence of menstrual pain in young women: what is dysmenorrhea? J Pain Res. 2012;5:169–174.
Juang CM, Yen MS, Twu NF, Horng HC, Yu HC, Chen CY. Natural progression of menstrual pain in nulliparous women at reproductive age: an observational study. J Chin Med Assoc. 2006;69(10):484–488.
Bahrami A, Sadeghnia H, Avan A, Mirmousavi SJ, Moslem A, Eslami S, et al. Neuropsychological function in relation to dysmenorrhea in adolescents. Eur J Obstet Gynecol Reprod Biol. 2017;215:224–229.
Lindh I, Ellström Andersson A, Milsom I. The effect of combined oral contraceptives and age on dysmenorrhea: an epidemiological study. Hum Reprod. 2012;27(3):676–682.
Mirabi P, Doulatian M, Mojab F, Namdari M. Effects of valerian on bleeding and systemic manifestations of menstruation. J Med Plants. 2012;4:125–134.
Negriff S, Dorn LD, Hillman JB, Huang B. The measurement of menstrual symptoms: factor structure of the menstrual symptom questionnaire in adolescent girls. J Health Psychol. 2009;14(7):899–908.
Roberts SC, Hodgkiss C, DiBenedetto A, Lee E. Managing dysmenorrhea in young women. Nurse Pract. 2012;37(7):47–52.
Bano R. Study of the prevalence and severity of dysmenorrhea among the university students of Hail City. J Health Sci Res. 2013;3(15):1–6.
Sharma A, Taneja D, Sharma P, Saha R. Problems related to menstruation and their effect on daily routine of students of a medical college in Delhi, India. Asia Pac J Public Health. 2008;20:234–241.
Unsal A, Ayranci U, Tozun M, Arslan G, Calik E. Prevalence of dysmenorrhea and its effect on quality of life among a group of female university students. Ups J Med Sci. 2010;115(2):138–145.
Wijesiri HS, Suresh TS. Knowledge and attitudes towards dysmenorrhea among adolescent girls in an urban school in Sri Lanka. Nurs Health Sci. 2012;15(1):58–64.
Guvenc G, Kilic A, Akyuz A, Ustunsoz A. Premenstrual syndrome and attitudes toward menstruation in a sample of nursing students. J Psychosom Obstet Gynaecol. 2012;33(3):106–111.
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