Complementary Medicine - Cam
About This Condition
A woman’s monthly cycle may include several days of pain and discomfort due to cramps, also known as dysmenorrhea. How do you find relief? According to research or other evidence, the following self-care steps may be helpful.
About This Condition
Dysmenorrhea is painful menstruation. It is classified as either primary or secondary. Primary dysmenorrhea generally occurs within a couple of years of the first menstrual period. The pain tends to decrease with age and very often resolves after childbirth. Secondary dysmenorrhea is menstrual pain caused by another condition, commonly endometriosis . It starts later in life and tends to increase in intensity over time.
As many as half of menstruating women are affected by dysmenorrhea, and of these, about 10% have severe dysmenorrhea, which greatly limits activities for one to three days each month.1
Dysmenorrhea includes symptoms of abdominal bloating, frequent and intense cramps, pain below the waistline, or a dull ache that may radiate to the lower back or legs. There may also be symptoms of headache, nausea, diarrhea or constipation , frequent urination, and, occasionally, vomiting. The symptoms usually occur just before or during the menstrual period.
Healthy Lifestyle Tips
Many women feel the need to lie still while experiencing menstrual cramps, while others find that exercise helps relieve the pain of dysmenorrhea. This variation from woman to woman may explain why some researchers report that exercise makes symptoms worse,2 though most studies report that exercise appears helpful.3
Relaxation techniques have been used with some success to alleviate dysmenorrhea in some young women. According to one preliminary study, the symptoms of menstrual cramps, nausea, irritability, and poor concentration greatly improved after 20-minute relaxation sessions twice per week.4
Acupuncture may be a useful therapy in the treatment of dysmenorrhea. A preliminary trial reported that 86% of women treated with acupuncture for dysmenorrhea had complete cessation of pain for three consecutive menstrual periods.5 Other preliminary trials have demonstrated similar results.6 , 7 , 8 A controlled clinical trial reported 91% efficacy with acupuncture compared to 36.4% efficacy with sham acupuncture (using fake acupuncture points) and 18% efficacy in an untreated control group.9 A small trial compared a 30-minute TENS (transcutaneous electrical nerve stimulation) treatment to stimulate acupuncture points with a placebo pill for dysmenorrhea. There was a large placebo effect in this study, and pain relief over the next several hours was not significantly better in the treatment group compared to placebo.10 More controlled trials are needed to determine whether acupuncture is a useful treatment for dysmenorrhea.
Spinal manipulation has been investigated as a treatment for dysmenorrhea. One small preliminary study reported improvement in symptoms measured by a questionnaire.11 A controlled clinical trial compared a single treatment of spinal manipulation to the low back and pelvis to a sham manipulation that was designed to be ineffective. Women receiving real manipulation reported twice as much relief as those receiving sham treatment.12 A recent, larger trial repeated the above study, testing a series of treatments over two months. Women reported less pain from both real and sham treatment, but there was no difference between the groups.13 Whether there is a real benefit from spinal manipulation for women with dysmenorrhea remains unclear at this time.
The right diet is the key to managing many diseases and to improving general quality of life. For this condition, scientific research has found benefit in the following healthy eating tips.
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Our proprietary “Star-Rating” system was developed to help you easily understand the amount of scientific support behind each supplement in relation to a specific health condition. While there is no way to predict whether a vitamin, mineral, or herb will successfully treat or prevent associated health conditions, our unique ratings tell you how well these supplements are understood by some in the medical community, and whether studies have found them to be effective for other people.
For over a decade, our team has combed through thousands of research articles published in reputable journals. To help you make educated decisions, and to better understand controversial or confusing supplements, our medical experts have digested the science into these three easy-to-follow ratings. We hope this provides you with a helpful resource to make informed decisions towards your health and well-being.
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1. Galeao R. La dysmenorrhee, syndrome multiforme. Gynecologie 1974;25:125 [in French].
2. Metheny WP, Smith RP. The relationship among exercise, stress, and primary dysmenorrhea. J Behav Med 1989;12:569-86.
3. Bolomb LM, Solidmum AA, Warren MP. Primary dysmenorrhea and physical activity. Med Sci Sports Exerc 1998;30:906-9 [review].
4. Ben-Menachem M. Treatment of dysmenorrhea: A relaxation therapy program. Int J Gynaecol Obstet 1980;17:340-2.
5. Yuqin Z. A report of 49 cases of dysmenorrhea treated by acupuncture. J Tradit Chin Med 1984;4:101-2.
6. Xiaoma W. Observations of the therapeutic effects of acupuncture and moxibustion in 100 cases of dysmenorrhea. J Tradit Chin Med 1987;7:15-7.
7. Chuang Z. Treatment of 32 cases of dysmenorrhea by puncturing hegu and sanyinjiao acupoints. J Tradit Chin Med 1990;10:33-5.
8. Lin L. Literature research on point injection with Chinese Angelica liquor. J Tradit Chin Med 1998;18:308-12.
9. Helms JM. Acupuncture for the management of primary dysmenorrhea. Obstet Gynecol 1987;69:51-6.
10. Lewers D, Clelland JA, Jackson JR, et al. Transcutaneous electrical nerve stimulation in the relief of primary dysmenorrhea. Phys Ther 1989;69:17-23.
11. Thomason PR, Fisher BL, Carpenter PA, Fike GL. Effectiveness of spinal manipulative therapy in treatment of primary dysmenorrhea: a pilot study. J Manip Physiol Ther 1979;2:140-5.
12. Kokjohn K, Schmid D, Triano J, Brennan P. The effect of spinal manipulation on pain and prostaglandin levels in women with primary dysmenorrhea. J Manip Physiol Ther 1992;15:279-85.
13. Hondras MA, Long CR, Brennan PC. Spinal manipulative therapy versus a low force mimic maneuver for women with primary dysmenorrhea: a randomized, observer-blinded, clinical trial. Pain 1999;81:105-14.
14. Durlach J. Neuromuscular and phlebothrombotic clinical aspects of primary magnesium deficiency. Z Ernahrungswiss 1975;14:75-83 [in French].
15. Martignoni E, Nappi G, Facchinetti F, Gennazzani AR. Magnesium in gynecological disorders. Gyn Endocrinol 1988;2(Suppl 2):26 [abstract].
16. Benassi L, Barletta FP, Baroncini L, et al. Effectiveness of magnesium pidolate in the prophylactic treatment of primary dysmenorrhea. Clin Exp Obstet Gynecol 1992;19:176-9.
17. Fontana-Klaiber H, Hogg B. Therapeutic effects of magnesium in dysmenorrhea. Schweiz Rundsch Med Prax 1990;79:491-4 [in German].
18. Seifert B, Wagler P, Dartsch S, et al. Magnesium—a new therapeutic alternative in primary dysmenorrhea. Zentralbl Gynakol 1989;111:755-60 [in German].
19. Fontana-Klaiber H, Hogg B. Therapeutic effects of magnesium in dysmenorrhea. Schweiz Rundsch Med Prax 1990;79:491-4 [in German].
20. Deutch B. Menstrual pain in Danish women correlated with low n-3 polyunsaturated fatty acid intake. Eur J Clin Nutr 1995;49:508-16.
21. Harel Z, Biro FM, Kottenhahn RK, Rosenthal SL. Supplementation with omega-3 polyunsaturated fatty acids in the management of dysmenorrhea in adolescents. Am J Obstet Gynecol 1996;174:1335-8.
22. Deutch B, Jørgensen EB, Hansen JC. Menstrual discomfort in Danish women reduced by dietary supplements of omega-3 PUFA and B12 (fish oil or seal oil capsules). Nutr Res 2000;20:621-31.
23. Sampalis F, Bunea R, Pelland MF, et al. Evaluation of the effects of Neptune Krill Oil on the management of premenstrual syndrome and dysmenorrhea. Altern Med Rev 2003;8:171-9.
24. Kohama T, Suzuki N, Ohno S, Inoue M. Analgesic efficacy of French maritime pine bark extract in dysmenorrhea: an open clinical trial. J Reprod Med 2004;49:828-32.
25. Suzuki N, Uebaba K, Kohama T, et al. French maritime pine bark extract significantly lowers the requirement for analgesic medication in dysmenorrhea: a multicenter, randomized, double-blind, placebo-controlled study. J Reprod Med 2008;53:338-46.
26. Hudgins AP. Am Practice Digest Treat 1952;3:892-3.
27. Hudgins AP. Vitamins P, C and niacin for dysmenorrhea therapy. West J Surg 1954;Dec:610-1.
28. Hudgins AP. Am Practice Digest Treat 1952;3:892-3.
29. Hudgins AP. Vitamins P, C and niacin for dysmenorrhea therapy. West J Surg 1954;Dec:610-1.
30. Ziaei S, Faghihzadeh S, Sohrabvand F, et al. A randomised placebo-controlled trial to determine the effect of vitamin E in treatment of primary dysmenorrhoea. Br J Obstet Gynaecol 2001;108:1181-3.
31. Ziaei S, Zakeri M, Kazemnejad A. A randomised controlled trial of vitamin E in the treatment of primary dysmenorrhoea. BJOG2005;112:466-9.
32. Colombo D and Vescovini R: Controlled clinical trial of anthocyanosides from Vaccinium myrtillus in primary dysmenorrhea. G Ital Obstet Ginecol 1985;7:1033-8.
33. Murray MT. The Healing Power of Herbs. Rocklin, CA: Prima Publishing, 1995, 376.
34. Bradley PR, ed. British Herbal Compendium, vol 1. Bournemouth, Dorset, UK: British Herbal Medicine Association, 1992, 34-6.
35. Blumenthal M, Busse WR, Goldberg A, et al. (eds). The Complete Commission E Monographs: Therapeutic Guide to Herbal Medicines. Boston, MA: Integrative Medicine Communications, 1998, 90.
36. Jones TK, Lawson BM. Profound neonatal congestive heart failure caused by maternal consumption of blue cohosh herbal medication. J Pediatr 1998;132:550-2.
37. Penland J, Johnson P. Dietary calcium and manganese effects on menstrual cycle symptoms. Am J Obstet Gynecol 1993;168:1417-23.
38. Thys-Jacobs S, Starkey P, Bernstein D, et al. Calcium carbonate and the premenstrual syndrome: Effects on premenstrual and menstrual symptoms. Am J Obstet Gynecol 1998;179:444-52.
39. Zhu YP. Chinese Materia Media: Chemistry, Pharmacology, and Applications. Australia: Harwood Academic Publishers, 1998, 445-8.
40. Zhu YP. Chinese Materia Medica: Chemistry, Pharmacology, and Applications. Australia: Harwood Academic Publishers, 1998, 445-8
41. Nicholson JA, Darby TD, Jarobe CH. Viopudial, a hypotensive and smooth muscle antispasmotic from Viburnum opulus. Proc Soc Exp Biol Med 1972;40:457-61.
42. Hoffmann D. The Holistic Herbal. Forres, Scotland: The Findhorn Press, 1986, 88.
43. Kotani N, Oyama T, Hashimoto H, et al. Analgesic effect of a herbal medicine for treatment of primary dysmenorrhea—a double-blind study. Am J Chin Med 1997;25:205-12.
44. Ozgoli G, Goli M, Moattar F. Comparison of effects of ginger, mefenamic acid, and ibuprofen on pain in women with primary dysmenorrhea. J Altern Complement Med 2009;15:129-32.
45. Kotani N, Oyama T, Hashimoto H, et al. Analgesic effect of a herbal medicine for treatment of primary dysmenorrhea—a double-blind study. Am J Chin Med 1997;25:205-12.
46. Hudson T. Natural progesterone: Clinical indications in women's health. Townsend Letter for Doctors and Patients 1999;Dec:140-3.
47. Gokhale LB. Curative treatment of primary (spasmodic) dysmenorrhoea. Indian J Med Res 1996;103:227-31.
48. Lasco A, Catalano A, Benvenga S. Improvement of primary dysmenorrhea caused by a single oral dose of vitamin D: results of a randomized, double-blind, placebo-controlled study. Arch Intern Med 2012;172:366-7.
49. Loch E, Böhnert KJ, Peeters M, et al. The treatment of menstrual disorders with Vitex agnus-castus tincture. Der Frauenarzt 1991;32:867-70 [in German].
Last Review: 04-15-2014
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The information presented in Aisle7 is for informational purposes only. It is based on scientific studies (human, animal, or in vitro), clinical experience, or traditional usage as cited in each article. The results reported may not necessarily occur in all individuals. Self-treatment is not recommended for life-threatening conditions that require medical treatment under a doctor's care. For many of the conditions discussed, treatment with prescription or over the counter medication is also available. Consult your doctor, practitioner, and/or pharmacist for any health problem and before using any supplements or before making any changes in prescribed medications. Information expires June 2015.
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