• The Journal of Korean Obstetrics and Gynecology
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• v.19 no.1
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• pp.261-271
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• 2006

Purpose : Dysmenorrhea which repeat every menstrual phase give complaints like pain, vomiting, nasal bleeding and etc. But in many textbooks pathogenesis and treatment process of dysmenorrhea obscure. So the purpose of this study is to identify the conception, pathogenesis and treatment process of dysmenorrhea. Methods : After catching the limitations of preexistence theory about dysmenorrhea, I show a meaningful argument of dysmenorrhea. Results : The conception, pathogenesis and treatment process of dysmenorrhea are like this. Dysmenorrhea which occurs for menstrual phase can make deficiency of blood. There are intimate relations between uterine function and the five Zang-organs, especially heart, spleen and liver, so menstruation induces the weakness of those organs. And the insufficiency of kidney and conception-thorough vessel which have control over the uterine function can make dysmenorrhea. Conclusion : The deficiency of kidney which is responsible for holding Qi breaks down the balance of Zang-organs Yin-Yang, then dysmenorrhea appears through Zang-organs weakness of heart, spleen and liver. For the treatment of dysmenorrhea, we should consider preferentially the deficiency of kidney, afterward Bianzheng Lunzhi of the Zang-fu organs.

• The Journal of Korean Obstetrics and Gynecology
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• v.21 no.2
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• pp.273-283
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• 2008

Purpose: The purpose of this study is to report the effect of Gami-sibjeon-tang with acupuncture and moxa on endometrioma. Methods: We treated two patients who had endometrioma. Western OB&GY doctors had recommended to operate or observe. But they refused the way western doctors cure the disease. Their chief complainment was severe pain during menstruation period. And they had lower abdominal or lower back pain and acnes on skin. We used Gami-sibjeon-tang on both patients with acupuncture and moxa. Results: After treated by Gami-sibjeon-tang with acupuncture and moxa, they experienced improvement of dysmenorrhea and pain of abdomen and back, and reduction of acnes on skin. And even the sizes of endometrioma had reduced or eliminated. Conclusion: We thought the dysmenorrhea of endometrioma was concerned with inflammation and adhension. So Gami-sibjeon-tang was used when the inflammation and adhension didn't healed because of deficiency of Qi and blood. We administerd Gami-sibjeon-tang with acupuncture and moxa and their dysmenorrhea and other symptoms was relieved.

• The Journal of Korean Obstetrics and Gynecology
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• v.32 no.3
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• pp.174-191
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• 2019

Objectives: This study was aimed to analyze clinical characteristics and menstrual pattern of female patients who have cold hypersensitivity on hands and feet. Methods: This study was performed from May, 2018 to April, 2019. We checked the patients' hand and feet's temperature and those who diagnosed with cold hypersensitivity filled in survey. Data were collected from 27 participants and we divided data into 2 group; Dysmenorrhea group and Non-dysmenorrhea group. Results: Throughout the study, we found out differences between 2 groups in age, height, weight, VAS score of cold hypersensitivity on hands and feet, menstrual pattern, upper and lower extremity temperature difference, pattern identification, VAS of menstrual pain, and pattern of leukorrhea. Conclusions: By analyzing of study, Dysmenorrhea group's VAS score of cold hypersensitivity on hands and feet was $6.67{\pm}1.73$, Non-dysmenorrhea group's VAS score of cold hypersensitivity on hands and feet was $7.78{\pm}1.72$ (p-value 0.015). This shows that the degree of hypersensitivity on hands and feet is not necessarily proportional to the degree of menstrual pain.

• Journal of International Academy of Physical Therapy Research
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• v.9 no.3
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• pp.1558-1563
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• 2018

This study, based on physical therapy interventions for menstruation disorders, observed the effect of Pilates stabilization exercises and Kinesio taping on dysmenorrhea and prostaglandin $F2{\alpha}$ levels. Female college students (n=37) who had >70 points on the mood disorder questionnaire (MDQ) and >4 points on the visual analogue scale (VAS) were divided into three different groups, the Pilates group (PG, n= 13), Pilates and Taping group (PTG, n=12), Taping group (TG, n=12). Pilates and taping were performed 3 times a week for 6 weeks. Pre- and post-menstruation difficulties were measured through the MDQ. Changes in blood prostaglandin $F2{\alpha}$ levels were also measured. Changes in pre- and post-menstrual pain and prostaglandin $F2{\alpha}$ levels were significantly reduced in the PG, PTG, and TG. Changes in pre- and post-menstrual pain and prostaglandin $F2{\alpha}$ levels resulted in significant differences in the PTG and TG. Dysmenorrhea and prostaglandin $F2{\alpha}$ levels were significantly decreased in the TG than in the PTG. These findings suggest that Pilates stabilization exercises and Kinesio taping are effective in decreasing menstrual difficulties and pain in female college students.

• Journal of Oriental Medical Thermology
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• v.4 no.1
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• pp.1-14
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• 2005

The purpose of this study is to identify the clinical effects of Jujadanggui-hwan in the treatment of dysmenorrhea with cold hypersensitivity. Jujadanggui-hwan mentioned in Dongeuibogam has an effect on leucorrhea and cold hypersensitivity of hands and feet, lower abdomen and lumbus. Jujadanggui-hwan were prescribed to 24 dysmenorrhea patients with cold hypersensitivity of hands and feet or with leucorrhea three times a day for 13 weeks. After the treatment, numerical index for the pain was obviously reduced 'tot' point 2.12. It means that pain index as the patient can't do everyday occurrences reduce to 3 grad enough to do ordinary experience. So this study shows that Jujadanggui-hwan has remarkable effects on dysmenorrhea with cold hypersensitivity.

• The Journal of Korean Society for School & Community Health Education
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• v.4
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• pp.97-115
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• 2003

Middle and high school girl students' menstruation characteristics, appearance of menstruation dysmenorrhea, and coping with the menstruation dysmenorrhea were examined in order to give information in instructing girl students about menstruation dysmenorrhea, in delivering health education in the school, and establishing health policy. 970 girl students in middle and high schools in Cheju-do were selected and surveyed using the questionnaire the author developed based on the previous studies. The findings are as follows. First, the age of first menstruation was average $12.9{\pm}1.22$ years. The younger they were, the earlier their first menstruation came. The most common menstrual cycle was such one that continuously irregular from the beginning or that regular and irregular cycle run together. The first irregular menstrual cycle changed regular one within 1 or 2 years. Most of the respondents had normal menstrual cycle of $21{\sim}35$ days and menstruation period of $3{\sim}8$ days. Second, symptom of menstruation dysmenorrhea was orderly; hurt in the underbelly, tired, hurt in the waist, and headache. It was higher with high school students than middle school students. For the most part, time of heavy menstruation dysmenorrhea was the 2nd day after menstruation starts and period of menstruation dysmenorrhea was 2 days. More than the half of the respondents felt that the present menstruation dysmenorrhea was similar with the first one and they felt not comport in daily life due to menstruation dysmenorrhea, and 'hard to live a normal life' was higher with the high school girl students than with the middle school students. Third, how to cope with menstruation dysmenorrhea was enough sleep, relax and rest, taking a hot water shower, listening to music or watching a movie, taking medicine, and doing excercise. Few of the respondents have ever visited a doctor due to menstruation dysmenorrhea, and the reason was mostly irregular menstruation and heavy dysmenorrhea. Forth, when they took medicine due to menstruation dysmenorrhea, they gathered information on the medicine from family members and friends, while extremely low from a pharmacist or a doctor. The most of them have ever took medicine during menstruation once and took standard dose. While excess dosage was higher with high school students than with middle school students. From these findings, a good many girls are experiencing menstruation dysmenorrhea since their first menstruation. To discover early the severely abnormal findings and to treat, more interest from home and school, counseling and sexual education on time, and expert's diagnosis are necessary. Rather than unconditionally taking pain-relievers which can plainly solve the pain, continuous health education at home and in the school should be carried on for the girls to practice proper measures one think effective or an expert recommends.

• Journal of Korean Biological Nursing Science
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• v.9 no.1
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• pp.49-57
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• 2007

Purpose: The purpose of this study was to identify the effect of tourmaline Gemstone therapy on dysmenorrhea and painful menstruation in middle school female students. Method: This study employed a one-group pretest-posttest design. Data was collected from 15 subjects from September 1 to November 31, 2005. Tourmaline Gemstone therapy was provided once during a peak time of dysmenorrhea and painful menstruation. The instrument used were modified Moos's MDQ(Menstrual Distress Questionnaire) tool and VAS. Data was analyzed with the use SPSS. Result: There was a statistically significant difference in the dysmenorrhea(t=5.50, p=.000) and painful menstruation(t=6.49, p=.000) after the intervention with tourmaline gemstone therapy. Conclusion: Tourmaline Gemstone therapy using a Tourmaline Gemstone therapy has a positive effect on decreasing dysmenorrhea and painful menstruation.

• Journal of the Korean Society of Physical Medicine
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• v.9 no.4
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• pp.415-424
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• 2014

PURPOSE: This study examined the effect of high-frequency transcutaneous electrical nerve stimulation (TENS) and San-Yin-Jiao (SP6) acupressure on primary dysmenorrhea. Furthermore, the difference in effectiveness between the two methods were compared. METHODS: Twenty-six students participated in this study, and were randomly assigned to a high-frequency TENS group(experimental 1, n=9), a San-Yin-Jiao (SP6) acupressure group(experimental 2, n=9), and no treatment group(control, n=8). They were assessed and treated on the first day of their menstruation. The TENS protocol included applying 20 minutes of stimulation with a frequency of 100Hz, $100{\mu}sec$ pulse width. Four electrodes were placed on the skin 3 cm from midline at T12-L1 and S2-3 paravertebral muscles. San-Yin-Jiao (SP6) acupressure should be applied with the thumb for 10 minutes(8 seconds pressure and 2 seconds rest) on the SP6 acupoint. This procedure should be repeated for the other foot. Dysmenorrheal pain measured two pain assessment tools (VAS, DPT) pre-treatment; immediate post-treatment; 30minutes, 1, 2hours; and 3, 4, 5, 6, 24 hours after the VAS test were added. RESULTS: The results showed significant differences in pain assessments (VAS, DPT) after treatment for subjects of experimental group1 (p<.05) and experimental group2 (p<.05), whereas the between-group comparison found no statistically significant differences. CONCLUSION: This result supports the idea that using two methods could be effective in pain reduction among students who suffered from primary dysmenorrhea.

• Physical Therapy Rehabilitation Science
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• v.11 no.4
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• pp.493-501
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• 2022

Objective: The purpose of this study is to present basic data for appropriate therapeutic intervention by confirming changes in the autonomic nervous system and pain by applying high-frequency deep diathermy to the lower abdomen in patients with primary dysmenorrhea. Design: A randomized controlled clinical trial. Methods: Thirty-eight women aged 18-50 years who complained of regular menstrual cycles (24-32 days) and primary dysmenorrhea symptoms were randomly assigned to a high-frequency therapy group (5, 7, or 9 mins) and a superficial heat therapy group (20 min). High frequency treatment group: The subject was in a supine position, and radio frequency was applied to the lower abdomen below the umbilicus. The radio frequency therapy device used in this study uses a 300 kHz capacitive electrode and a 500 kHz resistive electric transfer to deliver deep heat. Superficial heat treatment Group: Subjects applied a hot pack to the lower abdomen for 20 minutes while lying on their back. Evaluations were made of Heart rate variability and Visual Analogue Scale. Results: In subjects with menstrual pain, there was a significant difference in pain between the high-frequency therapy group and the superficial heat therapy group (p=0.026). However, there was no significant difference between the autonomic nervous system and the stress resistance (p>0.05). Conclusions: As a result of this study, high-frequencytreatment using radiofrequency was effective in relieving pain because it can penetrate deeper tissues than conventional hot packs using superficial heat. In particular, it was found that the optimum effect was obtained when high frequency was applied forfive-seven minutes.

• Women's Health Nursing
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• v.14 no.4
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• pp.314-322
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• 2008

Purpose: Dysmenorrhea is one of the most common gynecologic complaints of young women. This study investigated the changes in the menstrual cycle during test evaluations according to perfectionism and testing anxiety among high school girls in order to provide information for care of dysmenorrhea. Method: Data collection was done from July 14 to 18, 2008 by self administered questionnaires with 300 high school girls. Result: The subjects experienced amenorrhea(35.3%), changes in the menstrual cycle(66.3%), changes in menstrual duration(50.0%), changes in amount of menstruation(47.7%), and increases in menstrual pain during testing evaluations. There were significant differences in changes of menstrual patterns, physical symptoms, and menstrual pain during test evaluations between a high perfectionist group and low perfectionist group. Also, there were significant differences in changes of menstrual patterns, physical symptoms, and menstrual pain during test evaluations between a high testing anxiety group and low testing anxiety group. Perfectionism and testing anxiety showed a positive relationship with changes in menstrual patterns, physical symptoms, and menstrual pain. Conclusion: As perfectionism and testing anxiety seem to contribute to changes in the menstrual cycle during test evaluations, school health-care providers should screen routinely for dysmenorrhea and give more attention to health education on this topic to girls.