Despite its negative effects and the availability of treatment at minimal cost, few patients with primary dysmenorrhea visit medical clinics, and members of this population are frequently undertreated 8, 9. Pelvic pain may also cause anxiety and depression, which can amplify the severity of pain 5– 7. Women with this condition report that menstruation has an immediate negative impact on their quality of life (QoL), whereas women who do not suffer from this condition do not report such an experience during menstruation 4. Dysmenorrheic pain is the primary cause of recurrent short-term school or work absenteeism among young women of childbearing age 4. Its estimated prevalence varies between 45% and 95% of all women of reproductive age 3. It frequently involves other symptoms, including sweating, headache, nausea, vomiting, diarrhea, and tremulousness before or during menstration 2. Primary dysmenorrhea refers to painful menstrual cramps in the lower abdominal region during menstruation in the absence of any discernible macroscopic pelvic pathology 1. Our review provided suggestive evidence of the effectiveness of heat therapy for primary dysmenorrhea, but rigorous high-quality trials are still needed to provide robust evidence. However, these results are based on relatively few trials with small sample sizes. One RCT showed beneficial effects of heat therapy on menstrual pain compared with no treatment (n = 132 MD −4.04 VAS 95% CI −4.88 to −3.20 P < 0.001). Three RCTs found favorable effects of heating pads on menstrual pain compared with analgesic medication (n = 274 SMD −0.72 95% confidence interval −0.97 to −0.48 P < 0.001 two studies). Two RCTs found favorable effects of heat therapy on menstrual pain compared with unheated placebo therapy. Risk of bias was assessed using the Cochrane risk-of-bias tool. Data extraction and risk-of-bias assessments were performed by two independent reviewers. All randomized controlled trials (RCTs) that addressed heat therapy for patients with primary dysmenorrhea were included. We searched 11 databases for studies published through July 2018. We assessed the evidence on heat therapy as a treatment for primary dysmenorrhea. Heat therapy has been used as a treatment. If you know what your cycle’s pattern looks like, and you know that your pain usually starts on a certain day of your cycle, you may be able to stop some pain from endometriosis symptoms before it starts.Primary dysmenorrhea, which is menstrual pain without pelvic pathology, is the most common gynecologic condition in women. When it comes to preempting pain, knowing your body’s patterns is key. NSAIDs are most effective when they’re taken before the pain even starts, which can make it difficult to use them most effectively. In over the counter NSAIDs, the active ingredient is either ibuprofen (Advil, Motrin) or naproxen (Aleve, Naprosyn). Medications where the active ingredient is acetaminophen are not NSAIDs. NSAIDs are designed to bring down inflammation and reduce swelling, as well as help with fever and pain. In many cases, healthcare providers will recommend over-the-counter anti-steroidal inflammatory medications, also called NSAIDs. In addition to medical or surgical treatment, many women who have been diagnosed with endometriosis end up needing further pain relief.
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