Department of Immunobiology and Environment Microbiology, Medical University of Gdańsk, Dębinki 7, 80-211 Gdańsk, Poland.
Department of Physical Therapy, Medical University of Gdańsk, Dębinki 7, 80-211 Gdańsk, Poland.
Int J Environ Res Public Health. 2020 Feb 13;17(4):1191. doi: 10.3390/ijerph17041191.
Dysmenorrhea often significantly reduces the quality of women's life and is still an important public health problem. Despite numerous studies, the pathomechanism of dysmenorrhea is not fully understood. Previous research indicates the complexity of biochemical reactions between the endocrine, vascular, and immune systems. Prostaglandins play a major role in the pathomechanism of dysmenorrhea. In contrast, cytokines and other proinflammatory factors in primary dysmenorrhea are less studied. In addition to the applied pharmacotherapy, more and more studies proving the effectiveness of non-pharmacological methods appear. Therefore, the present work contains a review of the latest research concerning factors involved in dysmenorrhea, as well as therapeutic options. In the literature search, authors used online databases, PubMed, and clinitrials.gov and browsed through individual gynecology, physiotherapy journals and books.
痛经常显著降低女性的生活质量,仍是一个重要的公共卫生问题。尽管有大量研究,但痛经的发病机制仍未完全阐明。既往研究表明内分泌、血管和免疫系统之间的生化反应非常复杂。前列腺素在痛经发病机制中起主要作用。相比之下,原发性痛经中细胞因子和其他促炎因子的研究较少。除了应用药物疗法外,越来越多的研究证明了非药物方法的有效性。因此,目前的工作综述了与痛经相关的最新研究,以及治疗选择。在文献检索中,作者使用了在线数据库、PubMed 和 clinitrials.gov,并浏览了个别妇科、物理治疗期刊和书籍。