Aránguiz-Ramírez Julieta, Recabarren-Espinoza Rossana, Mora-Lara Juana
Facultad de Salud y Odontología, Universidad Diego Portales, Santiago, Chile.
Medwave. 2025 May 15;25(4):e3013. doi: 10.5867/medwave.2025.04.3013.
Primary dysmenorrhea is defined as pain during the menstrual cycle, recurrent cramping type in the absence of an identifiable cause. It can negatively affect the quality of life of those who suffer from it. The objective is to determine the association between pain intensity in primary dysmenorrhea and the impact on quality of life related to menstrual health, presenteeism, and sexual function in adult Chilean women.
Cross-sectional observational study. A sample of 392 women with painful menstruation in the last six months. A self-reported survey was distributed on social media between January and June 2024, consisting of sociodemographic questions, pain intensity and perception, the EQ5D-3L quality of life questionnaire, the Stanford Presenteeism Scale, and the Women's Sexual Function Questionnaire adapted to the study.
The mean age was 29.2 +/- 8.2 years, and the mean pain intensity was 6.7 +/- 2.04 points. High pain intensity was associated with greater impairment. Those with severe or extreme pain experienced a significant impact on their quality of life related to menstrual health. Among the compromised aspects, the most notable were the performance of usual activities (OR 9.99), lower work performance (lack of concentration), and decreased social activities. The most common mitigation measures used were local heat (96.7%), herbal teas (63.5%), and medication (90%).
Dysmenorrhea impacts different dimensions of quality of life. Despite its high prevalence, it is often underestimated, and women often normalize pain by employing various methods to mitigate it. The concept of menstrual health is a subjective and multidimensional experience. The results suggest the importance of comprehensively updating the management of dysmenorrhea and incorporating new studies on economic evaluation, prevalence, and self-image to delve deeper into the subject.
原发性痛经被定义为在月经周期期间出现的疼痛，是在没有可识别病因的情况下反复出现的痉挛性疼痛类型。它会对受其影响者的生活质量产生负面影响。目的是确定智利成年女性原发性痛经的疼痛强度与月经健康、出勤主义和性功能相关的生活质量影响之间的关联。
横断面观察性研究。对过去六个月有痛经的392名女性进行抽样。2024年1月至6月在社交媒体上分发了一份自我报告调查问卷，包括社会人口统计学问题、疼痛强度和感知、EQ5D - 3L生活质量问卷、斯坦福出勤主义量表以及根据该研究改编的女性性功能问卷。
平均年龄为29.2±8.2岁，平均疼痛强度为6.7±2.04分。高疼痛强度与更大的损害相关。严重或极度疼痛的患者在与月经健康相关的生活质量方面受到显著影响。在受影响的方面中，最明显的是日常活动表现（比值比9.99）、工作表现降低（注意力不集中）和社交活动减少。最常用的缓解措施是局部热敷（96.7%）、花草茶（63.5%）和药物（90%）。
痛经会影响生活质量的不同维度。尽管其患病率很高，但往往被低估，而且女性经常通过采用各种缓解方法使疼痛正常化。月经健康的概念是一种主观的多维体验。结果表明全面更新痛经管理并纳入经济评估、患病率和自我形象等新研究以更深入探讨该主题的重要性。
