Most Read Articles
09 Dec 2017
Intravenous (IV) iron is less toxic and more effective compared to oral iron, making it a potential frontline therapy for neonatal iron deficiency anaemia, suggests a recent study.
Shilpa Kolhe, MBBS, MD, MRCOG; Shilpa Deb, MBBS, DGO, MRCOG, 01 Aug 2012

Dysmenorrhoea is a medical condition characterized by severe uterine pain during menstruation manifesting as cyclical lower abdominal or pelvic pain, which may also radiate to the back and thighs. The term dysmenorrhoea is derived from the Greek words ‘dys’ meaning difficult, painful or abnormal, ‘meno’ meaning month, and ‘rrhea’ meaning flow. It is commonly divided into primary dysmenorrhoea, where there is no coexistent pathology, and secondary dysmenorrhoea where there is an identifiable pathological condition known to contribute to painful menstruation. Symptoms of primary dysmenorrhoea begin a few hours before the start of menstruation and are often relieved during the first few days of bleeding. The initial onset of primary dysmenorrhoea is usually shortly after menarche (6–12 months), when ovulatory cycles are established. Secondary dysmenorrhoea can also occur at any time after menarche but is most commonly observed in women in their third and fourth decade of life in association with an existing condition.

02 Dec 2014
Adolescent females often experience menstrual problems, and these are usually related to mood changes. In this study, the association between dysmenorrhea and depressive symptoms, anxiety, and premenstrual syndrome was examined.
26 Feb 2017
Placement of cervical pessary in women with short cervices and singleton pregnancies does not lower the risk of having preterm births, according to the results of a meta-analysis.

Acupoint stimulation effective for primary dysmenorrhea

07 Oct 2017

Acupoint stimulation effectively relieves pain in primary dysmenorrhea (PD), according to a new meta-analysis.

After applying the selection criteria, 19 randomized controlled studies (RCTs) were found to be eligible for inclusion in the meta-analysis. Studies were retrieved from the databases of PubMed, Embase, the Cochrane Library, CNKI, Wangfang Data and the Chinese Biomedical Literature Database.

Studies that were not RCTs, those that used combination of treatments and those with incomplete data were excluded.

Pooled data from 17 trials showed that acupoint stimulation was significantly more effective than nonsteroidal anti-inflammatory drugs (NSAIDS) in terms of clinical efficacy for patients with PD (odds ratio [OR], 5.57; 95 percent CI, 3.96 to 7.83; p<0.00001).

Similarly, symptom score in PD patients, reported in six trials, was significantly improved by acupoint stimulation (mean difference [MD], 2.99; 2.49 to 3.49; p<0.0001).

Three trials examined pain, as measured by the visual analogue scale. Pooling the findings from these studies, it was found that acupoint stimulation showed no significant benefit than controls in terms of pain improvement (MD, 1.24; -3.37 to 5.85; p=0.60).

In terms of side effects, control treatments had significantly more side effects than acupoint stimulation, according to a pooled analysis of two trials (OR, 0.03; 0.00 to 0.22; p=0.0005).

In assessing methodological quality, researchers used the criteria outlined in Cochrane Handbook for Systematic Reviews. They found that while randomization was correctly followed in most of the studies, only very few reported on allocation concealment, participant blinding and outcome blinding. 

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Most Read Articles
09 Dec 2017
Intravenous (IV) iron is less toxic and more effective compared to oral iron, making it a potential frontline therapy for neonatal iron deficiency anaemia, suggests a recent study.
Shilpa Kolhe, MBBS, MD, MRCOG; Shilpa Deb, MBBS, DGO, MRCOG, 01 Aug 2012

Dysmenorrhoea is a medical condition characterized by severe uterine pain during menstruation manifesting as cyclical lower abdominal or pelvic pain, which may also radiate to the back and thighs. The term dysmenorrhoea is derived from the Greek words ‘dys’ meaning difficult, painful or abnormal, ‘meno’ meaning month, and ‘rrhea’ meaning flow. It is commonly divided into primary dysmenorrhoea, where there is no coexistent pathology, and secondary dysmenorrhoea where there is an identifiable pathological condition known to contribute to painful menstruation. Symptoms of primary dysmenorrhoea begin a few hours before the start of menstruation and are often relieved during the first few days of bleeding. The initial onset of primary dysmenorrhoea is usually shortly after menarche (6–12 months), when ovulatory cycles are established. Secondary dysmenorrhoea can also occur at any time after menarche but is most commonly observed in women in their third and fourth decade of life in association with an existing condition.

02 Dec 2014
Adolescent females often experience menstrual problems, and these are usually related to mood changes. In this study, the association between dysmenorrhea and depressive symptoms, anxiety, and premenstrual syndrome was examined.
26 Feb 2017
Placement of cervical pessary in women with short cervices and singleton pregnancies does not lower the risk of having preterm births, according to the results of a meta-analysis.