Experimental and Procedural Pain Responses in Primary Dysmenorrhea: a Systematic Review
Overview
Affiliations
Primary dysmenorrhea (PD) has been the focus of a number of experimental pain studies. Although a number of reviews exist, few have critically evaluated the existing body of research on PD and experimental and procedural pain. Data from 19 published research articles that include women with PD and responses to an experimental or procedural pain stimulus (or stimuli) suggest that women with PD may have elevated pain reactivity, as compared to women without PD. This pattern appears to be true across different phases of the menstrual cycle. However, there is an abundance of conflicting findings, which may be due to significant methodological issues such as inconsistent definitions of PD, wide variation in experimental pain methodologies, and inaccurate assessment of the menstrual cycle. Future research should focus on identifying specific symptoms (i.e., pain threshold ratings) to more clearly define what constitutes PD, establish reliable and valid laboratory testing protocols, and assess the menstrual cycle with greater precision.
The effect of dysmenorrhea severity and interference on reactions to experimentally-induced pain.
Rogers S, Nichols K, Ahamadeen N, Shanahan M, Rand K Front Pain Res (Lausanne). 2024; 5:1365193.
PMID: 39109243 PMC: 11300429. DOI: 10.3389/fpain.2024.1365193.
Payne L, Seidman L, Napadow V, Nickerson L, Kumar P Pain. 2024; 166(2):338-346.
PMID: 39037861 PMC: 11723811. DOI: 10.1097/j.pain.0000000000003334.
Zhai S, Wang C, Ruan Y, Liu Y, Ma R, Fang F Front Neurol. 2024; 15:1362586.
PMID: 38872824 PMC: 11172147. DOI: 10.3389/fneur.2024.1362586.
A multidimensional appraisal of early menstrual pain experience.
Tu F, Hellman K, Darnell S, Harber K, Bohnert A, Singh L Am J Obstet Gynecol. 2024; 230(5):550.e1-550.e10.
PMID: 38290643 PMC: 11165568. DOI: 10.1016/j.ajog.2024.01.017.
Development and initial validation of the menstrual sensitivity index.
Handy A, Seidman L, Payne L Pain Med. 2023; 25(1):78-85.
PMID: 37688582 PMC: 10765159. DOI: 10.1093/pm/pnad124.