Home | Register | Login | Inquiries | Alerts | Sitemap |  


Advanced Search
JKM > Volume 44(1); 2023 > Article
Choi and Kim: An Analysis of the Current Status of dysmenorrhea patients visiting Korean Medicine Hospital

Abstract

Objectives

This review aimed to present the characteristics of dysmenorrhea patients visiting a Korean Medicine hospital.

Methods

One hundred thirteen dysmenorrhea patients visiting a Korean Medicine hospital from 2017 to 2021 were studied. We evaluated the general characteristics, type of dysmenorrhea, menstrual characteristics and overall therapies.

Results

The average age of the 113 subjects was 29.4 years old, with 38.1% in their 20s and 25.7% in their 30s. The average pain intensity was NRS 7.5, and the menstrual pain severity of 79.6% of the subjects was grade 2 or 3. The types of dysmenorrhea were classified as primary dysmenorrhea in 62.0% and secondary dysmenorrhea in 38.1%. The average treatment period of the patients was 1–2 months in most cases (44.25%). The most common treatment method was herbal medicine.

Conclusions

We figured out the status of dysmenorrhea patients and treatment in a Korean medicine hospital.

Table 1
Main Age Group of Patients with Dysmenorrhea
No. of patient (%)
10s 21(18.58)
20s 43(38.05)
30s 29(25.66)
40s 17(15.04)
50s 3(2.65)
Table 2
Past Medical History of Patients
No. of patient (%)
With Diseases (N=36) Leiomyoma of uterus 9(7.96)
Adenomyosis uteri 7(6.19)
Ovarian cyst 6(5.31)
Endometriosis 5(4.42)
Polycystic ovarian syndrome 2(1.77)
Endometrial hyperplasia 1(0.88)
Cervical dysplasia 1(0.88)
Chronic cervicitis 1(0.88)
Endometrial polyp 1(0.88)
Adenomyosis uteri + Endometriosis 1(0.88)
Endometriosis + Ovarian cyst 1(0.88)
Adenomyosis uteri + Endometriosis + Leiomyoma of uterine 1(0.88)

No Diseases 18(15.93)

Not reported 59(52.21)

Total 113(100)
Table 3
Characteristics of Menstrual Pain
Category Factor No. of patient (%)
Onset of pain (n=65) Within the first 2 years after menarche 33(50.77)
The years pass after menarche 32(49.23)

Pain cycle (n=64) At the same time of a period 57(86.06)
Before 1~2 weeks of a period 7(10.94)

Duration of pain (n=95) <72 Hours 74(77.89)
>72 Hours 21(22.21)
Average of time (n=95) 64.21±27.90 (hrs/period)

After taking of painkillers (n=54) Relieved 31(57.41)
Unrelieved 23(42.59)
Average number of painkillers (n=75) 5.03±3.77 (numbers/period)
Table 4
Frequency and Duration for Treating Dysmenorrhea
Variables N %
Average visiting days per month (N=113) 1 49 43.36
2–3 20 17.70
4–5 29 25.66
6–7 6 5.31
≥ 8 9 7.96

Average duration for treatment (N=113) 1 week – 1month 33 29.20
1–2 months 50 44.25
2–3 months 8 7.08
3–6 months 8 7.08
6–12months 7 6.19
≥ 1 year 7 6.19
Table 5
Types of Treatment Methods
Treatment Methods No.of patient (%)
Acupuncture + Herbal medicine 41(36.28)
Acupuncture + Herbal medicine + Moxibustion 36(31.86)
Herbal medicine 28(24.78)
Acupuncture 2(1.77)
Acupuncture+ Herbal medicine + Pharmacopuncture 2(1.77)
Herbal medicine + Moxibustion 1(0.88)
No treatment 3(2.65)

Total 113(100)
Table 6
Frequency and Duration for Treating Primary Dysmenorrhea
Variables N %
Average visiting days per month (N=70) 1 37 52.86
2–3 10 14.29
4–5 18 25.71
6–7 3 4.29
≥ 8 2 2.86
Average duration for treatment (N=70) 1 week – 1month 18 25.71
1–2 months 36 51.43
2–3 months 2 2.86
3–6 months 5 7.14
6–12months 2 2.86
≥ 1 year 7 10.00

참고문헌

1. Ju, H, Jones, M, & Mishra, G. (2014). The prevalence and risk factors of dysmenorrhea. Epidemiologic reviews, 36(1), 104-113. https://doi.org/10.1093/epirev/mxt009
crossref pmid

2. Woo, H-L, Ji, H-R, Park, K-S, Hwang, D-S, Lee, C-H, & Jang, J-B, et al. (2017). A Survey on Korean Medicine Doctors' Recognition and Clinical Fields of Treating Primary Dysmenorrhea for Developing Korean Medicine Clinical Practice Guideline for Dysmenorrhea. The Journal of Korean Obstetrics and Gynecology, 30(2), 93-106. https://doi.org/10.15204/jkobgy.2017.30.2.093


3. Kim, H-O, Lim, S-W, Woo, H-Y, & Kim, K-H. (2008). Premenstrual syndrome and dysmenorrhea in Korean adolescent girls. Korean Journal of Obstetrics and Gynecology, 51(11), 1322-1329.


4. Kim, J, Roh, J, Ryu, J, Oh, J, Lee, S, & Jung, M, et al. (2011). The Menstruation discomfort and quality of life of female university students. Journal of the Nursing Academic Association of Ewha Womans University, 45(1), 13-28.


5. Woo, H-L, Park, K-S, Hwang, D-S, Lee, C-H, Jang, J-B, & Lee, J-M. (2017). Analysis on Chief Complaints of Outpatients Visiting Korean Gynecology Clinic of Traditional Korean Medicine Hospital in Gangdong-gu, Seoul. The Journal of Korean Obstetrics and Gynecology, 30(1), 29-41. https://doi.org/10.15204/jkobgy.2017.30.1.029
crossref

6. Choi, S-J, Kim, D-I, & Noh, E-J. (2022). A Study on the Application of Standard Korean Medicine Clinical Pathway for Dysmenorrhea. The Journal of Korean Obstetrics and Gynecology, 35(1), 75-90. https://doi.org/10.15204/jkobgy.2022.35.1.075


7. Andersch, B, & Milsom, I. (1982). An epidemiologic study of young women with dysmenorrhea. American journal of obstetrics and gynecology, 144(6), 655-660. https://doi.org/10.1016/0002-9378(82)90433-1
crossref pmid

8. Osayande, AS, & Mehulic, S. (2014). Diagnosis and initial management of dysmenorrhea. American family physician, 89(5), 341-346.
pmid

9. Pickles, V. (1957). A plain-muscle stimulant in the menstruum. Nature, 180, 1198-1199. https://doi.org/10.1038/1801198a0
pmid

10. Ylikorkala, O, & Dawood, MY. (1978). New concepts in dysmenorrhea. American Journal of Obstetrics and Gynecology, 130(7), 833-847. https://doi.org/10.1016/0002-9378(78)90019-4
crossref pmid

11. Åkerlund, M. (1979). Pathophysiology of dysmenorrhea. Acta Obstetricia et Gynecologica Scandinavica, 58, 27-32. https://doi.org/10.3109/00016347909157786
crossref pmid

12. Kim, T. (2005). Pathogenesis and management guideline of dysmenorrhea. Korean Journal of Obstetrics and Gynecology, 48(7), 1613-1620.


13. Strömberg, P, Åkerlund, M, Forsling, M, Granström, E, & Kindahl, H. (1984). Vasopressin and prostaglandins in premenstrual pain and primary dysmenorrhea. Acta obstetricia et gynecologica Scandinavica, 63(6), 533-538. https://doi.org/10.3109/00016348409156715
crossref pmid

14. Pickles, VR. (1997). Prostaglandins and dysmenorrhea historical survey. Acta Obstetricia et Gynecologica Scandinavica, 58, 7-12. https://doi.org/10.3109/00016347909157782
crossref pmid

15. Kwon, N-Y, & Lee, D-N. (2021). Acupuncture for Endometriosis; A Systemic Review. The Journal of Korean Obstetrics and Gynecology, 34(2), 48-61. http://dx.doi.org/10.15204/jkobgy.2021.34.2.048


16. Lee, S-J, Ji, H-R, Hwang, D-S, Lee, C-H, Jang, J-B, & Lee, J-M. (2019). Comparative analysis of the heart rate variability, body composition, digital infrared thermal imaging and electro pulse graph between primary dysmenorrhea patients and secondary dysmenorrhea patients. The Journal of Korean Obstetrics and Gynecology, 32(4), 25-36. http://dx.doi.org/10.15204/jkobgy.2019.32.4.025


17. Koh, J-y, Gwon, G-h, Shin, H-s, Lee, J-h, & Jo, S-w. (2019). Review of Domestic Clinical Research about Dysmenorrhea: A Systematic Review of Clinical Studies in Korean Medical Journals. The Journal of Internal Korean Medicine, 40(4), 612-628. http://dx.doi.org/10.22246/jikm.2019.40.4.612


Editorial office contact information
3F, #26-27 Gayang-dong, Gangseo-gu Seoul, 157-200 Seoul, Korea
The Society of Korean Medicine
Tel : +82-2-2658-3627   Fax : +82-2-2658-3631   E-mail : skom1953.journal@gmail.com
About |  Browse Articles |  Current Issue |  For Authors and Reviewers
Developed in M2PI