Anogenital Distance as a Predictor of Dysmenorrhea

In: Nusantara Science and Technology Proceedings · 2022 · doi:10.11594/nstp.2022.2826 · W4315482670
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This study found that adolescents with dysmenorrhea had a significantly shorter anogenital distance compared to those without dysmenorrhea, suggesting AGD may predict menstrual pain.

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This study examined whether anogenital distance (AGD)—the measured distance from the midpoint of the anus to the clitoris—differs between adolescents with dysmenorrhea and those without. Using a sample of 93 medical students (class of 2020–2021, average age about 19 years), the authors compared AGD between a dysmenorrhea group (73% of respondents) and a non-dysmenorrhea group and found a significant difference in mean AGD; the dysmenorrhea group had a median AGD of 0.33 versus 0.43 in the non-dysmenorrhea group. The paper’s main conclusion is that AGD size can serve as a predictor of dysmenorrhea. Relevance to endometriosis: the introduction states that shortened AGD reflects intrauterine estrogen exposure and is a predictor of endometriosis with dysmenorrhea symptoms, though the study itself directly compares dysmenorrhea versus non-dysmenorrhea rather than diagnosing endometriosis or adenomyosis.

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Abstract

Most women experience menstrual pain (dysmenorrhea) before and during menstruation. The prevalence of dysmenorrhea in Indonesia reaches 64.25%, consisting of 54.89% primary dysmenorrhea and 9.36% secondary dysmenorrhea. The incidence of dysmenorrhea among women of reproductive age ranges from 45% - 95%. Primary dysmenorrhea is experienced by 60% - 75% of adolescents. Many risk factors for dysmenorrhea have been identified, one of which is the anatomy of the reproductive organs. Anogenital distance (AGD) is the distance from the midpoint of the anus to the clitoris. Intrauterine estrogen exposure causes a shortened AGD, so this is a predictor of endometriosis with symptoms of dysmenorrhea. This study aims to determine the difference between AGD in adolescents with dysmenorrhea and non-dysmenorrhea. The sample of this study was 93 students of the Faculty of Medicine, Riau University, Class of 2020 and 2021. The results showed that the average age of the respondents was 19 years. As many as 73% of respondents experienced dysmenorrhea. The median of AGD in the dysmenorrhea group was 0,33 and the non-dysmenorrhea group was 0.43. There was a significant difference in the mean AGD between the two groups. It can be concluded that the size of the AGD can be a predictor of dysmenorrhea.
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Anogenital Distance as a Predictor of Dysmenorrhea DOI: https://doi.org/10.11594/nstp.2022.2826Keywords: Dysmenorrhea, anogenital distance, menstruationAbstract Most women experience menstrual pain (dysmenorrhea) before and during menstruation. The prevalence of dysmenorrhea in Indonesia reaches 64.25%, consisting of 54.89% primary dysmenorrhea and 9.36% secondary dysmenorrhea. The incidence of dysmenorrhea among women of reproductive age ranges from 45% - 95%. Primary dysmenorrhea is experienced by 60% - 75% of adolescents. Many risk factors for dysmenorrhea have been identified, one of which is the anatomy of the reproductive organs. Anogenital distance (AGD) is the distance from the midpoint of the anus to the clitoris. Intrauterine estrogen exposure causes a shortened AGD, so this is a predictor of endometriosis with symptoms of dysmenorrhea. This study aims to determine the difference between AGD in adolescents with dysmenorrhea and non-dysmenorrhea. The sample of this study was 93 students of the Faculty of Medicine, Riau University, Class of 2020 and 2021. The results showed that the average age of the respondents was 19 years. As many as 73% of respondents experienced dysmenorrhea. The median of AGD in the dysmenorrhea group was 0,33 and the non-dysmenorrhea group was 0.43. There was a significant difference in the mean AGD between the two groups. It can be concluded that the size of the AGD can be a predictor of dysmenorrhea. Downloads Downloads Published Issue Section License Copyright (c) 2022 Nicko Pisceski Kusika Saputra, Noviardi, Nopianti Sonia, Dina Sartika, Syafira Nadisa This work is licensed under a Creative Commons Attribution 4.0 International License. Authors who publish with this proceedings agree to the following terms: Authors retain copyright and grant the Nusantara Science and Technology Proceedings right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this proceeding. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the proceedings published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this proceeding. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See the Effect of Open Access).

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endometriosisdysmenorrhea

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