MYOMETRIAL PHYSIOLOGY AND ITS RELATION TO PELVIC PAIN
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Abstract
Many factors contribute to the presence of pelvic pain during menstruation. Attention in the present paper will be devoted primarily to the myometrium, though the person as a unit must always be considered. The present knowledge concerning human nonpregnant uterine contractions is based on extensive investigations on experimental animals supplemented by careful clinical observations and uterine pressure records from control, pregnant and dysmenorrheal patients. Intrauterine pressure records from the nonpregnant human uterine were first obtained by Moir, 1 who observed during menses that contractions occurred every two minutes and developed pressures as high as 100 mm. of mercury. No pain but a feeling of heaviness and discomfort occurred when uterine pressures of 120 mm. of mercury were present. In patients with severe dysmenorrhea, pressures of 150 mm. of mercury were recorded and vascular pulsations disappeared at 120 mm. of mercury. Bickers 2 showed that high uterine tone is associated with
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References (7)
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Cited by (14)
- Comparison between microwave ablation and radiofrequency ablation for treating symptomatic uterine adenomyosis 2020
- Cine MRI during spontaneous cramps in women with menstrual pain 2018
- Primary Dysmenorrhea: An Urgent Mandate 2013
- Dysmenorrhea and its severity are associated with increased uterine contractility and overexpression of oxytocin receptor (OTR) in women with symptomatic adenomyosis 2012
- Contractility of the Nonpregnant Uterus 2001
- CYCLIC PELVIC PAIN AND DYSMENORRHEA 1993
- Prostaglandins in Dysmenorrhoea and Endometriosis 1992
- Piroxicam-β-Cyclodextrin in the Treatment of Dysmenorrhoea 1990
- The Effect Of Flurbiprofen And Naproxen Sodium On Intra‐Uterine Pressure And Menstrual Pain In Patients With Primary Dysmenorrhea 1988
- Aspects of Inhibition of Myometrial Hyperactivity in Primary Dysmenorrhea 1983
- EFFECTS OF NIFEDIPINE ON MYOMETRIAL ACTIVITY AND LOWER ABDOMINAL PAIN IN WOMEN WITH PRIMARY DYSMENORRHOEA 1978
- New concepts in dysmenorrhea 1978
- EFFECTS OF TERBUTALINE ON MYOMETRIAL ACTIVITY, UTERINE BLOOD FLOW, AND LOWER ABDOMINAL PAIN IN WOMEN WITH PRIMARY DYSMENORRHOEA 1976
- The Use of Androgens in Women 1947
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