Dysmenorrhea and Prostaglandins

In: Gynecologic Endocrinology · 1987 · pp. 405–421 · doi:10.1007/978-1-4613-2157-6_19 · W2596922
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This paper reviews the historical understanding of menstrual fluid's effects and the later discovery of prostaglandins in menstrual fluid that are elevated in dysmenorrhea and reduced by NSAIDs.

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This chapter reviews historical and experimental research on dysmenorrhea and the role of prostaglandins, focusing on measurements of prostaglandins in menstrual fluid and endometrium from women with primary dysmenorrhea and in vitro smooth-muscle bioassays. It reports that women with primary dysmenorrhea have higher menstrual fluid prostaglandins than normal women, and that endometrial/menstrual fluid prostaglandins are increased in dysmenorrhea and can be reduced below normal with nonsteroidal anti-inflammatory drugs, with concomitant pain relief. The discussion is largely based on prior studies and pharmacologic observations rather than a single new, clearly defined study, and it does not uniformly address how consistent or causally specific prostaglandin elevations are across conditions and populations. Relevance to endometriosis: it discusses prostaglandins in menstrual blood/endometrium for dysmenorrhea and also cites and summarizes evidence on prostanoids in peritoneal fluid and endometriotic tissue, though its main focus is dysmenorrhea and prostaglandins.

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Abstract

In the folklore of many cultures, the menstrual fluid is believed to be endowed with magical properties. The concept of toxins in the menstrual fluid is evident in many historical writings. Schick1 remarked that his maidservant caused withering of cut flowers when she touched them during her menstrual period. Similar observations were noted by Macht and colleagues.2,3 Acetone extracts of menstrual fluid were found toxic to primulas and could potentiate the epinephrine-induced contractions of the rat vas deferens in vitro.4 Pickles5 ushered in the era of prostaglandins in menstrual fluid when he showed that menstrual fluid extracts induced smooth muscle contractions in vitro; the term “menstrual stimulant” was coined, and this was later shown to be prostaglandins F and E.6 Later, women with primary dysmenorrhea were collectively shown to have a higher amount of menstrual fluid prostaglandins than normal women.7 During the 1970s, a few groups, including our laboratory, showed that endometrial and menstrual fluid prostaglandins were increased in dysmenorrhea women and could be reduced to below normal levels with nonsteroidal anti-inflammatory drugs while concomitant relief of the dysmenorrhea occurred.8–11 Preview Unable to display preview. Download preview PDF. Similar content being viewed by others

References

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Am J Obstet Gynecol 147: 563–565, 1983 Dawood MY, Khan-Dawood FS, Wilson L Jr: Peritoneal fluid prostaglandins and prostanoids in women with endometriosis, chronic pelvic inflammatory disease and pelvic pain. Am J Obstet Gynecol 148: 391–395, 1984 Kauppila A, Puolakka J, Ylikorkala O: Prostaglandin bio-synthesis inhibitors and endometriosis. Prostaglandins 18: 655–661, 1979 Author information Authors and Affiliations Editor information Editors and Affiliations Rights and permissions Copyright information © 1987 Plenum Publishing Corporation About this chapter Cite this chapter Dawood, M.Y. (1987). Dysmenorrhea and Prostaglandins. In: Gold, J.J., Josimovich, J.B. (eds) Gynecologic Endocrinology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-2157-6_19 Download citation DOI: https://doi.org/10.1007/978-1-4613-2157-6_19 Publisher Name: Springer, Boston, MA Print ISBN: 978-1-4612-9272-2 Online ISBN: 978-1-4613-2157-6 eBook Packages: Springer Book Archive

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