Brazilian Journal of Pain
https://brjp.org.br/article/doi/10.5935/2595-0118.20190019
Brazilian Journal of Pain
Original Article

Comparison of the pain pressure threshold on the pelvic floor in women with and without primary dysmenorrhea

Comparação do limiar pressórico de dor no assoalho pélvico em mulheres com e sem dismenorreia primária

Victória dos Santos Guarda Lima; Guilherme Tavares de Arruda; Cyntia Scher Strelow; Michele Adriane Froelich; Michele Forgiarini Saccol; Melissa Medeiros Braz

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Abstract

BACKGROUND AND OBJECTIVES: Primary dysmenorrhea is characterized as menstruation with painful conditions in women with no associated pathologies, whose pain sites are classically investigated in the abdomen. However, it is known that the pelvic floor can also be compromised by primary dysmenorrhea and can be a source of hyperactivity of this musculature. The objective of this study was to compare the pain pressure threshold in the pelvic floor of women with and without primary dysmenorrhea.

METHODS: An observational, quantitative and cross-sectional study was conducted with young women. The sample consisted of 20 women divided into two groups: with primary dysmenorrhea (n=10) and without primary dysmenorrhea (n=10). The Adapted Assessment Questionnaire was applied for the data collection on the characteristics of the menstrual cycle followed by an evaluation of the pressure threshold of the pelvic floor of the participants using the Microfet 2 HHD manual dynamometer.

RESULTS: There was no significant difference in pressure pain threshold between the groups on the left side (p=0.156) and right side (p=0.198) of the pelvic floor.

CONCLUSION: In this women sample, the occurrence or non-occurrence of primary dysmenorrhea was not associated with an increase in the pain pressure threshold of the pelvic floor.

Keywords

Dysmenorrhea, Pelvic floor, Women

Resumo

JUSTIFICATIVA E OBJETIVOS: A dismenorreia primária é caracterizada como uma menstruação com quadros álgicos em mulheres sem doenças associadas, cujos pontos de dor são investigados classicamente no abdômen. Entretanto, sabe-se que o assoalho pélvico também pode ser comprometido pela dismenorreia primária e pode ser fonte de hiperatividade dessa musculatura. O objetivo deste estudo foi comparar o limiar pressórico de dor no assoalho pélvico de mulheres com e sem dismenorreia primária.

MÉTODOS: Foi realizado um estudo observacional, com abordagem quantitativa e de caráter transversal com mulheres jovens. A amostra constituiu de 20 mulheres divididas em dois grupos: com dismenorreia primária (n=10) e sem dismenorreia primária (n=10). O Questionário Adaptado de Avaliação foi aplicado para a coleta dos dados sobre as características do ciclo menstrual, seguido de uma avaliação do limiar pressórico do assoalho pélvico das participantes com o dinamômetro manual Microfet 2 HHD.

RESULTADOS: Não houve diferença significativa no limiar de dor à pressão entre os grupos no lado esquerdo (p=0,156) e lado direito (p=0,198) do assoalho pélvico.

CONCLUSÃO: Nesta amostra de mulheres, a ocorrência ou não de dismenorreia primária não foi associada ao aumento do limiar pressórico de dor do assoalho pélvico.

Palavras-chave

Diafragma pélvico, Dismenorreia, Mulheres

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Submitted date:
11/11/2019

Accepted date:
02/19/2019

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