Abstract
Objective: Doppler findings in women with severe symptoms of primary dysmenorrhea include high
impedance to blood flow in uterine arteries with a preserved cyclic pattern throughout
the whole cycle. Doppler findings in women who present with mild symptoms of primary
dysmenorrhea are not yet documented. The aim of this study was to investigate possible
differences in Doppler findings among women with mild and severe primary dysmenorrhea.
Study design: One hundred and fifty four women were examined with color Doppler ultrasound: 50
in the control group, 60 in the mild and 44 in the severe primary dysmenorrhea subgroup.
We calculated resistance index in uterine arteries in these women on the first day
of the cycle, in the follicular (days 9–12) and the luteal (days 20–23) phase of the
cycle and used analysis of variance for comparing results. Results: The rate of visualization was 100% for uterine and arcuate arteries, 44–76% for
the radial and 32–62% for spiral arteries, respectively. A significant difference
in Doppler index values among the mild and severe dysmenorrheic group was observed
in the luteal phase for the arcuate artery and in all the three measurement periods
for the radial and spiral arteries. Conclusion: There is a difference in Doppler findings between women with mild and severe symptoms
of primary dysmenorrhea.
Keywords
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Article info
Publication history
Accepted:
July 24,
2002
Received in revised form:
July 22,
2002
Received:
April 29,
2002
Identification
Copyright
© 2002 Elsevier Science Ireland Ltd. Published by Elsevier Inc. All rights reserved.
