A randomized pilot study of acupuncture treatment for primary dysmenorrhea

      Abstract

      Objective

      To compare the therapeutic effect of acupuncture and non-steroidal anti-inflammatory drug (NSAID) therapy in primary dysmenorrhea patients.

      Study design

      Thirty-five young women with a diagnosis of primary dysmenorrhea were recruited for the study. Their dysmenorrhea severity was rated by visual analog scale (VAS) immediately prior to entry into the study. They were randomly divided into two groups; and the following month they were given NSAID (group 1, n = 24) or acupuncture treatment (group 2, n = 11). Pain was rated again using VAS during menstruation in both groups.

      Results

      After one month's treatment, pain scores were significantly lower in both groups (p < 0.05). Mean pain scores decreased by 52.2% and 69.5% in the NSAID and acupuncture groups, respectively.

      Conclusion

      Acupuncture was as effective as NSAID therapy for patients with primary dysmenorrhea. Since this was a pilot study with a small sample size and short follow-up period, larger studies are needed to clarify the effect of acupuncture in the treatment of primary dysmenorrhea.
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      References

        • Ren L.
        • Ma X.
        Observation on therapeutic effect of acupuncture and moxibustion for primary dysmenorrhea.
        Journal of Acupuncture and Tuina Science. 2011; 9: 107-109
        • Harel Z.
        Dysmenorrhea in adolescents.
        Annals of the New York Academy of Sciences. 2008; 1135: 185-195
        • Smith C.A.
        • Crowther C.A.
        • Petrucco O.
        • Beilby J.
        • Dent H.
        Acupuncture to treat primary dysmenorrhea in women: a randomized controlled trial.
        Evidence-Based Complementary and Alternative Medicine. 2011; 2011: 612464
        • Norrbrink Budh C.
        • Lundeberg T.
        Non-pharmacological pain-relieving therapies in individuals with spinal cord injury: a patient perspective.
        Complementary Therapies in Medicine. 2004; 12: 189-197
        • Goertz C.M.
        • Niemtzow R.
        • Burns S.M.
        • Fritts M.J.
        • Crawford C.C.
        • Jonas W.B.
        Auricular acupuncture in the treatment of acute pain syndromes: a pilot study.
        Military Medicine. 2006; 171: 1010-1014
        • Cherkin D.C.
        • Sherman K.J.
        • Avins A.L.
        • et al.
        A randomized trial comparing acupuncture, simulated acupuncture, and usual care for chronic low back pain.
        Archives of Internal Medicine. 2009; 169: 858-866
        • Ernst E.
        • Lee M.S.
        • Choi T.Y.
        Acupuncture in obstetrics and gynecology: an overview of systematic reviews.
        American Journal of Chinese Medicine. 2011; 39: 423-431
        • Zhao L.
        • Li P.
        A survey of acupuncture treatment for primary dysmenorrhea.
        Journal of Traditional Chinese Medicine. 2009; 29: 71-76
        • NIH Consensus Conference
        Acupuncture.
        Journal of American Medical Association. 1998; 280: 1518-1524
        • Resim S.
        • Gumusalan Y.
        • Ekerbicer H.C.
        • Sahin M.A.
        • Sahinkanat T.
        Effectiveness of electro-acupuncture compared to sedo-analgesics in relieving pain during shockwave lithotripsy.
        Urological Research. 2005; 33: 285-290
        • Leake R.
        • Broderick J.E.
        Treatment efficacy of acupuncture: a review of the research literature.
        Integrative Medicine. 1998; 1: 107-115
        • Cho S.-H.
        • Lee H.
        • Ernst E.
        Acupuncture for pain relief in labour: a systematic review and meta-analysis.
        BJOG: An International Journal of Obstetrics and Gynaecology. 2010; 117: 907-920
        • Zhao Z.Q.
        Neural mechanism underlying acupuncture analgesia.
        Progress in Neurobiology. 2008; 85: 355-375
        • Cui K.M.
        • Li W.M.
        • Gao X.
        • Chung K.
        • Chung J.M.
        • Wu G.C.
        Electro-acupuncture relieves chronic visceral hyperalgesia in rats.
        Neuroscience Letters. 2005; 376: 20-23
        • Lin J.G.
        • Chen W.L.
        Acupuncture analgesia: a review of its mechanisms of actions.
        American Journal of Chinese Medicine. 2008; 36: 635-645
        • Helms J.M.
        Acupuncture for the management of primary dysmenorrhea.
        Obstetrics and Gynecology. 1987; 69: 51-56
        • Guo A.
        • Meng Q.
        Acupuncture combined with spinal tui na for treatment of primary dysmenorrhea in 30 cases.
        Journal of Traditional Chinese Medicine. 2008; 28: 7-9
        • Habek D.
        • Cerkez Habek J.
        • Bobić-Vuković M.
        • Vujić B.
        Efficacy of acupuncture for the treatment of primary dysmenorrhea.
        Gynakologisch-Geburtshilfliche Rundschau. 2003; 43: 250-253
        • Iorno V.
        • Burani R.
        • Bianchini B.
        • Minelli E.
        • Martinelli F.
        • Ciatto S.
        Acupuncture treatment of dysmenorrhea resistant to conventional medical treatment.
        Evidence-Based Complementary and Alternative Medicine. 2008; 5: 227-230
        • Witt C.M.
        • Reinhold T.
        • Brinkhaus B.
        • Roll S.
        • Jena S.
        • Willich S.N.
        Acupuncture in patients with dysmenorrhea: a randomized study on clinical effectiveness and cost-effectiveness in usual care.
        American Journal of Obstetrics and Gynecology. 2008; 198: 166e1-1668e
        • Xiang D.
        • Situ Y.
        • Liang X.
        • Cheng L.
        • Zhang G.
        Ear acupuncture therapy for 37 cases of dysmenorrhea due to endometriosis.
        Journal of Traditional Chinese Medicine. 2002; 22: 282-285