Abstract

Background. Dysmenorrhea, characterized by painful menstrual cramps, affects a significant percentage of adolescents, leading to considerable discomfort and disruption in daily activities. It is categorized into primary dysmenorrhea, which is not associated with any underlying gynecological conditions, and secondary dysmenorrhea, which is linked to identifiable pelvic pathologies. Primary dysmenorrhea typically arises due to uterine contractions mediated by prostaglandins and can significantly impact the quality of life (QoL) for affected individuals.

Aim. The aim of this study is to compare the efficacy of transcutaneous tibial nerve stimulation (TTNS) and transcutaneous electrical nerve stimulation (TENS) in reducing pain and enhancing the quality of life in adolescents with primary dysmenorrhea.

Method. This twelve-week study involved 80 participants aged 18 to 25 with primary dysmenorrhea and no pelvic pathologies. The participants were divided into two groups, each receiving either TENS or TTNS. Outcome measures included the Numeric Pain Rating Scale (NPRS) and the Menstrual Distress Questionnaire, evaluating pain and quality of life before and after the intervention.

Result. The study revealed a significant decrease in pain intensity (p < 0.0001) and improved quality of life (p < 0.0001) post-intervention, indicating the effectiveness of TENS and TTNS.

Conclusion. This study provides evidence supporting the effectiveness of TENS and TTNS in managing primary dysmenorrhea symptoms. The observed improvements in pain reduction and quality of life suggest the potential of these interventions as valuable components in the management of primary dysmenorrhea.

Key words

TENS, TTNS, primary dysmenorrhea, pain reduction, quality of life