Atef Mohamed Atef, Hala Mohamed Emara, Hossam El Din Hussein Kamel

Atef Mohamed Atef, Hala Mohamed Emara, Hossam El Din Hussein Kamel – Effect of Visceral Decongestion of True Pelvis on Primary Dysmenorrhea. Fizjoterapia Polska 2019; 19(3); 46-52

Abstract
Background. Primary dysmenorrhea has a profound psychosocial impact not only on girls but also on their families as it has an effect on their performance of the daily living activities and decreases their ability to maintain an independent life style.
Purpose. This study was conducted to detect the effect of visceral decongestion technique of true pelvis on primary dysmenorrhea.
Subjects. Fifty girls with primary dysmenorrhea diagnosed by gynecologist selected randomly from Said Galal University Hospital in Cairo, Al Azhar University participated in this study. Their ages were ranged from 16 to 25 years old and their body mass index was ranged from 18.5 to 25 kg/m2. Girls with gynecological diseases that may cause secondary dysmenorrhea such as; Endometriosis, Adenomyosis, Fibroids, Polybs and Pelvic inflammatory diseases, married or non-virginal girls were excluded from the study. This study was conducted from May 2017 to August 2018. Design. pre and post experimental study. They were divided into two equal groups, group A treated by NSAIDS (Brufen 400 mg), two tablets per day during menstruation only for three months; group B treated by the same medical treatment as in group A in addition to visceral decongestion technique for true pelvis, three sessions per week before the expected day of menstruation by two days till end of the menstruation. All patients received four sessions in one month for three menstrual cycles.
Methods. Visual analogue scale (VAS) and serum cortisol level were used to measure pain intensity and Doppler ultrasound used to measure the vascularity of the uterus for both groups A and B pre-treatment and post-treatment of 1st, 2nd and 3rd menstrual cycle. Results. In group A there was no statistical significant decrease in the mean value of VAS, cortisol level, RI of left and right uterine artery of pre-treatment values of 2nd and 3rd menstrual cycle when compared with its corresponding value of 1st menstrual cycle. While there was significant decrease of post-treatment values of group A, pre and post treatment values of group B. There was significant difference in pre-treatment and post-treatment values of VAS, cortisol level, RI of left and right uterine artery between both groups A and B (more decrease in group B pre-treatment and post-treatment).
Conclusion. Visceral decongestion of true pelvis can be used as a treatment in reducing severity of pain, reducing serum cortisol level and increasing blood supply to the uterus in primary dysmenorrhea.

Key words:
Visceral decongestion, True pelvis, Primary dysmenorrhea