Pilihan Penanganan Nyeri pada Dismenore Primer

Oleh :

dr. Cipta Pramana SpOGK

Nyeri pada dismenore primer (primary dysmenorrhea) harus ditangani baik dengan terapi nonfarmakologi maupun farmakologi. Bila tidak ada perbaikan klinis setelah 3−6 bulan pengobatan, maka perlu diperiksa lebih lengkap lagi untuk mengetahui kemungkinan adanya penyebab kelainan panggul atau dismenore sekunder.[1]

Dismenore primer didefinisikan sebagai nyeri menstruasi yang tidak disertai adanya kelainan atau patologi panggul, seperti infeksi, inflamasi, endometriosis, tumor, atau kanker. Gejala dismenore primer adalah kram dan sakit perut dengan intensitas sedang sampai berat selama menstruasi. Kondisi ini merupakan faktor yang mendorong seorang remaja berkonsultasi ke dokter spesialis ginekologi.[1-3]

Etiologi dan Prevalensi Dismenore Primer

(Konten ini khusus untuk dokter. Registrasi untuk baca selengkapnya)

Referensi

1. Gerancher KR. ACOG Committee Opinion #297. Obstet Gynecol. 2004;104(2):423–4.
2. Kho KA, Shields JK. Diagnosis and Management of Primary Dysmenorrhea. JAMA - J Am Med Assoc. 2020;323(3):268–9.
3. AMIMI S. OSAYANDE, MD, and SUARNA MEHULIC M. Diagnosis and Initial Management of Dysmenorrhea. Am Fam Physician. 2014;89(5):341–6.
4. Ferries-Rowe E, Corey E, Archer JS. Primary Dysmenorrhea: Diagnosis and Therapy. Obstet Gynecol. 2020;136(5):1047–58.
5. Rafique N, Al-Sheikh MH. Prevalence of primary dysmenorrhea and its relationship with body mass index. J Obstet Gynaecol Res. 2018;44(9):1773–8.
6. Ju H, Jones M, Mishra G. The prevalence and risk factors of dysmenorrhea. Epidemiol Rev. 2014;36(1):104–13.
7. Ryan SA. The Treatment of Dysmenorrhea. Pediatr Clin North Am. 2017;64(2):331–42. http://dx.doi.org/10.1016/j.pcl.2016.11.004
8. Bernardi M, Lazzeri L, Perelli F, Reis FM, Petraglia F. Dysmenorrhea and related disorders. F1000Res. 2017 Sep 5;6:1645. doi: 10.12688/f1000research.11682.1. PMID: 28944048; PMCID: PMC5585876.
9. Harel Z. Dysmenorrhea in adolescents and young adults: an update on pharmacological treatments and management strategies. Expert Opin Pharmacother. 2012 Oct;13(15):2157-70. doi: 10.1517/14656566.2012.725045. PMID: 22984937.
10. Shetty GB, Shetty B, Mooventhan A. Efficacy of Acupuncture in the Management of Primary Dysmenorrhea: A Randomized Controlled Trial. JAMS J Acupunct Meridian Stud. 2018;11(4):153–8. https://doi.org/10.1016/j.jams.2018.04.001
11. Yonglitthipagon P, Muansiangsai S, Wongkhumngern W, et al. Effect of yoga on the menstrual pain, physical fitness, and quality of life of young women with primary dysmenorrhea. J Bodyw Mov Ther. 2017;21(4):840–6. http://dx.doi.org/10.1016/j.jbmt.2017.01.014
12. Marjoribanks J, Ayeleke R, Farquhar C, Proctor M. Nonsteroidal anti-inflammatory drugs for dysmenorrhoea. Cochrane Database of Systematic Reviews 2015, Issue 7. Art. No.: CD001751. DOI: 10.1002/14651858.CD001751.pub3
13. Yunianingrum E, Widyastuti Y. the Effect of Warm Compress and Aromatherapy Lavender To Decreasing Pain on Primary Dysmenorrhea. J Kesehatn Ibu dan Anak. 2018;12(1):39–47. http://e-journal.poltekkesjogja.ac.id/index.php/kia
14. Thabet HA, Amin H, Fahmy Elsaba H, Abd AH, Hassan E. Effects of Two Non-pharmacological Pain Relief Interventions on the Severity of Pain among Adolescent Girls Complaining from Primary Dysmenorrhea. International Journal of Novel Research in Healthcare and Nursing Vol. 7, Issue 3, pp: (247-261), Month: September-December 2020.
15. Entsar Abd El monaem Mohamed, Aziza Ahmed Attia AAHO, Elsayed Afifi HAA. Traditional Practices Self Reported by Nursing Students to Relieve Dysmenorrhea. Egypt J Health Care. 2018;9(3):43–59.
16. T.M. Marzouk, A.M. El-Nemer, H.N. Baraka, The effect of aromatherapy abdominal massage on alleviating menstrual pain in nursing students: A prospective randomized cross-over study, Evid. Based Complement. Alternate. Med. (2013) 742421.
17. F. Bakhtshirin, S. Abedi, P. YusefiZoj, D. Razmjooee, The effect of aromatherapy massage with lavender oil on severity of primary dysmenorrhea in Arsanjan students, Iran J. Nurs. Midwifery Res. 20(1) (2015) 156-60.
18. S.E. Apay, S. Arslan, R.B. Akpinar, A. Celebioglu, Effect of aromatherapy massage on dysmenorrhea in Turkish students, Pain Manag. Nurs. 13(4) (2012) 236- 40.