title: Primary dysmenorreah-leading problem of adolescent gynecology (review).
abstract: Adolescent gynecology is a rapidly developing area. Dysmenorrhea is one of the most common complaints among women of young reproductive age. About 25-95% of young women suffers with dysmenorrhoea and is associated with significant psychological, physical, behavioral and social distress. This review summarizes epidemiology, strategies of establishing the diagnosis, discussion of pathophysiology of the disease and risk factors. We performed a comprehensive search through MEDLINE, EMBASE, Scopus, MD consult and Web of Science. Inclusion criteria specified review and research articles reporting primary dysmenorreah in adolescents. The search resulted in 214 articles. We point out a variety of noninvasive nutritional and psychological therapeutic interventions that have been suggested to relieve dysmenorrheal. This review of Primary Dysmenorreah identifies gaps in the literature, some contradictions and highlights the need for further study.
authors.affiliation: D. Tvildiani Medical University, Tbilisi, Georgia.
authors.forename: T
authors.initials: T
authors.lastname: Gagua
authors.forename: B
authors.initials: B
authors.lastname: Tkeshelashvili
authors.forename: D
authors.initials: D
authors.lastname: Gagua
mesh_terms: D000293:Adolescent; D004412:Dysmenorrhea / Q000453:epidemiology / Q000378:metabolism / Q000503:physiopathology / Q000628:therapy; D005260:Female; D005831:Genital Diseases, Female / Q000453:epidemiology / Q000378:metabolism / Q000503:physiopathology / Q000628:therapy; D006801:Humans; D055815:Young Adult