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Updated: May 17, 2026

Herbs-Partitioned Moxibustion on the Navel in a Rat Model of Primary Dysmenorrhea with Cold Coagulation and Blood Stasis
Published on: October 4, 2024
Increased frequency of MEFV gene mutations in patients with primary dysmenorrhea
Sukran Erten1, A Altunoglu, H L Keskin
1Department of Rheumatology, Romatoloji Poliklinigi, Ataturk Egitim ve Arastirma Hastanesi, 06800, Ankara, Turkey, sukranerten@yahoo.com.
Objectives:
Familial Mediterranean fever (FMF) is an autoinflammatory disease characterized by recurrent attacks of fever and polyserositis and an autosomal recessive inheritance mode. Up to 15 % of FMF patients are reported to experience perimenstrual attacks. Primary dysmenorrhea could be an incomplete abdominal attack, or patients with dysmenorrhea may have increased frequency of MEFV gene mutation carriage. Therefore, we aimed to evaluate the frequency of MEFV gene mutations in patients with dysmenorrhea.
Methods:
Eighty-four patients with primary dysmenorrhea attending consecutively to our gynecology department and 73 healthy female controls selected from hospital staff were included in the study, and MEFV gene mutations were analyzed.
Results:
The prevalence of total allelic variants was significantly increased in dysmenorrhea patients (p = 0.015); analysis of individual variant rates revealed a significant increase in the frequency of MEFV gene mutations in dysmenorrhea patients compared with the control group (p = 0.036).
Conclusion:
Gynecologists and primary care physicians must be aware of FMF in the differential diagnosis of dysmenorrhea.
Insights
Familial Mediterranean fever (FMF) gene mutations are more common in women with primary dysmenorrhea. This suggests a potential link between FMF and painful menstruation, warranting further investigation by healthcare providers.
Area of Science:
- Genetics
- Immunology
- Gynecology
Background:
- Familial Mediterranean fever (FMF) is an autoinflammatory disease with recurrent fever and polyserositis.
- Approximately 15% of FMF patients experience perimenstrual attacks.
- Primary dysmenorrhea may represent an FMF attack or be associated with MEFV gene mutations.
Purpose of the Study:
- To investigate the frequency of MEFV gene mutations in patients with primary dysmenorrhea.
- To explore the potential association between MEFV gene mutations and dysmenorrhea.
Main Methods:
- Study included 84 female patients with primary dysmenorrhea and 73 healthy female controls.
- MEFV gene mutations were analyzed in all participants.
Main Results:
- The prevalence of total allelic variants was significantly higher in dysmenorrhea patients (p=0.015).
- A significant increase in the frequency of MEFV gene mutations was observed in dysmenorrhea patients compared to controls (p=0.036).
Conclusions:
- Gynecologists should consider FMF in the differential diagnosis of dysmenorrhea.
- Increased awareness of FMF is crucial for managing patients with dysmenorrhea.
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