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Related Experiment Video

Updated: Dec 8, 2025

Herbs-Partitioned Moxibustion on the Navel in a Rat Model of Primary Dysmenorrhea with Cold Coagulation and Blood Stasis
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Dysmenorrhea Symptom-Based Phenotypes: A Replication and Extension Study.

Chen X Chen1, Janet S Carpenter, Susan Ofner

  • 1Chen X. Chen, PhD, RN, is Assistant Professor, Indiana University School of Nursing, Indianapolis. Janet, S. Carpenter, PhD, RN, FAAN, is Distinguished Professor, Audrey Geisel Endowed Chair in Innovation, Associate Dean for Research, Indiana University School of Nursing, Indianapolis. Susan Ofner MS, is Biostatistician, Department of Biostatistics, Indiana University School of Medicine, Indianapolis. Michelle LaPradd, MS, MBA, is Biostatistician and PhD Student, Department of Biostatistics, Indiana University School of Medicine, Indianapolis. J. Dennis Fortenberry, MD, MS, is Donald Orr, MD Professor of Adolescent Medicine and Chief of the Division of Adolescent Medicine, Department of Pediatrics, Indiana University School of Medicine, Indianapolis.

Nursing Research
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PubMed
Summary
This summary is machine-generated.

Three distinct dysmenorrhea phenotypes were validated in a new sample, showing that factors like race and endometriosis are linked to pain patterns. This research supports personalized treatment approaches for menstrual pain.

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Area of Science:

  • Pain Medicine
  • Women's Health
  • Clinical Phenotyping

Background:

  • Dysmenorrhea (painful periods) is common and linked to other chronic pain conditions.
  • Individual experiences of dysmenorrhea vary significantly in severity and associated symptoms.
  • Previous identification of three dysmenorrhea phenotypes needs validation in an independent cohort for further research.

Purpose of the Study:

  • To validate previously identified dysmenorrhea symptom-based phenotypes in a new sample.
  • To assess the impact of demographic, clinical, and psychobehavioral factors on phenotype classification.
  • To explore the associations between validated phenotypes and various individual characteristics.

Main Methods:

  • A cross-sectional survey of 678 women (aged 14-42) with dysmenorrhea.
  • Latent class analysis used to identify symptom-based phenotypes.
  • Comparison of analyses with and without covariates to determine phenotype stability and associations.

Main Results:

  • Three dysmenorrhea phenotypes were reproduced: mild localized pain, severe localized pain, and multiple severe symptoms.
  • Phenotype membership showed minimal change when demographic, clinical, and psychobehavioral covariates were included.
  • Race, comorbid chronic pain, endometriosis, and pain catastrophizing were significantly associated with phenotypes.

Conclusions:

  • The three dysmenorrhea phenotypes are validated in an independent sample, providing a basis for mechanistic and interventional studies.
  • Demographic, clinical, and psychobehavioral factors are associated with specific dysmenorrhea phenotypes.
  • This validation supports the development of precision treatments for dysmenorrhea based on distinct symptom profiles.