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Menses Phase01:18

Menses Phase

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The uterine cycle begins with the menstrual phase, which is considered day one of the cycle and typically lasts about five days. This phase is characterized by the degeneration and shedding of the stratum functionalis, the functional layer of the endometrium.
When fertilization does not occur, the corpus luteum deteriorates, causing a significant drop in the levels of estrogen and progesterone in the body. This hormonal decrease triggers the release of prostaglandins, which cause the uterine...
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Disorders of the Female Reproductive System01:24

Disorders of the Female Reproductive System

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The female reproductive system can be affected by several disorders, including Premenstrual Syndrome (PMS), Premenstrual Dysphoric Disorder (PMDD), endometriosis, and various forms of cancer. PMS and PMDD are cyclical conditions that cause physical and emotional distress, with symptoms that include edema, mood swings, and food cravings. PMDD is a more severe form of PMS characterized by increased symptom severity that peaks during the luteal phase and tends to improve or resolve shortly after...
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The Menstrual Cycle01:19

The Menstrual Cycle

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The menstrual cycle is a recurrent sequence of changes in the uterine endometrium, specifically its functional layer, the stratum functionalis. This cycle prepares the uterus for potential pregnancy. This cycle typically spans 21–35 days, averaging 28 days, and aligns with the ovarian cycle, regulated by fluctuating levels of ovarian hormones, primarily estrogen and progesterone.
The menstrual phase occurs from days 1 to 5 and involves the shedding of the stratum functionalis, as a...
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Hormonal Regulation of the Menstrual Cycle01:22

Hormonal Regulation of the Menstrual Cycle

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The ovarian cycle regulates endometrial changes throughout a single menstrual cycle via the coordinated action of gonadotrophin-releasing hormone (GnRH) and gonadotrophins.
At puberty, GnRH begins a pulsatile release pattern, which triggers the anterior pituitary gland to secrete follicle-stimulating hormone (FSH) and luteinizing hormone (LH). The frequency and amplitude of GnRH pulses vary across the menstrual cycle, with faster pulses favoring LH release and slower pulses favoring FSH...
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Secretory Phase01:19

Secretory Phase

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The secretory phase of the menstrual cycle, spanning from day 14 to 28 in a typical 28-day cycle, is a period of significant physiological changes in the female reproductive system. This phase commences immediately after ovulation and is characterized by the preparation of the endometrium for potential embryo implantation.
Following ovulation, the corpus luteum, a temporary endocrine structure, produces progesterone and estrogens. These hormones stimulate the growth and coiling of endometrial...
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Menopause01:28

Menopause

2.6K
Menopause, a natural biological process marking the end of a woman's fertility, typically occurs between the fifth and sixth decade of life. This phase is characterized by the exhaustion of the ovarian follicle pool, leading to less responsive ovaries despite the high levels of Follicle Stimulating Hormone (FSH) and Luteinizing Hormone (LH). The consequential decrease in estrogen production results in symptoms like hot flashes, heavy sweating, headaches, hair loss, muscle pains, vaginal...
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Related Experiment Video

Updated: Oct 24, 2025

Herbs-Partitioned Moxibustion on the Navel in a Rat Model of Primary Dysmenorrhea with Cold Coagulation and Blood Stasis
05:36

Herbs-Partitioned Moxibustion on the Navel in a Rat Model of Primary Dysmenorrhea with Cold Coagulation and Blood Stasis

Published on: October 4, 2024

725

Dysmenorrhea.

Kathryn A McKenna1, Corey D Fogleman1

  • 1Penn Medicine Lancaster General Health Family and Community Medicine Residency Program, Lancaster, PA, USA.

American Family Physician
|August 12, 2021
PubMed
Summary
This summary is machine-generated.

Dysmenorrhea, or menstrual pain, affects many women and can lead to missed work or school. Effective treatments include pain relievers, hormonal contraceptives, and non-drug therapies like exercise and heat.

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Area of Science:

  • Gynecology
  • Women's Health
  • Pain Management

Background:

  • Dysmenorrhea is a prevalent condition affecting 50-90% of women of reproductive age.
  • It is often primary, unrelated to pelvic pathology, and a significant cause of absenteeism.
  • Secondary dysmenorrhea may indicate underlying conditions like endometriosis, presenting with worsening pain and other symptoms.

Purpose of the Study:

  • To review the diagnosis and management of dysmenorrhea.
  • To outline first-line medical and nonpharmacologic treatment options.
  • To guide workup for suspected secondary dysmenorrhea.

Main Methods:

  • Review of current medical literature and clinical guidelines.
  • Discussion of diagnostic approaches including menstrual history and pregnancy testing.
  • Evaluation of pharmacologic (NSAIDs, hormonal contraceptives) and nonpharmacologic (exercise, TENS, heat, acupressure) treatments.

Main Results:

  • Primary dysmenorrhea is common and manageable with NSAIDs, hormonal contraceptives, or nonpharmacologic methods.
  • Secondary dysmenorrhea requires further investigation, including pelvic exam and ultrasonography.
  • Hormonal contraceptives offer dual benefits of treating dysmenorrhea and providing contraception.

Conclusions:

  • Dysmenorrhea management involves identifying primary vs. secondary causes.
  • First-line treatments include NSAIDs, hormonal contraceptives, and evidence-based nonpharmacologic options.
  • Referral to an obstetrician-gynecologist is recommended for complex or persistent cases.