Evaluation of dysmenorrhea changes in patients undergoing cervical dilatation: Does it work?

Objective: To demonstrate that cervical dilation will relieve symptoms in women with primary dysmenorrhea.

Materials And Methods: In this retrospective cohort study, 30 patients were included in the study group and 30 patients were included in the control group. Age, sex, occupation, education level, duration of dysmenorrhea, and presence of dyspareunia were recorded for all patients. Dilation and hysteroscopy were performed on indicated patients in the study group. In both groups, pain and dysmenorrhea levels were assessed preoperatively and at 1 and 2 months postoperatively using the "Visual Analog Score," "Facial Pain Scale," "Quality of Life Questionnaire," and "Quality of Life Questionnaire Health Status Scale."

Results: There were no statistically significant differences in the results of VAS, Facial Pain Scale, Quality of Life Questionnaire, Quality of Life Questionnaire Health Status Scale before the procedure between the two groups (MWU(Z) = -0.354, p: 0.753), (MWU(Z) = -1.680, p: 0.093), (MWU(Z) = -0.787, p: 0.431), (MWU(Z) = -1.557, p: 0.119, respectively). Although there were no statistically significant differences in the control group survey scores in the second survey, the scores in all surveys in the study group were statistically significant (p < .05).

Conclusion: This study shows that the complaints of the patients decrease in the short and medium term after cervical dilatation.