The association of uterine version angle withdysmenorrhea and premenstrual syndrome

• Main Authors: Jen-Chieh, 劉仁杰
• Other Authors: Long-Yau Lin
• Format: Others
• Language: zh-TW
• Published: 2007
• Online Access: http://ndltd.ncl.edu.tw/handle/37927077297674637876

碩士 === 中山醫學大學 === 醫學研究所 === 95 === Obsjective： To compare the retroverted uterus group with the antevered uterus group , if there are differences to the dysmenorrhea and the premenstrual syndrome severity. And further analyse if there are the correlation between the uterine version angle and dysmenorrhea or premenstrual syndrome severity . Materials and metholds： We collect one hundred and thirty nine 18-20 years old unmarried , no delivery history nurse or nursing student in our hospital , then exclude ever received any abdominal operation or ever had any uterine or ovarian abnormality regardless with or without treatment or had any uterine or ovarian abnormality during this study ultrasonography exam. Use the Visual Analogue Scale (VAS) to evaluate dysmenorrhea severity and use the Moos Menstrual Distress Questionnaire(Moos MDQ) to evaluate the premenstrual syndrome condition , and performed trans-abdominal ultrasonography to measure the angle between the vaginal line and the uterine cavity line ( uterine version angle ). Then analyse the prevalence of retroverted uterus women , and compare the retroverted uterus group with the antevered uterus group , if there are differences to the dysmenorrhea and the premenstrual syndrome severity , and the correlation between the uterine version angle and dysmenorrhea VAS or premenstrual syndrome MDQ scale . Results： There are one hundred and twenty eight women into the study finally , twenty eight women are retroverted ( 21.9% ) and one hundred are anteverted ( 78.1% )；so the prevalence of congenital retroverted uterus is about 22％. The dysmenorrhea VAS of the retroverted group is 6.60 ±2.063 and the anteverted group is 3.60 ±2.584 , P<0.001； the PMS Moos MDQ scale of the retroverted group is 101.89 ±33.954 and the anteverted group is 87.70 ±27.790 , P<0.05 . But there are no obvious correlation between the uterine version angle and dysmenorrheal VAS or premenstrual syndrome MDQ scale by the liner regression analysis . Discussion： For the reason of different of study tool or study member condition , there are different results about the prevalence of retroverted uterus women ( from 10％ to 38％) Our study focus at young (18-20 years old) , unmarried , no delivery history nurse or nursing student in our hospital , and exclude ever received any abdominal operation or ever had any uterine or ovarian abnormality regardless with or without treatment or had any uterine or ovarian abnormality during this study ultrasonography exam. The purpose is to find out the prevalence of congenital retroverted uterus to the best of our ability , thus we can more accurately to discussing the relationship between dysmenrrhea and premenstrual syndrome with the congenital retroverted uterus women . Conclusion： The prevalence of congenital retroverted uterus is about 22％ in our study . Retroverted group women have much severity of dysmenorhea and premenstrual syndrome compare with anteverted group women in this study . And whether the retroverted group or the anteverted group , there are no obvious correlation between the uterine version angle and dysmenorrhea or premenstrual syndrome severity .