Exercise for dysmenorrhoea

Brown J, Brown S

Published Online:

March 17, 2010

Painful periods are characterised by cramping lower abdominal pain that may radiate to the lower back and upper thighs. The cramps are commonly associated with nausea, headache, fatigue and diarrhoea. Women with secondary dysmenorrhoea often have chronic pelvic pain associated with a structural abnormality whereas in primary dysmenorrhoea there is no structural abnormality. Physical exercise has been suggested as a non-medical approach to the management of the symptoms of dysmenorrhoea. The objective of the review was to assess the evidence for the effectiveness of exercise in the treatment of symptoms associated with dysmenorrhoea. One trial of limited quality was identified which suggested that exercise may reduce some symptoms during the menstrual phase. The results should be viewed with caution due to the limited evidence.

Abstract (click to read)

Background:

Dysmenorrhoea is characterised by cramping lower abdominal pain that may radiate to the lower back and upper thighs and is commonly associated with nausea, headache, fatigue and diarrhoea. Physical exercise has been suggested as a non-medical approach to the management of these symptoms.

Objectives:

To assess the evidence for the effectiveness of exercise in the treatment of dysmenorrhoea.

Search strategy:

A search was conducted using the methodology of the Menstrual Disorders and Subfertility Group (August 2009). CENTRAL (The Cochrane Library), MEDLINE, EMBASE, AMED and PsycINFO electronic databases were searched. Handsearching of relevant bibliographies and reference lists was also conducted.

Selection criteria:

Randomised controlled trials comparing exercise with a control or no intervention in women with dysmenorrhoea.

Data collection and analysis:

Trials were independently selected and data extracted by two review authors.

Main results:

Four potential trials were identified of which one was included in the review. The available data could only be included as a narrative description. There appeared to be some evidence from the trial that exercise reduced the Moos' Menstrual Distress Questionnaire (MDQ) score during the menstrual phase (P < 0.05) and resulted in a sustained decrease in symptoms over the three observed cycles (P < 0.05).

Authors' conclusions:

The results of this review are limited to a single randomised trial of limited quality and with a small sample size. The data should be interpreted with caution and further research is required to investigate the hypothesis that exercise reduces the symptoms associated with dysmenorrhoea.

This record should be cited as:

Brown J, Brown S. Exercise for dysmenorrhoea. Cochrane Database of Systematic Reviews 2010, Issue 2. Art. No.: CD004142. DOI: 10.1002/14651858.CD004142.pub2

Assessed as up to date:

August 25, 2009

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Primary Review Group:

Menstrual Disorders and Subfertility Group

Health topics:

Gynaecology > Pelvic pain > Dysmenorrhea

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