eCAM Advance Access originally published online on March 9, 2007
eCAM 2008 5(2):227-230; doi:10.1093/ecam/nem020
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Acupuncture Treatment of Dysmenorrhea Resistant to Conventional Medical Treatment
1Centro di Medicina del Dolore Mario Tiengo Osp Maggiore Policlinico Mangiagalli Regina Elena, Milano, 2Dipartimento di Prevenzione ASL Provincia Milano 1, 3Centro collaborante OMS per la Medicina Tradizionale – Università degli Studi Milano and 4Centro per lo Studio e la Prevenzione Oncologica, Firenze, Italia
We evaluated the effect of acupuncture on NSAID resistant dysmenorrhea related pain [measured according to Visual Analogue Scale (VAS)] in 15 consecutive patients. Pain was measured at baseline (T1), mid treatment (T2), end of treatment (T3) and 3 (T4) and 6 months (T5) after the end of treatment. Substantial reduction of pain and NSAID assumption was observed in 13 of 15 patients (87%). Pain intensity was significantly reduced with respect to baseline (average VAS = 8.5), by 64, 72, 60 or 53% at T2, T3, T4 or T5. Greater reduction of pain was observed for primary as compared with secondary dysmenorrhea. Average pain duration at baseline (2.6 days) was significantly reduced by 62, 69, 54 or 54% at T2, T3, T4 or T5. Average NSAID use was significantly reduced by 63, 74, 58 or 58% at T2, T3, T4 or T5, respectively, and ceased totally in 7 patients, still asymptomatic 6 months after treatment. Our findings suggest that acupuncture may be indicated to treat dysmenorrhea related pain, in particular in those subjects in whom NSAID or oral contraceptives are contraindicated or refused.
Keywords: acupuncture – dysmenorrhea – treatment
For reprints and all correspondence: Stefano Ciatto, MD, Centro per lo Studio e la Prevenzione Oncologica, Viale A. Volta 171, 50133 Florence, Italy. Tel: +39-055-5012275; Fax: +39-055-5001623; E-mail: s.ciatto{at}cspo.it
Received July 24, 2006; accepted January 16, 2007