Insights & Discussion
Modified Tao-Hong Siwu Tang (MTST) appears more effective than non-steroidal anti-inflammatory drugs (NSAIDs), and a combination of Tao-Hong Siwu Tang with oral contraceptives (OCs) offers benefits over OCs alone for treating primary dysmenorrhea.
This systematic review aimed to assess the efficacy and safety of Tao-Hong Siwu Tang (TST) in treating primary dysmenorrhea. Conducted across various databases, the review identified five randomized controlled trials (RCTs) meeting inclusion criteria. The meta-analysis revealed suggestive evidence that modified TST (MTST) might have a favorable effect compared to non-steroidal anti-inflammatory drugs (NSAIDs) in managing primary dysmenorrhea (RR = 1.53, 95% CI = 1.37–1.72), with one RCT indicating MTST's superiority in reducing recurrence rates (RR = 0.31, 95% CI = 0.15–0.63, P = 0.001). Furthermore, combining TST with oral contraceptives (OCs) appeared beneficial compared to OCs alone (RR = 1.35, 95% CI = 1.02–1.79, P = 0.04). However, moderate evidence quality due to bias uncertainties and limited RCTs highlighted the need for cautious interpretation. The study emphasized the demand for alternative treatments, given NSAID and OC limitations, while stressing the need for rigorous large-scale trials to clarify TST's role in primary dysmenorrhea management.
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The combination of dark chocolate with herbs could be one of the therapies for period pain.
2023 Journal of Tropical Pharmacy and Chemistry Effect of Combination of Dark Chocolate and Herbal Ingredients for Dysmenorrhea in Late Adolescents Azizah RNP, Anggreini P, Prasetya F
Randomised Controlled Trial Dark Chocolate Ginger Honey
This test was conducted on 30 respondents who were divided into three groups, namely the positive control group (K), dark chocolate (C), and a combination of dark chocolate with herbs (C+H). Dark chocolate was combined with herbal ingredients consisting of turmeric, red ginger, moringa, sambiloto extract, and honey as a beverage 250 mL.
The study is quantitative research with quasi-experimental method. Pain measurement using the Numeric Rating Scale (NRS) sheet was given before and 2 hours after treatment. The data was analyzed using paired t-test. State the results of the values obtained the combination of dark chocolate and herbs showed a significant reduction in pain before and after treatment (p<0.05).
Dark chocolate, with its high cocoa content, may possess pain-relieving properties comparable to Ibuprofen.
2023 International Journal of Environmental Research and Public Health Single-Blind Randomized Controlled Trial: Comparative Efficacy of Dark Chocolate, Coconut Water, and Ibuprofen in Managing Primary Dysmenorrhea Nuha K, Rusmil K, Ganiem AR, Permadi W, Diah Herawati DM
Randomised Controlled Trial Coconut Water Ibuprofen Period Pain
In this research, a randomized controlled trial with a quantitative design was conducted, involving 45 participants randomly assigned to receive 330 mL of green coconut water, 35 g of 70% dark chocolate, or 400 mg Ibuprofen.
After the intervention, there was a noticeable change in the reported pain intensities. Among the women, 48.9% reported experiencing mild pain, indicating a reduction in pain intensity. Furthermore, 17.8% of the women still reported moderate pain, suggesting some improvement but not a complete alleviation of pain. It is noteworthy that none of the women reported severe pain after the intervention. Additionally, 33.3% of the women reported being pain-free, indicating a significant decrease in pain intensity.
These findings demonstrate the effectiveness of the interventions in reducing pain intensity among women. The results suggest that the treatments, including Ibuprofen, coconut water, and dark chocolate, were successful in providing pain relief, with the majority of women experiencing either mild pain or no pain after the intervention.
Vitamin D supplementation significantly reduces pain levels in people suffering from primary dysmenorrhea.
2023 Nutrients Effect of Vitamin D Supplementation on Primary Dysmenorrhea: A Systematic Review and Meta-Analysis of Randomized Clinical Trials Chen YC, Chiang YF, Lin YJ, Huang KC, Chen HY, Hamdy NM, et al.
Systematic Review Food Nutrients Period Pain
In the methodology of this study, a systematic database search was conducted for randomized controlled trials assessing the effects of oral vitamin D supplementation on relieving the symptoms of primary dysmenorrhea. The trials included comparisons of vitamin D treatment with placebo or standard care. Pain levels due to dysmenorrhea were gauged using a visual analogue or numerical rating scale. Analyses were conducted using a standardized mean difference in a meta-analysis.
The results indicated that pain levels were considerably lower in participants who took vitamin D compared to the placebo, showcasing vitamin D's effectiveness in managing dysmenorhea-related pain. Notably, these relief effects were recorded regardless of the vitamin D administration duration (more or less than 70 days) and frequency, provided that the average weekly dosage was above 50,000 IU. This suggests that the significant pain relief provided by vitamin D supplementation could make it a potent alternative treatment for primary dysmenorrhea.
Young coconut water has been found to be more effective than carrot juice in reducing the severity of dysmenorrhea in teenage girls.
2023 Journal of Global Research in Public Health Effectiveness of Young Coconut Water And carrots Juice Against the Scale of Dysmenorrhea on The Teenage Princess Candra Wahyuni
Cohort Study Carrot Carrot Juice Coconut
In this experimental study, research was conducted using a pre-experimental research design with a two group comparison pre-test and post-test. The research population was compiled of teenage girls from a school in the City of Kediri. The investigators selected a sample of 32 respondents using purposive sampling methods, and utilized observation sheets and pain scale measurements from the Femoralis Rectus Sheath as their primary data collection tools.
The results of the study highlighted a significant difference in the effectiveness of the two tested interventions, young coconut water and carrot juice, for the alleviation of dysmenorrhea symptoms. In this comparison, it was found that young coconut water showed higher effectiveness in reducing the pain severity in teenage girls than carrot juice.
Green tea helps alleviate symptoms in multiple benign gynecological disorders, primarily due to a compound called Epigallocatechin-3-gallate.
2023 Nutrients Green Tea and Benign Gynecologic Disorders: A New Trick for An Old Beverage? Hazimeh D, Massoud G, Parish M, Singh B, Segars J, Islam MS
Review Article Adenomyosis EGCG Endometriosis
The paper reviews the role of the compound Epigallocatechin-3-gallate found in green tea, and its effects on various benign gynecological conditions. The compound is noted for its antioxidant and prooxidant qualities, allowing it to interact with multiple cellular pathways that are crucial for disease pathogenesis. The studied conditions include uterine fibroids, endometriosis, dysmenorrhea, adenomyosis, menopause, and polycystic ovary syndrome. The research accounts for the specific mechanisms through which the compound might affect each condition, such as anti-fibrotic, anti-angiogenic, and pro-apoptotic mechanisms.
The results suggest that green tea consumption can lead to improved symptom management in these disorders. It was found to lessen the intensity of symptoms associated with uterine fibroids and endometriosis, by invoking anti-fibrotic, anti-angiogenic, and pro-apoptotic mechanisms. It also helped manage pain linked with dysmenorrhea and adenomyosis through reducing uterine contractility and widely felt pain. Additionally, it showed efficacy in weight and osteoporosis control during menopause, and showed potential benefits in managing polycystic ovary syndrome. However, claims regarding its influence on fertility were deemed controversial.
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