Primary Dysmenorrhea: pathophysiology.

Dismenorrea Primaria: fisiopatología.

  • José Núñez Troconis Universidad del Zulia
  • Daniel Carvallo Universidad Central de Venezuel
  • Elizabeth Martínez-Núñez Universidad Central de Venezuela
Palabras clave: menstruación, ciclo menstrual, dismenorrea, dismenorrea primaria, patofisiología, inflamación

Resumen

La presente revisión fue realizada con el objeto de investigar y analizar los estudios más recientes y elevantes sobre la dismenorrea primaria y su fisiopatología. La literatura revisada fue realizada electrónicamente en PubMed, Medline, ISI, DOAJ, Springer, Embase. Web of Knowledge, DOAJ, Google Scholar y la Librería Cochrane para los artículos escritos en inglés. Scielo, Lantidex, Imbiomed-L, Redalyc y Google Scholar fueron revisados en búsqueda de artículos escritos en español. La búsqueda incluyó las palabras claves (Mesh): menstruación, periodo menstrual, ciclo menstrual, dismenorrea, dismenorrea primaria, substancias inflamatorias y marcadores inflamatorios. Se revisaron publicaciones desde enero 1980 a febrero 2021. La dismenorrea es la condición ginecológica más común presente en la mujer menstruante. Se caracteriza por dolor en el abdomen bajo tipo cólico, su severidad es variable y está asociada con otros síntomas. Su impacto general tiene implicaciones médicas y psicosociales significativas. La característica de la dismenorrea primaria son las menstruaciones dolorosas en ausencia de un proceso patológico macroscópico, ocurre hasta en un 50% de las mujeres menstruantes y causa alteración de la calidad de vida y ausentismo. Un exceso o desbalance de la cantidad de prostanoides y posiblemente liberación de eicosanoides por el endometriodurante la menstruación han sido mencionados como la principal causa de la dismenorrea  primaria. El útero es inducido a contraerse frecuente y disritmicamente con aumento del tono basal e incremento de presión activa. La hipercontractibilidad del útero reduce el flujo sanguíneo e incrementa la hipersensibilidad periférica lo cual induce dolor. Esta revisión narrativa investigó y analizó la patofisiología de la dismenorrea primaria y las implicaciones de otras sustancias químicas.

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Biografía del autor/a

José Núñez Troconis, Universidad del Zulia

Departamento de Obstetricia y Ginecología, Facultad of Medicina, Universidad del Zulia, Maracaibo, Venezuela.

Daniel Carvallo, Universidad Central de Venezuel
Escuela de Medicina “José María Vargas”, Facultad of Medicina, Universidad Central de Venezuela, Caracas, Venezuela.
Elizabeth Martínez-Núñez, Universidad Central de Venezuela
Escuela de Medicina “José María Vargas”, Facultad of Medicina, Universidad Central de Venezuela, Caracas, Venezuela.

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Publicado
2021-11-29
Cómo citar
Núñez Troconis, J., Carvallo, D., & Martínez-Núñez, E. (2021). Primary Dysmenorrhea: pathophysiology.: Dismenorrea Primaria: fisiopatología. Investigación Clínica, 62(4), 378-406. https://doi.org/10.22209/IC.v62n4a08