Primer Dismenoreli ve Dismenore Olmayan Kadınlarda Pelvik Taban Fonksiyonunun İncelenmesi

Yıl 2025, Sayı: 11, 47 - 53, 14.04.2025

Özden Baskan , Muammer Çorum , Emine Nur Demircan , Nesrin Yağcı

https://doi.org/10.58252/artukluhealth.1632020

Öz

Giriş: Çalışmanın amacı primer dismenore ile pelvik taban fonksiyonu arasındaki ilişkiyi araştırmaktır.
Yöntem: Çalışmaya yaşları 18 ile 35 arasında değişen yüz kırk beş kadın katıldı. Katılımcılara demografik bilgilerini belirlemek için sorular soruldu. Ağrı şiddetini belirlemek için Görsel Analog Skala, pelvik taban fonksiyonunu belirlemek için Pelvik Taban Sıkıntı Envanteri-20 ve pelvik taban sorunlarının kişinin yaşamı üzerindeki etkisini değerlendirmek için Pelvik Taban Etki Anketi-7 kullanıldı.
Bulgular: Katılımcıların yaş ortalaması 23.79±0.348 yıldı ve %71.7'sinde (n=104) primer dismenore vardı. Katılımcıların ortalama ağrı şiddeti 6.23±1.93 idi. Pelvik Taban Sıkıntı Envanteri-20 puan ortalaması 55.47±47.13 iken, PFIQ puan ortalaması 12.28±36.28 idi. Primer dismenoreli olgularda sağlıklı gruba göre Görsel Analog Skala, Pelvik Taban Sıkıntı Envanteri-20 puanları anlamlı derecede yüksek bulundu (p<0.05). Katılımcıların Görsel Analog Skala ile Pelvik Taban Sıkıntı Envanteri-20 ve Pelvik Taban Etki Anketi-7 puanları arasında korelasyon bulunmuştur. Katılımcıların Pelvik Taban Sıkıntı Envanteri-20 ve Pelvik Taban Etki Anketi-7 toplam puanları arasında pozitif yönde düşük bir korelasyon bulunmuştur (p<0.05). Primer dismenoresi olan ve olmayan katılımcıların Pelvik Taban Sıkıntı Envanteri-20 ve Pelvik Taban Etki Anketi-7 sonuçları karşılaştırıldığında, prolapsus sıkıntısı puanlarında (p<0.05) ve pelvik taban sıkıntısı toplam puanlarında (p<0.05) istatistiksel olarak anlamlı bir fark bulundu.
Sonuç: Primer dismenoresi olan kadınlarda prolapsus, kolorektal anal sıkıntı ve total pelvik taban fonksiyonunun etkilendiği sonucuna varılabilir. Ancak primer dismenore nedeniyle gelişen pelvik taban problemlerinin kişinin yaşamı üzerine etkisi bulunmadı.

Anahtar Kelimeler

Dismenore, Pelvik Taban, Ağrı, Fonksiyon

Etik Beyan

Bu çalışma Helsinki Deklarasyonu ilkelerine uygun olarak gerçekleştirildi. Çalışma için onay İstanbul Rumeli Üniversitesi Etik Kurulu'ndan 01.12.2021 tarihinde alındı (Toplantı No: 2021/10, Madde No: 8). Bu çalışmanın hazırlanma sürecinde bilimsel ve etik ilkelere uyulduğu ve yararlanılan tüm çalışmaların kaynakçada belirtildiği beyan olunur.

Teşekkür

Tüm katılımcılara çalışmaya verdikleri destekten dolayı teşekkür ederiz.

Investigation of Pelvic Floor Function in Women with and without Primary Dysmenorrhea

Öz

Introduction: This study investigated the relationship between primary dysmenorrhea and pelvic floor function.
Methods: A total of 145 women aged 18 to 35 participated in this study. Participants provided demographic information via questionnaire. Pain intensity was measured using the Visual Analogue Scale. Pelvic floor function was assessed using the Pelvic Floor Distress Inventory-20, and the impact of pelvic floor problems on daily life was evaluated using the Pelvic Floor Impact Questionnaire-7.
Results: The mean age of the women was 23.79±0.348 years, with 71.7% (n=104) experiencing primary dysmenorrhea. The mean pain intensity score was 6.23 ± 1.93. The mean Pelvic Floor Distress Inventory-20 score was 55.47 ± 47.13, and the mean Pelvic Floor Impact Questionnaire-7 score was 12.28 ± 36.28. Visual Analogue Scale and Pelvic Floor Distress Inventory-20 scores were significantly higher in the primary dysmenorrhea group compared to the healthy control group (p <0.05). Correlations were found between Visual Analogue Scale scores and both Pelvic Floor Distress Inventory-20 and Pelvic Floor Impact Questionnaire-7 scores. A weak positive correlation was observed between Pelvic Floor Distress Inventory-20 and Pelvic Floor Impact Questionnaire-7 total scores (p < 0.05). Comparison of Pelvic Floor Distress Inventory-20 and Pelvic Floor Impact Questionnaire-7 results between women with and without primary dysmenorrhea revealed statistically significant differences in prolapse distress scores (p < 0.05) and total pelvic floor distress scores (p < 0.05).
Conclusion: Primary dysmenorrhea appears to negatively impact prolapse, colorectal-anal discomfort, and overall pelvic floor function. However, the study did not find a significant impact of pelvic floor problems related to primary dysmenorrhea on overall quality of life as measured by Pelvic Floor Impact Questionnaire-7.

Anahtar Kelimeler

Dysmenorrhea, Pelvic Floor, Pain, Function

Etik Beyan

This study was performed in line with the principles of the Declaration of Helsinki. Approval for the study was obtained from the Ethics Committee of İstanbul Rumeli University. (Date: 01.12.2021, Issue number: 10/8). It is declared that scientific and ethical principles were complied with during the preparation of this study and all the studies used in this study were cited in the bibliography.

Teşekkür

We thank all the participants for their involvement in the study.

Kaynakça

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