Palabras clave
Trastornos del suelo pélvico
Incontinencia urinaria
Prolapso de órganos pélvicos
Cómo citar
Copyright © | Todos los derechos reservados.
La revista posee los derechos de autor exclusivos para la publicación de este artículo en los términos de la ley brasileña 9610/98.
Reproducción parcial
El uso de partes de los textos, figuras y cuestionario del artículo es libre, siendo obligatoria la citación de los autores y revista.
Reproducción total
Está expresamente prohibido y debe ser autorizado por la revista.
Resumen
Objetivo: Investigar la asociación entre la intensidad del dolor menstrual y los síntomas del suelo pélvico (SP) en mujeres universitarias, además de comparar la función sexual y los síntomas pélvicos entre diferentes niveles de dolor. Métodos: Estudio observacional transversal en línea con 163 mujeres mayores de 18 años. La intensidad del dolor se evaluó mediante la Escala Numérica del Dolor y se clasificó como leve, moderada o intensa. Los síntomas del SP se evaluaron mediante el Pelvic Floor Distress Inventory Short Form 20 (PFDI-20) y la función sexual mediante el Quociente Sexual – Versión Femenina (QS-F). La asociación entre dolor y síntomas pélvicos se analizó mediante regresión lineal múltiple ajustada. Resultados: La prevalencia de dolor menstrual fue del 86,5%. Mujeres con dolor intenso reportaron mayor interferencia en las actividades diarias, incluyendo concentración en las clases, permanencia en cama, tiempo libre, sueño y relaciones interpersonales. Además, presentaron puntuaciones más elevadas en el PFDI-20 total y en los dominios urinario y de síntomas relacionados con la sensación de prolapso. La intensidad del dolor y el IMC se asociaron de forma independiente con mayores puntuaciones en el PFDI-20. Conclusión: Mayor intensidad del dolor menstrual se relacionó con un mayor impacto subjetivo de los síntomas del suelo pélvico en mujeres universitarias.
Referencias
ABDO CHN. Quociente sexual feminino: um questionário brasileiro para avaliar a atividade sexual da mulher. Diagnóstico & Tratamento (Publicação da Associação Médica Brasileira - AMB), 2009; 14(2): 89-91.
ADEM MU, et al. Primary dysmenorrhea among female medical students at Haramaya university: a cross sectional study in Harar, Eastern Ethiopia. Scientific Reports, 2025; 15(1): 39945.
AMZA M, et al. Dysmenorrhea and Its Impact on Patients' Quality of Life-A Cross-Sectional Study. Journal of Clinical Medicine, 2024; 13(19): 5660.
ARMOUR M, et al. Exercício para dismenorreia. Cochrane Database of Systematic Reviews, 2019; 9(9).
AROUCA MAF, et al. Validation and cultural translation for Brazilian Portuguese version of the Pelvic Floor Impact Questionnaire (PFIQ-7) and Pelvic Floor Distress Inventory (PFDI-20). International Urogynecology Journal, 2016; 27(7): 1097-1106.
ARRUDA GT, et al. Estrutura interna e classificação do sofrimento da disfunção do assoalho pélvico pelo escore total de PFDI-20. Journal of Patient-Reported Outcomes, 2022; 6(51): 1-10.
BARBER MD, et al. Short forms of two condition-specific quality-of-life questionnaires for women with pelvic floor disorders (PFDI-20 and PFIQ-7). American Journal of Obstetrics and Gynecology, 2005; 193(1): 103-113.
BASKAN O, et al. Investigation of pelvic floor function in women with and without primary dysmenorrhea. Artuklu International Journal of Health Sciences, 2025; 11(1): 47-53.
BRAZ MM, RISTER ES. Autoimagem Genital, Função Sexual e Desconforto no Assoalho Pélvico em Mulheres Jovens Universitárias. Rev Contexto Saúde, 2021; 21(44): 324-334.
BRUMOVSKY PR, GEBHART GF. Visceral organ cross-sensitization - an integrated perspective. Autonomic Neuroscience: Basic and Clinical, 2010; 153(1): 106-115.
DAWOOD MY. Primary dysmenorrhea: advances in pathogenesis and management. Obstetrics & Gynecology (The Green Journal), 2006; 108(2): 428-441.
DE ARRUDA GT, et al. Worldwide prevalence of dysmenorrhea: a systematic review and meta-analysis across 70 countries. Pain, 2026; 167(1): 41-55.
DURAND H, et al. Prevalence and Impact of Dysmenorrhea Among University Students in Ireland. Pain Medicine (Oxford Academy), 2021; 22(12): 2835-2845.
FARRAR JT, et al. Clinical importance of changes in chronic pain intensity measured on an 11-point numerical pain rating scale. Pain, 2001; 94(2): 149-158.
GUIMARÃES I e PÓVOA AM. Primary Dysmenorrhea: Assessment and Treatment. Revista Brasileira de Ginecologia e Obstetrícia, 2020; 42(8): 501-507.
HAREL Z. Dysmenorrhea in adolescents and young adults: etiology and management. Journal of Pediatric and Adolescent Gynecology. 2006;19(6):363-371.
HJORTH S, et al. Menstrual pain and sexual health in mothers-A cross-sectional study in the Danish National Birth Cohort. Acta Obstetricia et Gynecologica Scandinavica. 2021;100(12):2157-2166.
IACOVIDES S, et al. What we know about primary dysmenorrhea today: a critical review. Human Reproduction Update. 2015;21(6):762-778.
ITANI R, et al. Primary Dysmenorrhea: Pathophysiology, Diagnosis, and Treatment Updates. Korean Journal of Family Medicine. 2022;43(2):101-108.
KOÇOĞLU S, et al. Comparison of motor imagery focused pelvic floor exercises and relaxation exercises for treating dysmenorrhea: A randomized controlled study. Taiwanese Journal of Obstetrics and Gynecology. 2025;64(4):671-677.
LIMA VSG, et al. Comparison of the pain pressure threshold on the pelvic floor in women with and without primary dysmenorrhea. BrJP (Revista Brasileira de Dor). 2019;2(2):101-104.
MALIK S, FENTON BW. The effect of lifelong dysmenorrhea on sexual function in women with chronic pelvic pain. Fertility and Sterility. 2010;94(4).
MALYKHINA AP. Neural mechanisms of pelvic organ cross-sensitization. Neuroscience. 2007;149(3):660-672.
MATSUURA Y, et al. Differences in Menstruation-Related Symptoms of University Students Depending on Their Living Status in Japan. Healthcare (MDPI). 2022;10(1):131.
MESELE TT, et al. Prevalence of Dysmenorrhea and Associated Factors Among Haramaya University Students, Eastern Ethiopia. International Journal of Women's Health. 2022;14(1):517-527.
MIZUTA R, et al. Quality of life by dysmenorrhea severity in young and adult Japanese females: A web-based cross-sectional study. PLoS One. 2023;18(3).
ORTIZ M, et al. Effect of a physiotherapy program in women with primary dysmenorrhea. European Journal of Obstetrics & Gynecology and Reproductive Biology (EJOG). 2015;194(1):24-29.
REINA EM, et al. Associations between menstrual pain and sexual function: the role of visceral hypersensitivity on developing sexual pain. The Journal of Sexual Medicine (JSM). 2025;22(1):98-106.
TEHERÁN AA, et al. WaLIDD score, a new tool to diagnose dysmenorrhea and predict medical leave: development and validation. International Journal of Women's Health. 2018;10(1):481-492.
TU FF, et al. Clinical profile of comorbid dysmenorrhea and bladder sensitivity: a cross-sectional analysis. American Journal of Obstetrics and Gynecology (AJOG). 2020;222(6):594-611.
WEISS JM. Pelvic floor myofascial trigger points: manual therapy for interstitial cystitis and the urgency-frequency syndrome. The Journal of Urology. 2001;166(6):2226-2231.