Accessory and cavitated uterine mass is a rare developmental mullerian anomaly theorized to be related to gubernaculum dysfunction. It presents typically in young women as severe dysmenorrhea and chronic pelvic pain refractory to medical therapy. It is an accessory cavity lined by functional endometrium and surrounded by myometrium-like smooth muscle located in an otherwise normal uterus, typically located at the right anterior wall at the level of the round ligament attachment. Ultrasound, hysterosalpingography and magnetic resonance imaging are helpful tools to diagnose and distinguish this entity from a wide array of differential diagnoses. Surgical excision and histopathologic studies confirm the diagnosis and effectively relieves severe dysmenorrhea and chronic pelvic pain. This is a case of a 39 year old nulligravid who presented with severe dysmenorrhea initially diagnosed as rudimentary horn versus myoma. Excision revealed a cavitated mass containing chocolate-colored fluid within located at the right postero-fundal area. Histopathology revealed a diagnosis of accessory and cavitated uterine mass.

No abstract available.
Dysmenorrhea* ; Female

This is a case of a 22 year old nulligravid who presented with severe dysmenorrhea, and diagnosed with unicornuate uterus and an obstructed noncommunicating rudimentary horn, by pre-operative ultrasound. In this paper, the presentation, diagnosis and principles of surgical management of unicornuate uterus associated with a non-communicating rudimentary horn is presented. The embryological development of this anomaly and its association with renal agenesis are discussed.
Dysmenorrhea ; Uterus

No abstract available.
Athletes* ; Dysmenorrhea* ; Female ; Humans

No abstract available.
Dysmenorrhea* ; Female ; Mastodynia* ; Premenstrual Syndrome*

No abstract available.
Dysmenorrhea* ; Female ; Humans ; Students, Nursing*

Unicornuate uterus is a very rare uterine anomaly caused by developmetal failure of Mullerian duct. This anomay is associated with various degrees of rudimentary horn, which is connected with fibrous band or firmly attached to unicornuate uterus. Different method of operation may be applied according to type of anatomical connection. The unicornuate uterus is commonly associated with severe dysmenorrhea, chronic pelvic pain, and pelvic mass. A case of noncommunicating rudimentary horn firmly attached to unicornuate uterus with severe dysmenorrhea was treated with laparoscopic excison of uterine horn and is presented with brief review of literature.
Animals ; Dysmenorrhea ; Female ; Horns ; Pelvic Pain ; Uterus

OBJECTIVES: To access the effectiveness of radiofrequency myolysis (RFM) in women with midline dysmenorrhea. METHODS: We designed RFM in two ways laparoscopic RFM (LRFM), vaginal ultrasound-guided RFM (URFM). One hundred and thirty-two patients were in the LRFM group and, 140 patients were in the URFM group. RESULTS: Upon receipt of surgery, both the LRFM and the URFM groups demonstrated a significant decrease (P < 0.001) in the mean pain score when compared to those before and after surgery. CONCLUSION: The RF uterine myolysis procedure provides an alternative for those patients who suffer from intractable midline dysmenorrhea. LRFM is an alternative choice because it is relatively safe and, simple to perform and moreover, it is satisfactory. LRFM appears to increasingly succeed in the treatment of midline dysmenorrhea.
Dysmenorrhea* ; Female ; Humans ; Laparoscopy ; Leiomyoma ; Ultrasonography

We diagnosed a 2-cm, large cystic adenomyoma after complete abortion without transcervical curettage, based on symptoms of dysmenorrhea, time of onset, and sonographic findings. The cystic adenomyoma was treated successfully with laparoscopic mass excision.
Adenomyoma* ; Curettage* ; Dysmenorrhea ; Female ; Laparoscopy ; Ultrasonography ; Uterus*

PURPOSE: This study was carried out to investigate the effects of auricular acupressure therapy on the relief of dysmenorrhea and abdominal pain in female university students. METHOD: This study was designed as non-equivalent control group research. Data were collected from 44 of the female university students(Exp.: 22, Cont.: 22) from October, 2007 to December, 2007. Collected data were analysed through chi2 test, Fisher's exact test, Mann-Whitney U test and Wilcoxon signed rank test. RESULT: Abdominal pain was significantly decreased partially in the experimental group compared to that of the control group(p=.008). Dysmenorrhea was significantly decreased in the experimental group compared to that of the control group(p=.000). CONCLUSION: It was proven that auricular acupressure therapy was effective for abdominal pain and dysmenorrhea.
Abdominal Pain* ; Acupressure* ; Dysmenorrhea* ; Female ; Humans