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 ; Humans ; Students, Nursing*

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

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

PURPOSE: This study was designed to identify the effect of auriculotherapy on low abdominal pain and dysmenorrhea in school-aged girls. METHODS: This design was a pre and post-test with nonequivalent groups. The subjects were 71 girls who were middle school students with dysmenorrheal (35 students for the treatment group and 36 students for the comparison group). The subjects of the treatment group received auriculotherapy once a week for 10 weeks. The comparison group received instruction on auriculotherapy and was requested waiting for the order. RESULTS: The treatment group reported significantly less low abdominal pain than the comparison group. However, there were not statistical differences in reported dysmenorrhea. In future analysis, 60.0% of the treatment group reported more physical comfort, and 45.7% reported more emotional cool down. CONCLUSION: The finding indicate that auriculotherapy could be effective in decreasing low abdominal pain during menstrual periods. Therefore, auriculotherapy could be an effective nursing intervention for low abdominal pain occurring during mensuration. However, further studies need to be done to support auriculotherapy as effective.
Abdominal Pain ; Auriculotherapy ; Dysmenorrhea ; Female ; Humans

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*