Dysmenorrhea
Conditions
Keywords
dysmenorrhea, chronic pain, children maltreatment, violence
Brief summary
Dysmenorrhea is defined by the French National College of Gynecologists and Obstetricians as "cyclic abdominopelvic pain, occurring around menstruation, beginning shortly before its onset and sometimes persisting afterward." Its prevalence is difficult to determine precisely, but studies show that 16 to 90% of women in the general population experience permanent or occasional dysmenorrhea, and that more than 20% of them must limit their activities during menstruation. The origins of this pain remain poorly understood, but it is now known to be associated with significant emotional, psychological, and functional health consequences. Several studies have demonstrated that a history of violence experienced during childhood and adolescence is associated with the onset of chronic pain, but to the investigators' knowledge, no study has specifically analyzed the impact of violence on the presence of dysmenorrhea in adulthood. This study aims to administer a questionnaire assessing dysmenorrhea and history of violence (Childhood Trauma Questionnaire, short French version - CTQ) to patients consulting the Gynecology Department of Estaing University Hospital for menstrual pain (dysmenorrhea). The investigators aim to identify an association between the presence of dysmenorrhea and a history of violence during childhood.
Detailed description
The short version of the CTQ is a questionnaire comprising five subscales of maltreatment (emotional and physical neglect, sexual, physical, and emotional abuse), validated by several international studies and in the French-speaking population. The study will be offered to patients consulting the Gynecology Department of Estaing University Hospital for dysmenorrhea. An information sheet will be given to them at the end of the consultation. Participants will be contacted by phone within 48 business hours following the consultation to provide additional explanations about the study. These calls will be recorded in the patient's medical file. An email will then be sent containing a link to access the short version of the CTQ questionnaire, along with a consent form. By offering participants the opportunity to answer intimate questions outside the consultation setting, for example at home or in a place where they feel safe and comfortable, more authentic and relevant responses are expected. A reminder email will be sent to patients who have not responded to the online questionnaire on days 5, 10, and 15. Patients whose score corresponds to a history of maltreatment will be offered an appointment within a maximum of 15 days with a gynecologist specialized in victimology, in order to provide the care best suited to their needs (assessment, explanations, legal or psychological support procedures, referral to support associations, targeted gynecological follow-up). The patient will be contacted again 3 months later (in person or by phone) to assess treatment efficacy and satisfaction.
Interventions
DIAGNOSTIC_TESTCTQ short version
We propose a medical appointment to all the women with a positive score at the CTQ short version
Sponsors
University Hospital, Clermont-Ferrand
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
DIAGNOSTIC
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 53 Years
Healthy volunteers
No
Inclusion criteria
* Adult patients consulting a gynecologist for dysmenorrhea, speaking and understanding French. * Patients affiliated to a social security system
Exclusion criteria
* Refusal to participate * Inability to answer the questionnaire due to insufficient fluency in French * Minor patients (age \< 18) * Presence of cognitive disorders limiting the ability to complete the questionnaire * Patients with hysterectomy or adnexectomy * Patients under curators/guardianship/legal guardianship
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Prevalence of childhood abuse | Day 15, at 3 months | The prevalence (percentage) of childhood abuse in a population of women suffering from dysmenorrhea. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Prevalence of different forms of violence during childhood | Day 15, at 3 months | The prevalence (percentage) of different forms of violence (sexual, physical or emotional) during childhood in a population of women suffering from dysmenorrhea |
| Type of Dysmenorrhea (Primary versus Secondary), by CTQ Status | 15 jours | Classification of dysmenorrhea as primary (functional, in the absence of identifiable pelvic pathology) or secondary (organic, in the presence of a documented gynecological condition recorded in the medical file: endometriosis, adenomyosis, uterine fibroids, ovarian cyst, uterine malformation, history of salpingitis). The distribution between the two forms will be compared according to overall CTQ (Childhood Trauma Questionnaire) status and by domain of maltreatment. |
| Type and Quantity of Analgesics Consumed by Patients, by CTQ Status | Day 15 | Analgesic consumption recorded from the medical file, classified according to the WHO analgesic ladder (step I, II, or III), along with the maximum number of daily doses. The proportion of exposed patients will be compared according to overall CTQ (Childhood Trauma Questionnaire) status and by domain of maltreatment (emotional neglect, emotional abuse, physical neglect, physical abuse, sexual abuse). |
| Type of Contraceptive Method Used by Patients, by CTQ Status | Day 15 | Contraceptive method recorded from the medical file (none, oral contraception, intrauterine device, implant, patch, vaginal ring, condoms, tubal ligation, vasectomy). The proportion of patients by contraceptive type will be compared according to overall CTQ (Childhood Trauma Questionnaire) status and by domain of maltreatment (emotional neglect, emotional abuse, physical neglect, physical abuse, sexual abuse) |
| Visual Analogue Scale (VAS) Score for Dysmenorrhea, by CTQ Status | Day 15 | Intensity of menstrual pain assessed using a Visual Analogue Scale (VAS), scored from 0 (no pain) to 10 (worst pain imaginable). Mean VAS scores will be compared according to overall CTQ (Childhood Trauma Questionnaire) status and by domain of maltreatment (emotional neglect, emotional abuse, physical neglect, physical abuse, sexual abuse), as well as by the cumulative number of forms of childhood violence experienced. |
| Patient's satisfaction with the medical care | At 3 months | 3 months later, is the patient satisfied with the medical care proposed in victimology : YES or NO ? |
Countries
France
Outcome results
None listed