Evidence map›Paper›PMID 30654775›Full record

SynthesisBMC complementary and alternative medicine2019

The effectiveness of self-care and lifestyle interventions in primary dysmenorrhea: a systematic review and meta-analysis.

Mike Armour, Caroline A Smith, Kylie A Steel, Freya Macmillan

2 registry-linked trialsOpen access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC complementary and alternative medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 60 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 5 pooled it
13.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04295954 naunknown statusnot on this mapstarted 2020, after this paper: background citation

Effect of a Semi-Presence Yoga Program, With Virtual Tutorized Home Tracking, on Dysmenorrhea in University Students: Randomized an Controlled Clinical Trial Protocol.

TypeinterventionalSponsorUniversity of HuelvaRan2020 to 2021Enrolled50ConditionsDysmenorrhea Primary, Pain, Menstrual, YogaArmsYoga Intervention
NCT06233786 phase3unknown statusnot on this mapstarted 2024, after this paper: background citation

Effectiveness of Non-invasive Neuromodulation in Primary Dysmenhorrea: A Randomized Clinical Trial

TypeinterventionalSponsorNaiara Benítez AramburuRan2024 to 2024Enrolled30ConditionsPrimary DysmenorrheaArmsTranscutaneous Electrical Nerve Stimulation (TENS)
3 · Its place in the literature

Who cites it

60 citing papers in PubMed, 5 syntheses or guidelines pooled it, 152 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Exercise for dysmenorrhoea.The Cochrane database of systematic reviews · 2019
    Pooled it
  5. Pooled it
  6. Trial
  7. Trial
  8. Trial
  9. Article
  10. Article
  11. Physical agents' level in women with primary dysmenorrhea: A cross-sectional observational study.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
    Observational
  12. Evaluating the Therapeutic Effects ofPediatric health, medicine and therapeutics · 2026
    Review
  13. Article
  14. Article
  15. Effects of Pilates and Yoga on Pain Intensity, Absenteeism, Quality of Life, and Sleep Quality among Primary Dysmenorrhea School Students.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2025
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Mike ArmourNICM Health Research Institute, Western Sydney University, Sydney, Australia. m.armour@westernsydney.edu.au.ORCID http://orcid.org/0000-0001-7539-9851
Caroline A SmithNICM Health Research Institute, Western Sydney University, Sydney, Australia.
Kylie A SteelSchool of Science and Health, The MARCS Institute, Western Sydney University, Sydney, Australia.
Freya MacmillanSchool of Science and Health, Western Sydney University, Sydney, Australia.
Western Sydney University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMenstrual pain is very common amongst young women. Despite the significant impact that menstrual pain has on academic attendance and performance, social activities and quality of life, most young women do not seek medical treatment but prefer to use self-care; commonly OTC analgesic medications and rest. Many women do not get significant pain relief from these methods, therefore other low cost, easy to learn self-care methods may be a valuable approach to management. This review and meta-analysis examines the evidence for participant lead self-care techniques.

methodsA search of Medline, PsychINFO, Google Scholar and CINAHL was carried out in September 2017.

resultsTwenty-three trials including 2302 women were eligible and included in the meta-analysis. Studies examined self-delivered acupressure, exercise and heat as interventions. Risk of bias was unclear for many domains. All interventions showed a reduction in menstrual pain symptoms; exercise (g = 2.16, 95% CI 0.97 to 3.35) showed the largest effect size, with heat (g = 0.73, 95% CI 0.06 to 1.40) and acupressure (g = 0.56, 95% CI 0.10 to 1.03) showing more moderate effect sizes. Exercise (g = 0.48, 95% CI 0.12 to 0.83) and heat (g = 0.48, 95% CI 0.10 to 0.87), were more effective than analgesics in reducing pain intensity, whereas acupressure was significantly less effective (g = - 0.76, 95% CI -1.37 to - 0.15).

conclusionExercise showed large effects, while acupressure and heat showed moderate effects in reducing menstrual pain compared to no treatment. Both exercise and heat are potential alternatives to analgesic medication. However, difficulties in controlling for non-specific effects, along with potential for bias, may influence study findings.

Indexed as

Life StyleAcupuncture TherapyDysmenorrheaExerciseFemaleHumansHyperthermia, InducedPain ManagementSelf CareAcupressureExerciseHeatPeriod painSelf-care

Identifiers

PMID30654775
PMCPMC6337810
OpenAlexW2931519780

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.