Evidence map›Paper›PMID 32168005›Full record

ArticlePain2020

Dysmenorrhea subtypes exhibit differential quantitative sensory assessment profiles.

Kevin M Hellman, Genevieve E Roth, Katlyn E Dillane, Ellen F Garrison, Folabomi A Oladosu, Daniel J Clauw, Frank F Tu

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Pain, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06861920 (Targeting Interindividual Variability in NSAID Responses to Mitigate Chronic Pelvic Pain Risk in Dysmenorrhea), which is not on this map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
4.9field-weighted citation impact, top 4% 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.

NCT06861920 phase4recruitingnot on this mapstarted 2025, after this paper: background citation

Targeting Interindividual Variability in NSAID Responses to Mitigate Chronic Pelvic Pain Risk in Dysmenorrhea (NSAID HEAL)

TypeinterventionalSponsorEndeavor HealthRan2025 to 2030Enrolled600ConditionsDysmenorrhea, Chronic Pelvic Pain, Pelvic PainArmsNaproxen Sodium 550mg, Placebo, Extended Release Acetaminophen (650 mg)
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Pooled it
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  5. Severe menstrual pain is not normal: adolescent dysmenorrhoea as a marker of future chronic pain.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2026
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  8. Psychosocial Predictors of Dysmenorrhea Stability and Change: A Two-Year Longitudinal Study.Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC · 2026
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  9. Review
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  14. A multidimensional appraisal of early menstrual pain experience.American journal of obstetrics and gynecology · 2024
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  19. Menstrual Pain and Elasticity of Uterine Cervix.Journal of clinical medicine · 2021
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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

7 authors at 3 institutions in 1 country.

Kevin M HellmanDepartment of Ob/Gyn, Northshore University HealthSystem, Evanston, IL, United States.
Genevieve E RothDepartment of Ob/Gyn, Northshore University HealthSystem, Evanston, IL, United States.
Katlyn E DillaneDepartment of Ob/Gyn, Northshore University HealthSystem, Evanston, IL, United States.
Ellen F GarrisonDepartment of Ob/Gyn, Northshore University HealthSystem, Evanston, IL, United States.
Folabomi A OladosuDepartment of Ob/Gyn, Northshore University HealthSystem, Evanston, IL, United States.
Daniel J ClauwDepartment of Anesthesiology, Chronic Pain and Fatigue Research Center, University of Michigan, Ann Arbor, MI, United States.
Frank F TuDepartment of Ob/Gyn, Northshore University HealthSystem, Evanston, IL, United States.
NorthShore University HealthSystem · USUniversity of Chicago · USUniversity of Michigan–Ann Arbor · US

Funding

Deciphering the hormonal and nociceptive mechanisms underlying bladder painR01DK100368 · NIDDK · ENDEAVOR HEALTH CLINICAL OPERATIONS · PI Frank Fu-sheng Tu · 2014 to 2026
$5.2M
NIDDK NIH HHS R01 DK100368
6 · The paper itself

Abstract

Women who develop bladder pain syndrome (BPS), irritable bowel syndrome, or dyspareunia frequently have an antecedent history of dysmenorrhea. Despite the high prevalence of menstrual pain, its role in chronic pelvic pain emergence remains understudied. We systematically characterized bladder, body, and vaginal mechanical sensitivity with quantitative sensory testing in women with dysmenorrhea (DYS, n = 147), healthy controls (HCs) (n = 37), and women with BPS (n = 25). Previously, we have shown that a noninvasive, bladder-filling task identified a subset of women with both dysmenorrhea and silent bladder pain hypersensitivity, and we repeated this to subtype dysmenorrhea sufferers in this study (DYSB; n = 49). DYS, DYSB, and BPS participants had lower vaginal mechanical thresholds and reported more pain to a cold stimulus during a conditioned pain modulation task and greater pelvic examination after-pain than HCs (P's < 0.05). DYSB participants also had reduced body mechanical thresholds and less conditioned pain modulation compared to HCs and DYS participants (P's < 0.05). Comparing quantitative sensory testing results among the DYS and HC groups only, provoked bladder pain was the only significant predictor of self-reported menstrual pain (r = 0.26), bladder pain (r = 0.57), dyspareunia (r = 0.39), and bowel pain (r = 0.45). Our findings of widespread sensory sensitivity in women with dysmenorrhea and provoked bladder pain, much like that observed in chronic pain, suggest a need to study the trajectory of altered mechanisms of pain processing in preclinical silent visceral pain phenotypes to understand which features convey inexorable vs modifiable risk.

Indexed as

Chronic PainCystitis, InterstitialDysmenorrheaFemaleHumansPain MeasurementPelvic Pain

Identifiers

PMID32168005
PMCPMC7230023
OpenAlexW3011345172

What OpenQuestion holds

Textmetadata
LicenceTDM
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.