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Membranous dysmenorrhea: the forgotten entity.
Obstet Gynecol 1995; 85(5 Pt 2):891-2OG

Abstract

BACKGROUND

Membranous dysmenorrhea involves the spontaneous slough of the endometrium in one cylindrical or membranous piece that retains the shape of the uterine cavity. Because this entity is rarely mentioned in the medical literature, the purpose of this report is to describe two such cases.

CASES

An 18-year-old nullipara with regular menstrual cycles presented with membranous dysmenorrhea after taking the contraceptive Gynera (Gestodene 0.075 mg, ethinyl estradiol 0.030 mg). Symptoms disappeared when the medication was discontinued. The second patient, a 26-year-old woman, gravida 1, para 1, was on a 10-day monthly regimen of Provera (medroxyprogesterone acetate) 2.5 mg/day for dysfunctional uterine bleeding. When the Provera dose was increased to 10 mg/day, the symptoms disappeared.

CONCLUSION

Membranous dysmenorrhea is "a disease of theories" with various recommended medications. When this condition is caused by iatrogenic treatment, the best approach is to discontinue the offending drug or change its dosage.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, Beilinson Medical Center, Petah Tiqva, Israel.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

7724151

Citation

Rabinerson, D, et al. "Membranous Dysmenorrhea: the Forgotten Entity." Obstetrics and Gynecology, vol. 85, no. 5 Pt 2, 1995, pp. 891-2.
Rabinerson D, Kaplan B, Fisch B, et al. Membranous dysmenorrhea: the forgotten entity. Obstet Gynecol. 1995;85(5 Pt 2):891-2.
Rabinerson, D., Kaplan, B., Fisch, B., Braslavski, D., & Neri, A. (1995). Membranous dysmenorrhea: the forgotten entity. Obstetrics and Gynecology, 85(5 Pt 2), pp. 891-2.
Rabinerson D, et al. Membranous Dysmenorrhea: the Forgotten Entity. Obstet Gynecol. 1995;85(5 Pt 2):891-2. PubMed PMID: 7724151.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Membranous dysmenorrhea: the forgotten entity. AU - Rabinerson,D, AU - Kaplan,B, AU - Fisch,B, AU - Braslavski,D, AU - Neri,A, PY - 1995/5/1/pubmed PY - 1995/5/1/medline PY - 1995/5/1/entrez SP - 891 EP - 2 JF - Obstetrics and gynecology JO - Obstet Gynecol VL - 85 IS - 5 Pt 2 N2 - BACKGROUND: Membranous dysmenorrhea involves the spontaneous slough of the endometrium in one cylindrical or membranous piece that retains the shape of the uterine cavity. Because this entity is rarely mentioned in the medical literature, the purpose of this report is to describe two such cases. CASES: An 18-year-old nullipara with regular menstrual cycles presented with membranous dysmenorrhea after taking the contraceptive Gynera (Gestodene 0.075 mg, ethinyl estradiol 0.030 mg). Symptoms disappeared when the medication was discontinued. The second patient, a 26-year-old woman, gravida 1, para 1, was on a 10-day monthly regimen of Provera (medroxyprogesterone acetate) 2.5 mg/day for dysfunctional uterine bleeding. When the Provera dose was increased to 10 mg/day, the symptoms disappeared. CONCLUSION: Membranous dysmenorrhea is "a disease of theories" with various recommended medications. When this condition is caused by iatrogenic treatment, the best approach is to discontinue the offending drug or change its dosage. SN - 0029-7844 UR - https://www.unboundmedicine.com/medline/citation/7724151/Membranous_dysmenorrhea:_the_forgotten_entity_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=7724151.ui DB - PRIME DP - Unbound Medicine ER -