Dysmenorrhea.

PURPOSE: Analysis of the uterine contractility in the nonpregnant states has provided information about physiological changes during menstrual cycle. There is need to develop methods of recording uterine activity as well as mathematical interpretation of recorded time series. Wavelets are a new powerful tool for signal and image processing. The aim of this study is an introductory view of Fourier (one of the fundamental methods of investigating of biomedical signals) and wavelet transforms applications in the analysis of uterine contractions. MATERIAL AND METHODS: Spontaneous uterine activity of healthy patient and patient with dysmenorrhea was recorded by micro-tip two sensors catheter (Millar Instruments, Inc. USA). After amplification analogue signals were converted to digital. Signals were analysed using Fourier and wavelet transforms. RESULTS: Contrary to the Fourier decomposition, which is global and provides the information integrated over the whole signal, the continuous and discrete wavelet transforms allow to extract local and global variations of the recorded contractions. From the analysis of the coefficients of the wavelet transform we can assess various pattern of propagation: normal propagation, simultaneous propagation and inverted propagation. CONCLUSIONS: This study is the introduction to the wavelet analysis of the uterine contraction signals. Wavelet transform provides insight into the structure of the time series at various scales. It allows to localise changes of the signal in time, providing additional information in comparison with the Fourier transform.

Dysmenorrhea↗

PubMed2002

A long-term follow-up study of women with asymptomatic endometriosis diagnosed incidentally at sterilization.

OBJECTIVE: To evaluate whether asymptomatic endometriosis diagnosed in connection with tubal sterilization is likely to cause symptoms later in the woman's life. DESIGN: Controlled, clinical follow-up study of women who were examined for endometriosis in connection with tubal sterilization performed between 1986 and 1989. SETTING: University hospital. PATIENT(S): Thirty-nine women with mostly minimal endometriosis discovered at sterilization and 157 control women with no endometriosis discovered at sterilization. INTERVENTION(S): Interview in 2001 by a posted questionnaire. MAIN OUTCOME MEASURE(S): Report on pain, pelvic operations, menopausal status, and use of hormone replacement therapy. RESULT(S): Pelvic pain was more frequently reported by controls than by women with endometriosis (28% vs. 6%). There was no significant difference between the groups concerning dysmenorrhea, premenstrual pain, or dyspareunia, nor was there any significant difference in the hysterectomy rate. CONCLUSION(S): There is little risk that asymptomatic, minimal endometriosis found incidentally will become symptomatic.

Dysmenorrhea↗