Supporting the Best Performance of All Women

Tips for Treating Dysmenorrhea and PMS/PMDD

Abstract

Dysmenorrhea, premenstrual syndrome (PMS), and premenstrual dysphoric disorder (PMDD) are common menstruation-related disorders in women that significantly impair their quality of life. A survey of college female athletes found that 44.3% of students were aware of performance disorders during practice and games. A study found that high school athletes were more conscious of performance problems due to PMS/PMDD compared to dysmenorrhea, suggesting that dysmenorrhea treatment should also take PMS/PMDD into consideration simultaneously. Although dysmenorrhea is widely treated with LEP/OC preparations (contraceptive pills), physicians should consider the risk of thrombosis, a rare but serious complication. In Japan, hormone preparations have low public acceptance, leading to patient hesitancy in undergoing treatment. Contrastingly, Kampo medicine and acupuncture are not contraindicated, are well accepted by patients and serve as promising alternative therapies. In conclusion, treatment of dysmenorrhea, along with PMS/PMDD, is essential to consider not only for athletes but also for all women to achieve their optimal performance.