A New Approach to the Diagnostic and Therapeutic Dysmenorrhea Protocols, a Combination of Persian Medicine and Contemporary Medicine

Pantea Shirooye, Razie Nabi Meybodi, Mojgan Tansaz, Elham Behmanesh, Roshanak Mokaberinejad



Background and Aim: Despite medical advances, diagnosis and treatment of dysmenorrhea is one of the health care problems. The protocol for the diagnosis and treatment of dysmenorrhea has not yet been presented in a combination of Persian Medicine and contemporary medicine. Therefore, the aim of the present study is to examine these protocols.

Materials and Methods: Three methods including narrative review, qualitative method and scientific consensus were used to write these two protocols. In this regard, 19 ITM references, 2 gynecology references and 4 databases were searched.

Findings: The findings were presented in three parts including the review on the explanation of dysmenorrhea from the perspective of ITM and contemporary medicine, the diagnosis protocol for dysmenorrhea and the stepwise treatment protocol for primary dysmenorrhea. The diagnosis protocol for dysmenorrhea from both ITM and contemporary medicine perspectives, could identify the unknown causes of primary dysmenorrhea. On the other hand, treatment of primary dysmenorrhea in contemporary medicine has only palliative effects and are associated with lack of response to treatment, while ITM School has explained several, varied, and step-by-step methods for the treatment of primary dysmenorrhea, which have therapeutic effects in addition to palliative effects.

Conclusion: It is recommended that ITM perspective be considered along with the view of contemporary medicine in the study of the causes and treatment of primary dysmenorrhea.


Please cite this article as: Shirooye P, Nabi Meybodi R, Tansaz M, Behmanesh E, Mokaberinejad R. A New Approach to the Diagnostic and Therapeutic Dysmenorrhea Protocols, a Combination of Persian Medicine and Contemporary Medicine. Med Hist J 2018; 9(33): 63-75.


Dysmenorrhea; Usre Tams; Diagnostic Protocol; Therapeutic Protocol; Persian Medicine

Full Text:




Shirooye P, Hashem Dabaghian F, Hamzeloo Moghadam M, Afrakhte M, Bioos S, ‎mokaberinejad R. A comparative clinical study of oral and topical ginger on primary ‎dysmenorrhea. Research J of Pharmacognosy 2017; 4(1): 23-32.‏

‏Berek JS, Novak E. Berek and Novak's Gynecology. Philadelphia: Lippincott Williams & ‎Wilkins; 2012‎‏.‏

‏‏Lefebvre G, Pinsonneault O, Antao V, Black A, Burnett M, Feldman K, et al. Primary ‎dysmenorrhea consensus guideline. Journal of Obstetrics and Gynaecology Canada ‎‎2005; 27(12): 1117-1146‎‏.‏

‏Harel Z. Dysmenorrhea in adolescents and young adults: etiology and management. ‎Journal of Pediatric and Adolescent Gynecology 2006; 19(6): 363-371‎‏.

Shirooye P, Afrakhte M, Bioos S, Mokaberinejad R. Uterine pain explanation from ‎Iranian Traditional Medicine point of view vs. pelvic pain from contemporary medicine. ‎Iranian Journal of Obstetrics, Gyneocology and Infertility 2016; 19(3): 9-25‎‏.‏

‏Panahandeh Z, Pakzad Z, Ashouri R. Survey the Prevalence, Knowledge and Practice of ‎Guilan University Students about Dysmenorrhea. Journal of Guilan University of Medical ‎Sciences 2008; 17(66): 87-94‎‏.‏

‏Ortiz MI. Primary dysmenorrhea among Mexican university students: prevalence, impact ‎and treatment. European Journal of Obstetrics, Gynecology and Reproductive Biology ‎‎2010; 152(1): 73-77‎‏.‏

‏Rodrigues AC, Gala S, Neves A, Pinto C, Meirelles C, Frutuoso C, et al. Dysmenorrhea ‎in adolescents and young adults: prevalence, related factors and limitations in daily living. ‎Acta Medica Portuguesa 2011; 24: 383-388.‎

‏Grandi G, Ferrari S, Xholli A, Cannoletta M, Palma F, Romani C, et al. Prevalence of ‎menstrual pain in young women: what is dysmenorrhea? Journal of Pain Research ‎‎2012; 5: 169-174‎‏.‏

Banikarim C, Chacko MR, Kelder SH‏. ‏Prevalence and impact of dysmenorrhea on ‎Hispanic female adolescents. Archives of Pediatrics & Adolescent Medicine ‎‎2000; 154(12): 1226-1229‎‏.‏

‏Polat A, Celik H, Gurates B, Kaya D, Nalbant M, Kavak E, et al. Prevalence of primary ‎dysmenorrhea in young adult female university students. Archives of Gynecology and ‎Obstetrics 2009; 279(4): 527-532‎‏.‏

‏Tanmahasamut P, Chawengsettakul S. Dysmenorrhea in Siriraj medical students; ‎prevalence, quality of life, and knowledge of management. Journal of the Medical ‎Association of Thailand 2012; 95(9): 1115-1121‎‏.‏

‏Chuamoor K, Kaewmanee K, Tanmahasamut P. Dysmenorrhea among Siriraj nurses; ‎prevalence, quality of life and knowledge of management. Journal of the Medical ‎Association of Thailand 2012; 95(8): 983-991‎‏.

‏Hillen TI, Grbavac SL, Johnston PJ, Straton JA, Keogh JM. Primary dysmenorrhea in ‎young Western Australian women: prevalence, impact, and knowledge of treatment. The ‎Journal of adolescent health‏: ‏official publication of the Society for Adolescent Medicine ‎‎1999; 25(1): 40-45‎‏.‏

‏Dawood MY. Primary dysmenorrhea: advances in pathogenesis and management. ‎Obstetrics & Gynecology 2006; 108(2): 428-441‎‏.‏

‏Moghaddas N, Naji Esfahani H. A Scientific Review on Iranian Traditional Medicine ‎from the Inductivity' point of view based on Avicenna's and Zachariah ye Razi's ideas. 2. ‎J of Islamic and Iranian Traditional Medicine 2016; 7(3): 241-249‎‏.‏

‏Behmanesh E, Nabi Meybodi R, Mokaberinejad R, Tansaz M, Mozaffarpour SA, ‎Shirooye P. Menstrual pain explanation from Iranian Traditional Medicine point of view ‎vs. Contemporary medicine: review article. Iranian Journal of Obstetrics, Gyneocology ‎and Infertility 2016; 19(36): 22-31‎‏.‏

‏Zahravi A. Al-Tasrif leman Ajeza an al-Taalif. Tehran: Research Institute for Islamic and ‎Complementary Medicine; 2008‎‏.‏

‏James RS, Gibbs RS, Karlan BY, Haney AF. Danforth's obstetrics and gynecology. ‎‎10th ed. Philadelphia: Lippincott Williams & Wilkins; 2008‎‏.‏

‏Arzani M. Tibb akbari. Qom: Jalal‏ ‏al-Din; 2008‎‏.‏

‏Chashti M. Exir-e Aazam. Tehran: Research Institute for Islamic and Complementary ‎Medicine; 2007‎‏.‏

‏Aghili Khorasani M. Moalejat-e Aqili. Tehran: Research Institute for Islamic and ‎Complementary Medicine; 2008‎‏.‏

‏Ibn Sina H. Al-Qanon fi al-Tibb. Beirut: Alaalami Library; 2005‎‏.‏

‏Ibn Nafis A. Sharh-e Qarshi on Qanun. Tehran: Library center of Iran Parliament; Twelfth ‎century; 2008.

‏Razi M. Alhavi fi al-Tibb. Beirut: Dar al-Kotob al-Ilmiyah; 2000‎‏.‏

‏Mirheidary R, Nasery M, Ansarypoor MA. The Role of the Quantity of Food in the ‎Treatment of Various Diseases. J of Islamic and Iranian Traditional Medicine ‎‎2016; 7(2): 183-189‎‏.‏

‏Arzani M. Mofarreh al-Gholob. Tehran: Almaee; 2012‎‏.‏

‏Aghili Khorasani M. Qarabadin-e Kabir. Tehran: Research Institute for Islamic and ‎Complementary Medicine; 1999‎‏.‏

‏Akhtari E, Tansaz M, Mokaberi Nejad R, Bios S. Relationship between Emotional and ‎Psychological disorders on infertility from the past to present. J of Islamic and Iranian ‎Traditional Medicine 2013; 4(3): 246-254‎‏.‏

‏Nazem S. Darooname Tuba (Selection of experienced drugs of Iranian Medicine). Tehran: ‎Almaee; 2012.‎

‏Ibn Nafis A. Al-Shamel fi al-Sanaat al-Tebbiat. Tehran: Research Institute for Islamic ‎and Complementary Medicine; 2008‎‏.‏

‏Shirooye P, Mokaberinejad R, Ara L, Hamzeloo-Moghadam M. Volatile constituents of ‎ginger oil prepared according to Iranian Traditional Medicine and conventional methods: ‎a comparative study. African Journal of Traditional, Complementary and Alternative ‎Medicines 2016; 13(6): 68-73.‎

‏Moghimi H, Shafizade A, Kamalinejad M. Pharmaceutical Drug Delivery Systems in Iran ‎from Structure to Biofarmacy and Comparison with Today's Systems. Tehran: Mahia in ‎corporation with 2Traditional Medicine and Materia Medica Research Center, Shahid ‎Beheshti University of Medical Sciences; 1389.‎

‏Sultana A, Rahman K, Farzana M, Lone A. Efficacy of hijamat bila shurt (dry cupping) ‎on intensity of pain in dysmenorrhea- a preliminary study. Ancient Science of Life ‎‎2010; 30(2): 47-50‎‏.‏

‏Yavari M, Shirooye P, Nabi Meybodi R, Meyari A, Bahman M, Naeimi A, et al. ‎Treatment Approach to Leucorrhea in Traditional Iranian Medicine and Conventional ‎Medicine. IJOGI 2016; 19(30): 26-36‎‏.‏

‏Burnett M, Lemyre M. No. 345-Primary Dysmenorrhea Consensus Guideline. Journal of ‎Obstetrics and Gynaecology Canada 2017; 39(7): 585-595‎‏.‏


  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License CC BY-NC 4.0. Copyright © 2016 Medical History JournalAll rights reserved.  All credits and honors to PKP for their OJS.

For Author | Online Submission | About Contact