A Case Report of Membranous Dysmenorrhoea in Woman with Polycystic Ovary Syndrome
https://doi.org/10.31550/1727-2378-2024-23-5-79-82
Abstract
Aim. To present a case report of membranous dysmenorrhoea in woman with polycystic ovary syndrome.
Key points. Membranous dysmenorrhea is defined as sudden sloughing of thickened endometrium as a whole with the shape of the uterine cavity. It’s more common in young females who were on either combined hormonal contraceptive or progestagen. Membranous dysmenorrhea is a rare gynecologic disorder with only a few documented cases. Because this entity is rarely mentioned in the medical literature, the purpose of this report is to describe such case.
In presented clinical case report 30-year-old woman with polycystic ovary syndrome at the end of first cycle of treatment with combined oral contraceptive, containing ethynilestradiol and dienogest, developed acute cramping hypogastric pain followed by discharge a tissue from vagina. It's histopathological exam was performed with a clear diagnosis of membranous dysmenorrhoea.
Conclusion. The medical knowledge, due to the lack of description of this entity in current textbooks, contributes to its underdiagnosis. More studies are needed to clarify the aetiology and the pathophysiology of this pathologic condition.
About the Authors
E. E. Grodnitskaya
Clinical hospital "MD GROUP", Group of companies "Mother and child"; Lomonosov Moscow State University Medical Institute
Russian Federation
Russian Federation
24 Sevastopol Ave., built. 1, Moscow, 117209
27 Lomonosov Ave., built. 10, Moscow, 119192
Ya. V. Karabanovich
Clinical hospital "MD GROUP", Group of companies "Mother and child"
Russian Federation
Russian Federation
24 Sevastopol Ave., built. 1, Moscow, 117209
M. A. Кurtser
N.I. Pirogov Russian National Research Medical University; MD Medical Group "Mother and Child"
Russian Federation
Russian Federation
1 Ostrovitianov Str., Moscow, 117513
24A Sevastopol Ave., Moscow, 117209
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Review
For citations:
Grodnitskaya E.E., Karabanovich Ya.V., Кurtser M.A. A Case Report of Membranous Dysmenorrhoea in Woman with Polycystic Ovary Syndrome. Title. 2024;23(5):79-82. (In Russ.) https://doi.org/10.31550/1727-2378-2024-23-5-79-82
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