The Effectiveness of Relaxation Training on Primary Dysmenoreh and Menstrual Symptoms
Condition: Menstrual Discomfort; Relaxation Abnormality; Dysmenorrhea Primary
MeSH terms: Dysmenorrhea
Study type: Interventional

Summary: 
      The aim of this study is to evaluate the effectiveness of Laura Mitchell's relaxation
      training on primary dysmenorrhea and menstrual symptoms. The study will be carried out on
      women who have been diagnosed with primary dysmenorrhea, have a regular menstrual cycle (28±7
      days), have menstrual pain higher than 4 cm according to the visual analog scale (VAS), and
      wish to voluntarily participate in the study. The questionnaire created by the researchers
      will be administered online. The women included in the study will be divided into 2 groups as
      experimental and control groups by applying randomization using the random drawing method.
      Laura Mitchell's physiological relaxation training will be applied to the experimental group
      for 30 minutes on menstrual days during a total of 3 menstrual cycles, accompanied by an
      online live lesson. The control group will continue their daily routine.
    

Detailed description: 
      Dysmenorrhea is a common gynecological complaint in women of reproductive age, characterized
      by lower abdominal pain that occurs a few hours before or with the onset of menstruation and
      persists for 1-2 days. It is more common in adolescent and young women. It is divided into
      primary and secondary dysmenorrhea. The prevalence of primary dysmenorrhea varies between
      17-95%. Primary dysmenorrhea, unlike secondary dysmenorrhea, is due to contraction of the
      myometrium without pelvic pathology. Pain occurs with every menstrual cycle. Generally,
      cramp-like pain in the suprapubic region may be accompanied by nausea, vomiting, headache,
      dizziness, sweating, diarrhea, insomnia and syncope . While primary dysmenorrhea is more
      common in nulliparous, both its severity and incidence decrease with increasing age and
      parity. Primary dysmenorrhea is pelvic pain that is caused by the natural production of
      prostaglandins and is not associated with pelvic pathology, and is among the common causes of
      admission to emergency services. In the pathogenesis of primary dysmenorrhea, it is thought
      to be associated with prostaglandin production, which increases with vasoconstriction of the
      uterine blood vessels, leading to uterine contractility and ischemia. Primary dysmenorrhea
      does not threaten the life of women, but it can affect the quality of life negatively and
      prevent work and school continuity. There are various relaxation techniques in the literature
      to reduce the pain and improve the quality of life of women with primary dysmenorrhea.
      Relaxation techniques are effective and easy-to-apply self-management therapy in reducing the
      effects of pain, stress, depression, anxiety and mood changes on the individual and in
      controlling the body. Laura Mitchell's Simple Physiological Relaxation Training is a standard
      method with the advantages of requiring less concentration, being learned in a short time and
      showing a rapid effect, and is widely used especially in the field of obstetrics and
      gynecology. It is known that this technique, which includes diaphragmatic breathing, improves
      immune system functions and quality of life, and also reduces depression. The aim of this
      study is to evaluate the effectiveness of Laura Mitchell's relaxation training on primary
      dysmenorrhea and menstrual symptoms.

      METHOD The study will be carried out on women who have been diagnosed with primary
      dysmenorrhea, have a regular menstrual cycle (28±7 days), have menstrual pain higher than 4
      cm according to the visual analog scale (VAS), and wish to voluntarily participate in the
      study. The questionnaire created by the researchers will be administered online. Before
      starting the study, the consent of the participants will be obtained via online link. The
      women included in the study will be divided into 2 groups as experimental and control groups
      by applying randomization using the random drawing method. Data collection Evaluations were
      evaluated according to the physical (age, height, body weight, body mass index) and
      demographic data of the individuals (age at menarche, mean cycle duration, duration of
      menstruation, pain status, duration of pain, number of pads used on the busiest day, presence
      of menstrual symptoms experienced during menstruation period). intensity) will be recorded.
      Individuals will be examined for 5 menstrual cycle follow-ups, 4 of which are consecutive.
      Pain intensity of individuals will be evaluated with Visual Analog Scale (VAS) and menstrual
      symptoms will be evaluated with Menstrual Symptom Scale (MSS). To the individuals
      participating in our study; The 1st day of the 1st menstruation is the 1st evaluation, and
      the data will be collected with VAS and MSS for both groups, and relaxation training will
      begin for the experimental group. The 1st day of the 2nd menstruation is the 2nd evaluation,
      and the data will be collected with VAS and MSS for both groups, and relaxation training will
      be continued for the experimental group. The 1st day of the 3rd menstruation will be the 3rd
      evaluation. Data will be collected with VAS and MSS for both groups, and relaxation training
      will be continued for the experimental group. The 1st day of the 4th menstruation will be the
      4th evaluation, and the data will be collected with VAS and MSS for both groups, and the
      relaxation training will be terminated for the experimental group. They will be free to
      continue exercising until the seventh menstruation. 1st day of 7th menstruation
    

Intervention name(s): relaxation techniques
Intervention type(s): Other
Intervention description(s): Mitchell's physiological relaxation technique is based on reciprocal inhibition and involves diaphragmatic breathing and a series of ordered isotonic contractions.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: This study is a randomized controlled experimental study.
Masking: Single (Participant)
Primary purpose: Supportive Care