Numerous attempts to delineate the pathophysiological and social-environmental factors, have not provided complete information. The findings of this study support interruption of the afferent and efferent sympathetic and parasympathetic neuronal pathways of the uterus as an effective treatment for the relief of dysmenorrhea for some women. Outpatient laparoscopic interruption of the uterosacral nerves could offer a rational treatment for dysmenorrhea sufferers at the time of laparoscopy. A prominent advantage of this treatment is the freedom from monthly medication and often-accompanying side effects. As with older uterine nerve interruption techniques, no long-term side effects have been reported.
Further studies are necessary to better establish the underlying patholphysiology of dysmenorrhea.
Complicating the issue and dtreatment is the social and environmental pressure that prevents women from seeking medical attention for the condition. LUNA may offer a low-risk, outpatient surgical solution to an often incapacitating and disabling disease. A second look after 25 years. Paravertebral anesthesia in obstetrics. A rationale for the treatment of dysmenorrhea.