Journal of Women's Health, 2019/06, 28(6):5. doi: 10.1089/jwh.2019.29028.abstracts, type of study: ,rct,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

Full text    (https://www.liebertpub.com/doi/10.1089/jwh.2019.29028.abstracts)

Keywords:

randomized controlled trial [947]
visceral manipulation [22]
osteopathic manipulative treatment [3946]
OMT [3925]
osteopathic medicine [2108]
female [655]
premenpausal women [1]
pelvic pain [72]
ovarian vein [1]
McGill Pain Questionnaire [2]

Abstract:

Background: Pelvic congestion synrome (PCS) is a chronic positional pelvic pain that lasts for more than six months. It is associated with pelvic and vulvar varicosities and symptoms of dyspareunia and postcoital pain. This study aimed to determine the effect of of visceral manipulation techniques on pain and ovarian vein diameter in premenopausal women with PCS. Methods: Thirty premenopausal women aged 35-45 years and body mass index was >25 kg/m2 and <30 kg/m2 participated in the study. They were diagnosed with dilated, tortuous ovarian veins with a width greater than 4mm.They are randomly distributed into two groups. Control group received non-steroidal anti-inflammatory drug (NSAID), 400-800mg PO /6hr for 10 days, and medroxyprogesterone acetate (MPA), 30mg/day for 12 weeks. Study group received the same medical treatment, and visceral manipulation techniques on pelvis, 45 minutes, one session every 2 weeks for a total of 6 sessions for 12 weeks period. Pain was evaluated using Modified McGill Pain Questionnaire and ovarian vein diameter was evaluated using Doppler ultrasound at starting and after 12 weeks of treatment course. Results: The control and study groups showed decreases in dullness (P = 0.02; P = 0.001), and pain rating index (P = 0.02; P = 0.001) respectively. Only study group showed a decrease (P = 0.001) in ovarian vein diameter. Compared with the control group, the study group showed greater decrease (P = 0.001) in dullness, pain rating index, and ovarian vein diameter. Conclusions: The osteopathic visceral manipulative techniques by virtue of its philosophy decreases pain and ovarian vein diameter in premenpausal women with PCS.