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• It is more recently the opinion of specialists that psychogenic symptoms may be associated with some dysmenorrheic patients, but that these symptoms are not necessarily the cause of physical complaints.
• In severely dysmenorrheic women, there is exaggerated uterine contractility and a significantly higher prostaglandin content in the menstrual blood with a twofold to tenfold increase when compared with women who do not have menstrual pain.
• Baker and colleagues (1999) reported that dysmenorrheic women had reduced sleep efficiency when experiencing menstrual pain, with increased wakefulness, movement, and stage 1 sleep compared to pain-free phases of their cycle.