Primary dysmenorrhea: advances in pathogenesis and management
Dawood, M. Y. (2006). Obstetrics & Gynecology, 108(2), 428–441. DOI: 10.1097/01.AOG.0000230214.26638.0c
Key Finding: Established that primary dysmenorrhea is driven by prostaglandin-mediated uterine hyper-contractility, generating intrauterine pressures exceeding arterial perfusion thresholds and causing acute myometrial smooth-muscle ischemia, tissue hypoxia, and debilitating pain.