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April 18, 1936

THE TREATMENT OF DYSMENORRHEA WITH INSULIN: PRELIMINARY REPORT

JAMA. 1936;106(16):1380-1383. doi:10.1001/jama.1936.02770160038012
Abstract

Primary or essential dysmenorrhea has been correctly described as the bête noire of gynecology. All the skill, knowledge and ingenuity of the general practitioner and gynecologist are taxed to their capacity in the management of this distressing symptom complex.

A thorough gynecologic examination frequently reveals no pelvic abnormality, and as Novak and Reynolds1 aptly remark, "the intelligent treatment of this disorder [besides a complete pelvic examination] can never be restricted to the pelvis alone and must include a thorough study which may carry the physician far afield into the domains of internal medicine, endocrinology, psychiatry and other branches of clinical investigation."

The remedies recommended and the procedures adopted are legion. Surgery, such as operations on the cervix (Dudley, Blair Bell, Pozzi), dilation without curettage and dilation with curettage are frequently resorted to. The benefits obtained sometimes give temporary relief over the next few succeeding periods and only occasionally give

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