الفهرس 
Title : Effect of visceral decongestion of the true pelvis on primary dysmenorrhea
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Abstract
Purpose: This study was conducted to detect the effect of visceral decongestion technique of true pelvis on primary dysmenorrhea. Subjects: Fifty girls with primary dysmenorrhea diagnosed by gynecologist selected randomly from Said Galal University Hospital in Cairo, Al Azhar University participated in this study. Their ages were ranged from 17 to 24 years old and their body mass index was ranged from 18.5 to 25 kg/m2. Girls with gynecological diseases that may cause secondary dysmenorrhea such as; Endometriosis, Adenomyosis, Fibroids, Polybs and Pelvic inflammatory diseases, married or non-virginal girls were excluded from the study. Design: pre and post experimental study. They were divided into two equal groups, group A treated by NSAIDS (bruffin 400 mg), two tablets per day during menstruation only for three menstrual cycles; group B treated by the same medical treatment as in group A in addition to visceral osteopathic decongestion technique for true pelvis, three sessions per week started before the expected day of menstruation by two days till end of the menstruation. All patients received five sessions in one month for three months. Methods: Visual analogue scale (VAS) and serum cortisol level were used to measure pain intensity and Doppler ultrasound used to measure the vascularity of the uterus for both groups A and B pre-treatment and post-treatment of 1st, 2nd and 3rd menstrual cycle. Results: In group A there was no statistical significant decrease in the mean value of VAS, cortisol level, RI of left and right uterine artery of pre-treatment values of 2nd and 3rd menstrual cycle when compared with its corresponding value of 1st menstrual cycle. While there was significant decrease of post-treatment values of group A but in group B pre and post treatment values decreased