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Pain Severity in Final Menstrual Period

J Pain; ePub 2016 Nov 8; Lee, et al

Bodily pain increases during the transmenopause and then diminishes during postmenopause, although changes in bodily pain were small in a sample population, a recent study found. Analyses on a community-based, longitudinal cohort of women enrolled in the Study of Women’s Health Across the Nation (SWAN) included 1,495 women who defined the date of the final menstrual period (FMP) and completed data on SF-36 bodily pain. Primary outcome was rate of change in SF-36 bodily pain, measured on a scale of 0 to 100 (100 most severe pain). Researchers found:

  • Mean bodily pain score at the time of the FMP was 29.
  • Mean bodily pain increased at a rate of 0.26 per year during the transmenopause, and decreased at a rate of 0.23 per year following.
  • Women with a history of abdominal cramps had the largest declines in bodily pain.
  • Women with depression and sleep problems had the largest increases in bodily pain.


Lee YC, Karlamangla AS, Yu Z, et al. Pain severity in relation to the final menstrual period in a prospective multiethnic observational cohort: Results from the Study of Women’s Health Across the Nation (SWAN). [Published online ahead of print November 8, 2016]. J Pain. doi:10.1016/j.jpain.2016.10.012.