Table 1: Questionnaire administered to the patient.
1) Dysmenorrhea: Abdominal or pelvic pain during menstruation | ||
Answer | Score | |
No pain | Absent | 0 |
Reduced earning capacity | Slight | 1-2 |
Occasional absence from work | Moderate | 3-4 |
Inability to usual activities | Serious | 5-10 |
2) Dyspareunia: Deep pain during sexual intercourse | ||
Answer | Score | |
No pain | Absent | 0 |
Tolerate pain | Slight | 1-2 |
Pain that requires the termination of sexual intercourse | Moderate | 3-4 |
Inability to usual activities | Serious | 5-10 |
3) Non-menstrual pelvic pain | ||
Answer | Score | |
No pain | Absent | 0 |
Occasional pelvic pain | Slight | 1-2 |
Pain relevant for most of the cycle | Moderate | 3-4 |
Persistent pain throughout the cycle | Serious | 5-10 |
4) Dischezia: Pain during defecation | ||
Answer | Score | |
No pain | Absent | 0 |
Occasional rectal pain | Slight | 1-2 |
Pain relevant for most of the cycle | Moderate | 3-4 |
Rectal pain persisting throughout the cycle | Serious | 5-10 |
5) Dysuria: Pain while urinating | ||
Answer | Score | |
No pain | Absent | 0 |
Voiding occasional pain | Slight | 1-2 |
Pain relevant for most of the cycle | Moderate | 3-4 |
Bladder pain persisting throughout the cycle | Serious | 5-10 |