Cesarean SectionNCT07729254
Association Between Cesarean Scar Mobility and Menstrual Pain in Post-Cesarean Women
An observational study of Cesarean Section and Dysmenorrhea, run by Cairo University at 1 site in Egypt.
Trial summary
The aim of this observational cross-sectional study is to investigate the association between cesarean scar mobility and menstrual pain severity in women following cesarean section. The study will enroll women aged 20 to 35 years with a history of cesarean delivery who experience menstrual pain. Read more about this study
- Who is it for?
- Ages 20 to 35 years, women only
- Conditions the study is for
- Cesarean Section, Dysmenorrhea
- How many people
- 51 participants
- Where
- 1 siteEgypt
- Study dates
- 23 Jul 2026to 25 Aug 2026
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 20 to 35 years
- Women only
- No healthy volunteers
- Adult
Study population: Women aged 20-35 years with a previous cesarean section who experience menstrual pain.
Who may be able to join
- Females aged 20-35 years.
- History of at least one cesarean section.
- Regular menstrual cycles.
- Presence of menstrual pain during the previous three menstrual cycles.
- Body mass index (BMI) between 18.5 and 29.9 kg/m².
- Willingness to participate and provide written informed consent.
Who cannot join
- Current pregnancy.
- History of pelvic or abdominal surgery other than cesarean section.
- Endometriosis or adenomyosis.
- Uterine fibroids associated with pelvic pain.
- Pelvic inflammatory disease.
- Congenital uterine anomalies.
Show all 11Show fewer
- Neurological disorders affecting pain perception.
- Current use of hormonal therapy or medications affecting pain perception.
- Active skin infection or open wound over the cesarean scar.
- Malignancy.
- Inability to complete study assessments.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Association Between Cesarean Scar Mobility and Menstrual Pain Severity in Post-Cesarean Women: A Correlational Study
The aim of this observational cross-sectional study is to investigate the association between cesarean scar mobility and menstrual pain severity in women following cesarean section. The study will enroll women aged 20 to 35 years with a history of cesarean delivery who experience menstrual pain. Baseline assessments will be performed to evaluate cesarean scar mobility, menstrual pain severity, pressure pain threshold, and related clinical characteristics. The findings will help clarify whether reduced cesarean scar mobility is associated with greater menstrual pain severity and may provide evidence supporting the clinical assessment of cesarean scars in women with post-cesarean menstrual pain.
Read the detailed description
Cesarean section is one of the most frequently performed surgical procedures worldwide. Although generally safe, postoperative scar formation and fascial adhesions may result in long-term alterations in tissue mobility and biomechanics. These changes have been suggested to contribute to persistent symptoms, including menstrual pain, chronic pelvic pain, abdominal tenderness, and functional impairment. Despite increasing interest in cesarean scar assessment, the relationship between scar mobility and menstrual pain severity has not been sufficiently investigated.
Restricted scar mobility may influence the mechanical behavior of the abdominal wall and surrounding fascial structures, potentially contributing to altered force transmission, increased tissue sensitivity, and pain during menstruation. Understanding this relationship may improve the clinical evaluation of women presenting with post-cesarean menstrual pain and assist in identifying patients who may benefit from targeted rehabilitation interventions.
This observational cross-sectional study aims to investigate the association between cesarean scar mobility and menstrual pain severity in women following cesarean section. Baseline measurements will be obtained to assess cesarean scar mobility, menstrual pain severity, pressure pain threshold, and selected demographic and obstetric characteristics. Correlation and regression analyses will be performed to determine whether cesarean scar mobility is associated with menstrual pain severity and whether it independently predicts menstrual pain after controlling for potential confounding variables.
The findings of this study are expected to improve understanding of the clinical significance of cesarean scar mobility in women with menstrual pain and provide evidence to support comprehensive scar assessment as part of women's health physical therapy practice.
- Conditions
- Cesarean Section, Dysmenorrhea
- Keywords
- Cesarean Scar, Scar Mobility, Dysmenorrhea, Menstrual Pain, Visual Analog Scale, Adheremeter, Pressure Pain Threshold, Post-Cesarean Women
- Medical subject headings
- Dysmenorrhea
What is being measured
The primary outcome is the main question the study is designed to answer.
Menstrual Pain Severity
Menstrual pain severity will be assessed using the 10-cm Visual Analog Scale (VAS), where 0 indicates no pain and 10 indicates the worst imaginable pain. Higher scores indicate greater menstrual pain severity.
Measured: Baseline
Cesarean Scar Mobility
Cesarean scar mobility will be assessed using the Adheremeter. Higher scores indicate
Measured: Baseline
Secondary outcomes (2)
Pressure Pain Threshold
Pressure pain threshold will be measured using a pressure algometer. Higher values indicate a higher pressure pain threshold.
Measured: Baseline
WaLIDD Score
The severity of dysmenorrhea will also be evaluated using the Working ability, Location, Intensity, Days of pain, and Dysmenorrhea (WaLIDD) Score as a secondary clinical measure. The total score ranges from 0 to 12, with higher scores indicating more severe dysmenorrhea.
Measured: Baseline
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Jul 2026
- Study start23 Jul 2026
- Primary completion25 Aug 2026
- Study completion25 Aug 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Cesarean SectionStudies of the same condition, open and under way.
- More trials run by Cairo UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Cross-sectional
- Enrolment
- 51 participants (actual)
Sponsor and investigators
- Lead sponsor
- Cairo University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Amira Ibrahim Hassanein Abdel-aal, Horus University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07729254
- Sponsor's protocol ID
- P.T.REC/012/006453
- Status last verified
- Jul 2026
- First submitted
- 22 Jul 2026
- Last updated
- 16 Sep 2026
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 16 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Association Between Cesarean Scar Mobility and Menstrual Pain Severity in Post-Cesarean Women: A Correlational Study
- ClinicalTrials.gov ID
- NCT07729254
- Acronym / sponsor ID
- P.T.REC/012/006453
- Conditions
- Cesarean Section, Dysmenorrhea
- Keywords
- Cesarean Scar, Scar Mobility, Dysmenorrhea, Menstrual Pain, Visual Analog Scale, Adheremeter, Pressure Pain Threshold, Post-Cesarean Women
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 51 participants (actual)
- Lead sponsor
- Cairo UniversityUniversity, hospital or other
- Study start
- 23 Jul 2026 (actual)
- Primary completion
- 25 Aug 2026 (actual)
- Study completion
- 25 Aug 2026 (actual)
- First posted
- 27 Jul 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The aim of this observational cross-sectional study is to investigate the association between cesarean scar mobility and menstrual pain severity in women following cesarean section. The study will enroll women aged 20 to 35 years with a history of cesarean delivery who experience menstrual pain. Baseline assessments will be performed to evaluate cesarean scar mobility, menstrual pain severity, pressure pain threshold, and related clinical characteristics. The findings will help clarify whether reduced cesarean scar mobility is associated with greater menstrual pain severity and may provide evidence supporting the clinical assessment of cesarean scars in women with post-cesarean menstrual pain.
Detailed description
Cesarean section is one of the most frequently performed surgical procedures worldwide. Although generally safe, postoperative scar formation and fascial adhesions may result in long-term alterations in tissue mobility and biomechanics. These changes have been suggested to contribute to persistent symptoms, including menstrual pain, chronic pelvic pain, abdominal tenderness, and functional impairment. Despite increasing interest in cesarean scar assessment, the relationship between scar mobility and menstrual pain severity has not been sufficiently investigated.
Restricted scar mobility may influence the mechanical behavior of the abdominal wall and surrounding fascial structures, potentially contributing to altered force transmission, increased tissue sensitivity, and pain during menstruation. Understanding this relationship may improve the clinical evaluation of women presenting with post-cesarean menstrual pain and assist in identifying patients who may benefit from targeted rehabilitation interventions.
This observational cross-sectional study aims to investigate the association between cesarean scar mobility and menstrual pain severity in women following cesarean section. Baseline measurements will be obtained to assess cesarean scar mobility, menstrual pain severity, pressure pain threshold, and selected demographic and obstetric characteristics. Correlation and regression analyses will be performed to determine whether cesarean scar mobility is associated with menstrual pain severity and whether it independently predicts menstrual pain after controlling for potential confounding variables.
The findings of this study are expected to improve understanding of the clinical significance of cesarean scar mobility in women with menstrual pain and provide evidence to support comprehensive scar assessment as part of women's health physical therapy practice.
Study design
- Observational model
- Cohort
- Time perspective
- Cross-sectional
Who may qualify
- Ages
- 20 to 35 years
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult
- Study population
- Women aged 20-35 years with a previous cesarean section who experience menstrual pain.
Key inclusion criteria (6 listed)
- Females aged 20-35 years.
- History of at least one cesarean section.
- Regular menstrual cycles.
- Presence of menstrual pain during the previous three menstrual cycles.
- Body mass index (BMI) between 18.5 and 29.9 kg/m².
Key exclusion criteria (11 listed)
- Current pregnancy.
- History of pelvic or abdominal surgery other than cesarean section.
- Endometriosis or adenomyosis.
- Uterine fibroids associated with pelvic pain.
- Pelvic inflammatory disease.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Menstrual Pain Severity
Time frame: Baseline
Menstrual pain severity will be assessed using the 10-cm Visual Analog Scale (VAS), where 0 indicates no pain and 10 indicates the worst imaginable pain. Higher scores indicate greater menstrual pain severity.
Cesarean Scar Mobility
Time frame: Baseline
Cesarean scar mobility will be assessed using the Adheremeter. Higher scores indicate
2 secondary outcomes
Pressure Pain Threshold
Time frame: Baseline
WaLIDD Score
Time frame: Baseline
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 16 Sep 2026.
Related trials for Cesarean Section
Not yet recruiting
Comparison of Effect of Two Different Doses of Intravenous Oxytocin on Patients Undergoing Elective Cesarean Section
Postpartum Hemorrhage, Uterine Atony
Not yet recruitingObservational study
Ultrasound Assessment Of Gastric Volume In Pregnant Women Undergoing Elective Cesarean Section
Gestational Diabetes Mellitus (GDM), Obstetric Anesthesia
Active, not recruitingPhase 4
Effect of Dexmedetomidine on Postoperative Pain in Spinal Anesthesia for Cesarean Section at Assuit University Hospital
Cesarean Section
Active, not recruiting
Implementation of a Disparities in Labor Outcomes Dashboard
Labor Induction, Cesarean Birth
RecruitingPhase 1
Ketamine Pharmacokinetics and Pharmacodynamics for Postpartum Depression and Pain After Cesarean Delivery
Pain, Postpartum Depression
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Cesarean Section and Dysmenorrhea, run by Cairo University at 1 site in Egypt.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 16 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Egypt. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Menstrual Pain Severity (time frame: Baseline). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 Sep 2026.