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Women who satisfied the phone inclusion criteria and were willing to participate had a screening visit. At the screening visit, inclusion and exclusion criteria were determined and informed consent signed.

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  • After evaluation of the screening visit results, women who satisfied the study requirements were called and counseled how to schedule a study visit. The study visit was not scheduled in advance because it is difficult for most women to predict the exact day of their next menstrual bleeding.

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    Within 6 months of the screening visit, patients were instructed to call the coordinator when they got their period and were experiencing pain due to PD. The study coordinator, depending on the availability of the facilities and the study personnel, scheduled subjects for that day or instructed the subjects to take their usual pain medication pill and call during the next day if still in pain, or to call during their next cycle.

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    The subjects were allowed to take their usual pain medication up to 6 h prior to entering the study. If they were in need of another pain medication.


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    Upon arrival for the study visit, regardless if it was the first, second or third day of their cycle, subjects were asked to rate their pain using two scales: i pain on the 5-level ordinal scale used for TOPAR 4 calculation and ii pain level on the VAS.

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