Quality of life for women with endometriosis and communication strategy with them

Д. И. Бурчаков, М. Н. Бурчакова, И. В. Кузнецова
In: Medical alphabet · 2019 · vol. 3(25) , pp. 12–17 · doi:10.33667/2078-5631-2019-3-25(400)-12-17 · W4254432039
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⚙ AI-generated summary by claude@2026-06, 2026-06-06 ⓘ

This article examines how endometriosis affects women's quality of life and explores strategies for effective doctor-patient communication and adherence to treatments like dienogest oral contraception.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-06 · read from full text ⓘ

The paper discusses current concepts of endometriosis as a chronic condition with pronounced psychosomatic components and examines how it can affect women’s personality, family relationships, sleep quality, and communication with physicians, emphasizing the need for a productive dialogue and strategies to improve adherence to therapy. It describes approaches to constructing effective patient–doctor communication and highlights benefits of oral contraception with dienogest as used in endometriosis treatment, drawing on contemporary literature rather than presenting original study results. A stated limitation is that the article is an overview of modern views and approaches, with no new empirical data or quantitative outcomes reported. This paper is centrally about endometriosis — it focuses on quality of life impacts and communication strategies for women with endometriosis.

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Abstract

Endometriosis is a chronic disease with a pronounced psychosomatic component. Women with endometriosis have their own characteristic portrait. The article discusses modern ideas about endometriosis as a factor affecting a woman’s personality, her family relationships, the quality of her sleep, and, finally, communication with a doctor. The approaches to building a productive dialogue with patients with endometriosis, methods of increasing adherence to therapy, the advantages of oral contraception with dienogest in the treatment of endometriosis are examined in detail.
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Качество жизни женщин, больных эндометриозом, и стратегия коммуникации с ними https://doi.org/10.33667/2078-5631-2019-3-25(400)-12-17 Аннотация Эндометриоз — хроническое заболевание с выраженным психосоматическим компонентом. У женщин с эндометриозом есть свой характерный портрет. В статье обсуждаются современные представления об эндометриозе как о факторе, влияющем на личность женщины, ее отношения в семье, качество ее сна и наконец на общение с врачом. Подробно рассматриваются подходы к построению продуктивного диалога с больными эндометриозом, методы повышения приверженности к терапии, преимущества оральной контрацепции с диеногестом в лечении эндометриоза. Об авторах Д. И. БурчаковРоссия доцент кафедры эндокринологии г. Москва М. Н. Бурчакова Россия аспирант кафедры психологии развития и акмеологии г. Москва И. В. Кузнецова Россия д. м. н., проф. кафедры акушерства и гинекологии г. Москва Список литературы 1. Hickey M, Ballard K, Farquhar C. Endometriosis. BMJ. 2014; 348: g1752. 2. Culley L, Law C, Hudson N, Denny E, Mitchell H, Baumgarten M, Raine-Fenning N. The social and psychological impact of endometriosis on women’s lives: A critical narrative review. Hum Reprod Update 2013; 19: 625–639. 3. Kundu S, Wildgrube J, Schippert C, Hillemanns P, Brandes I. Supporting and Inhibiting Factors When Coping with Endometriosis From the Patients’ Perspective. Geburtshilfe Frauenheilkd. 2015; 75: 462–469. 4. Moradi M, Parker M, Sneddon A, Lopez V, Ellwood D. Impact of endometriosis on women’s lives: a qualitative study. BMC Womens Health 2014; 14: 123. 5. Vincent K, Warnaby C, Stagg C, Moore J, Kennedy S, Tracey I. Dysmenorrhoea is associated with central changes in otherwise healthy women. Pain 2011; 152 (9): 1966–1975. 6. Von Hehn C, Baron R, Woolf C. Deconstructing the Neuropathic Pain Phenotype to Reveal Neural Mechanisms. Neuron 2012; 73 (4): 638–652. 7. Neziri A, Bersinger N, Andersen O, Arendt-Nielsen L, Mueller M, Curatolo M. Correlation Between Altered Central Pain Processing and Concentration of Peritoneal Fluid Inflammatory Cytokines in Endometriosis Patients With Chronic Pelvic Pain. Regional Anesthesia and Pain Medicine 2014; 39 (3): 181–184. 8. Eller-Smith OC, Nicol AL, Christianson JA. Potential Mechanisms Underlying Centralized Pain and Emerging Therapeutic Interventions. Front Cell Neurosci. 2018; 12: 35. 9. Facchin F, Barbara G, Dridi D, et al.Mental health in women with endometriosis: searching for predictors of psychological distress. Hum Reprod 2017; 32 (9): 1855–1861. 10. Berna C, Leknes S, Holmes EA, Edwards RR, Goodwin GM, Tracey I. Induction of Depressed Mood Disrupts Emotion Regulation Neurocircuitry and Enhances Pain Unpleasantness. Biological Psychiatry 2010; 67 (11): 1083–1090. 11. Zarbo C, Brugnera A, Dessì V, et al. Cognitive and Personality Factors Implicated in Pain Experience in Women with Endometriosis: A Mixed Method Study. Clin J Pain 2019. 12. MaggioreLRU, Bizzarri N, Scala C, Tafi E, Siesto G, Alessandri F, Ferrero S. Symptomatic endometriosis of the posterior cul-de-sac is associated with impaired sleep quality, excessive daytime sleepiness and insomnia: a case-control study. Eur J Obstet Gynecol Reprod Biol. 2017; 209: 39–43. 13. Johnson NP, Hummelshoj L. World Endometriosis Society Montpellier Consortium: Consensus on current management of endometriosis. Hum Reprod 2013; 28 (6): 1552–68. 14. Bedaiwy M, Allaire C, Yong P, et al.Medical Management of Endometriosis in Patients with Chronic Pelvic Pain. Semin Reprod Med 2017; 35 (1): 38–53. 15. Dmitrovic R, Kunselman AR, Legro RS. Continuous Compared With Cuclic Oral Contraceptives for the Treatment of Primary Dysmenorrhea: A Randomized Controlled Trial. Obstet Gynecol 2012; 119 (6): 1143–1150. 16. Bedaiwy MA, Allaire C, Alfaraj S: Long-term medical management of endometriosis with dienogest and with a gonadotropin-releasing hormone agonist and add-back hormone therapy. FertilSteril. 2017; 107 (3): 537–548. 17. Caruso S, Iraci M, Cianci S, Fava V, Casella E, Cianci A. Comparative, open-label prospective study on the quality of life and sexual function of women affected by endometriosis-associated pelvic pain on 2 mg dienogest / 30 µg ethinyl estradiol continuous or 21/7 regimen oral contraceptive. J Endocrinol Invest. 2016; 39 (8): 923–931. 18. Dunselman GA, Vermeulen N, Becker C, et al. ESHRE guideline: management of women with endometriosis. Hum Reprod 2014; 29 (3): 400–412. 19. Practice Committee of the American Society for Reproductive Medicine: Treatment of pelvic pain associated with endometriosis: a committee opinion. Fertil Steril 2014; 101 (4): 927–935. 20. Ulrich U, Buchweitz O, Greb R, et al, for the German and Austrian Societies for Obstetrics and Gynecology. National German Guideline (S 2k): Guideline for the Diagnosis and Treatment of Endometriosis: Long Version — AWMF Registry No. 015–045. GeburtshilfeFrauenheilkd 2014; 74 (12): 1104–1118. Рецензия Для цитирования: Бурчаков Д.И., Бурчакова М.Н., Кузнецова И.В. Качество жизни женщин, больных эндометриозом, и стратегия коммуникации с ними. Медицинский алфавит. 2019;3(25):12-17. https://doi.org/10.33667/2078-5631-2019-3-25(400)-12-17 For citation: Burchakov D.I., Burchakova M.N., Kuznetsova I.V. Quality of life for women with endometriosis and communication strategy with them. Medical alphabet. 2019;3(25):12-17. (In Russ.) https://doi.org/10.33667/2078-5631-2019-3-25(400)-12-17 JATS XML

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