EVALUATION OF PAIN SYNDROME IN PATIENTS WITH ENDOMETRIOSIS-ASSOCIATED PELVIC PAIN CAUSED BY EXTERNAL GENITAL ENDOMETRIOSIS

The aim of the study was to evaluate the severity of pain syndrome and depression syndrome in women with endometriosis- associated pelvic pain. Materials and methods. The study included 100 women of reproductive age with external genital endometriosis. The study group consisted of 60 patients with pelvic pain associated with external genital endometriosis; the control group consisted of 40 women with external genital endometriosis without pain. The pelvic pain was ranked using the Visual Analog Scale (VAS); the level of depression was evaluated using the Beck scale; the anxiety was rated according to the Spielberger-Khanin questionnaire. Results. Among the 60 women in the study group, 20 patients (33.3%) had severe pain, 25 women (41.6%) had moderately severe pain, and 15 women (25.1%) had mild pain. The occurrence of depressive disorders in women with endometriosis-associated pelvic pain was 64%. Conclusion. The results suggest that the psycho-emotional status of women with external genital endometriosis-associated pelvic pain is dominated by high level of depression and anxiety, which significantly downgrades their quality of life. About the Authors M. R. OrazovRussian Federation Orazov Mekan Rakhimberdyevich - MD, Assistant Professor, Department of Obstetrics and Gynecology with a course of Рerinatology Address: ul. Miklucho-Maklaya, 6, Moscow, Russia, 117198. E. N. Nosenko Ukraine Nosenko Elena Nikolaevna - MD, Professor, Department of Obstetrics and Gynecology Address: per. Valikhovsky, 2, Odessa, Ukraine, 65082. M. B. Khamoshina Russian Federation Khamoshina Marina Borisovna - MD, Professor, Department of Obstetrics and Gynecology with a course of Рerinatology Address: ul. Miklucho-Maklaya, 6, Moscow, Russia, 117198. L. K. Barsegyan Russian Federation Barsegyan Lilith Koryunovna - postgraduate student, Department of Obstetrics and Gynecology with a course of Рerinatology Address: ul. Miklucho-Maklaya, 6, Moscow, Russia, 117198. E. S. Tokaeva Russian Federation Tokaeva Elvira Serikovna - postgraduate student, Department of Obstetrics and Gynecology with a course of Рerinatology Address: ul. Miklucho-Maklaya, 6, Moscow, Russia, 117198. Ya. R. Zakirova Russian Federation Zakirova Yana Rivkhatyevna - postgraduate student, Department of Obstetrics and Gynecology with a course of Рerinatology Address: ul. Miklucho-Maklaya, 6, Moscow, Russia, 117198.

1. Adamyan L.V., Andreeva E.N., Apolikhina I.A., Bezhenar V.F., Gevorkyan M.A., Gus A.I., Demidov V.N. et al. Endometriosis: diagnosis, treatment and rehabilitation. Federal clinical guidelines for managing patients. [Endometrioz: diagnostika, lechenie i reabilitaciya. Federal'nye klinicheskie rekomendacii po vedeniyu bol'nyh]. M.: Rossijskoe obshchestvo akusherov- ginekologov. 2013: 86 s (in Russian). 2. Anaf V., Simon P., El Nakadi I., Fayt I., Simonart T., Buxant F., Noel J.C. Hyperalgesia, nerve infiltration and nerve growth factor expression in deep adenomyotic nodules, peritoneal and ovarian endometriosis. Hum Reprod. 2002; 17 (7): 1895-900. 3. Orazov M.R. To the question of some serological markers for pelvic pain caused by adenomyosis. Obstetrics, gynecology and reproduction. [K voprosu o nekotoryh serologicheskih markerah pri tazovoj boli, obuslovlennoj adenomiozom]. Akusherstvo, ginekologiya i reprodukciya. 2013; 7 (4): 6-10 (in Russian). 4. Orazov M.R., Chaika AV, Nosenko E.N. Coping chronic pelvic pain caused by adenomyosis, progestogen of a new generation. Obstetrics, gynecology and reproduction. [Kupirovanie hronicheskoj tazovoj boli, obuslovlennoj adenomiozom, progestagenami novogo pokoleniya]. Akusherstvo, ginekologiya ireprodukciya. 2014; 8 (3): 6-10 (in Russian). 5. McCrae C. Stress/Anxiety and Chronic Pain: Interactions, Assessment, and Treatment Approaches. 25th Annual Meeting of The North American Menopause Society. Washington, DC, October 15-18, 2014. Menopause. 2014; 21 (12): 1370-3. 6. Chernukha G.E. Endometriosis and chronic pelvic pain: causes and consequences. Reproduction problems. [Endometrioz i hronicheskaya tazovaya bol': prichiny I posledstviya]. Problemy reprodukcii. 2011; 5: 83-9 (in Russian). 7. Wood D.P., Wiesner M.G., Reiter R.C. Psychogenic chronic pelvic pain: diagnosis and management. Clin Obstet Gynecol. 1990; 33 (l): 179-95. 8. Danilov A.B., Danilov Al.B. Biopsychosocial approach. [Biopsihosocial'nyj podhod]. M.: AMMPRESS, 2012: 568 s (in Russian). 9. Ovakimyan A.S. Clinical immunomorphological characteristics of chronic pelvic pain in various forms of external genital endometriosis. [Klinicheskaya immunomorfologicheskaya harakteristika hronicheskoj tazovoj boli pri razlichnyh formah naruzhnogo genital'nogo ehndometrioza: Avtoref dis. kand. med. nauk]. M., 2016: 27 s (in Russian). 10. Huskisson E.S. Measurement of pain. Lancet. 1974; 2: 1127-31. 11. Danilov A.B., Danilov Al.B. Biopsychosocial concept of pain. [Biopsihosocial'naya koncepciya boli]. Manage pain. 2013; 1: 7-11 (in Russian). Review For citations: Orazov M.R., Nosenko E.N., Khamoshina M.B., Barsegyan L.K., Tokaeva E.S., Zakirova Ya.R. EVALUATION OF PAIN SYNDROME IN PATIENTS WITH ENDOMETRIOSIS-ASSOCIATED PELVIC PAIN CAUSED BY EXTERNAL GENITAL ENDOMETRIOSIS. Obstetrics, Gynecology and Reproduction. 2017;11(2):18-22. (In Russ.) https://doi.org/10.17749/2313-7347.2017.11.2.018-022 JATS XML This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.