DYNAMICS OF THE QUALITY OF LIFE IN PATIENTS WITH ADENOMYOSIS AND / OR HYPERPLASTIC ENDOMETRIAL PROCESSES

The purpose of our research was to study the indicators of quality of life in patients with adenomyosis and / or hyperplastic endometrial processes. The study included 129 patients aged from 27 to 53 years (on average 39.4 ± 8.6)/ Laparoscopy and hysteroscopy were performed according to the standard technique for therapeutic purposes, followed by hormonal therapy using progestins (pills or intrauterine systems containing synthetic progesterone). To study HRQoL, we used the most common general health-related quality of life questionnaire Médical Outcomes Study (MOS SF36) consisting of 36 questions and including 8 scales. The obtained results indicate an improvement in the QoL indicators after uncomplicated surgery followed by hormonal therapy in all women based on the responses to the SF-36 questionnaire. However, significant changes (p <0.05) were noted in indicators of physical functioning, vitality and mental health. The vitality indicator improved by 134.2% in women with adenomyosis; the mental health indicator was improved by 65.5% in patients with adenomyosis and endometrial hyperplastic processes; and the physical functioning indicator greatly increased (by 73.1%) in patients with endometrial hyperplastic processes after surgery.