Abstract
Chronic pelvic pain syndrome (CPPS) is a common multifactorial disease encountered in the practice of not only obstetriciangynecologist, but also urologist, neurologist, and other specialists. In addition to organic pathology, psychological factors play a significant role in the development of this disease. According to the World Health Organization, CPPS affects up to 24% of women worldwide. Therefore, a comprehensive health history taking, consistent diagnostic measures, compliance with clear algorithms, proper selection of pharmacotherapy in conjunction with a multidisciplinary approach allow timely assistance to women with this syndrome. This article provides a detailed description of the possible causes and mechanisms of CPPS development and presents the author’s own algorithm for the treatment of patients with CPPS. Key words: chronic pelvic pain syndrome, multidisciplinary approach, pudendal neuralgia, endometriosis
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Chronic pelvic pain syndrome in gynecological practice: therapeutic and diagnostic characteristics
Irina V. Ignatko /
Marina V. Kovalenko /
Ilya A. Klindukhov /
Anastasiya N. Samusevich /
Tatiana V. Sigaleva /
Alexander S. Tivtikyan /
Elizaveta V. Afanasyevskaya /
Enkir N. Sovaev /
Alisa V. Suslova /
Chronic pelvic pain syndrome (CPPS) is a common multifactorial disease encountered in the practice of not only obstetriciangynecologist, but also urologist, neurologist, and other specialists. In addition to organic pathology, psychological factors play a significant role in the development of this disease. According to the World Health Organization, CPPS affects up to 24% of women worldwide. Therefore, a comprehensive health history taking, consistent diagnostic measures, compliance with clear algorithms, proper selection of pharmacotherapy in conjunction with a multidisciplinary approach allow timely assistance to
women with this syndrome. This article provides a detailed description of the possible causes and mechanisms of CPPS development and presents the author’s own algorithm for the treatment of patients with CPPS.
Key words: chronic pelvic pain syndrome, multidisciplinary approach, pudendal neuralgia, endometriosis
For citation: Ignatko I.V., Kovalenko M.V., Klindukhov I.A., Samusevich A.N., Sigaleva T.V., Tivtikyan A.S., Afanasyevskaya E.V., Sovaev E.N., Suslova A.V. Chronic pelvic pain syndrome in gynecological practice: therapeutic and diagnostic characteristics. Vopr. ginekol. akus. perinatol. (Gynecology, Obstetrics and Perinatology). 2023; 22(6): 97–104. (In Russian). DOI: 10.20953/ 1726-1678-2023-6-97-104
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