MODERN STRATEGY FOR THE MANAGEMENT OF CHRONIC PELVIC PAIN IN WOMEN WITH COMBINATIONS OF BENIGN UTERINE DISEASES

Therapeutic approaches of chronic pelvic pain in women of reproductive age with genital endometriosis, in combination with uterine leomyoma, endometrial hyperplasia should be focused on the needs of patients for whom, in addition to preserving fertility, the elimination of pain and improvement of psychoemotional status is important.The objective the develop, clinically test a system of treatment and rehabilitation measures for chronic pelvic pain, taking into account pathogenetic prerequisites.Materials and methods The analysis of therapeutic algorithms of chronic pelvic pain in 85 patients with genital endometriosis in combination with uterine leiomyoma and endometrial hyperplasia without atypia with severe pelvic pain (VAS 7-10 points) (n = 44) - Group I and moderate pelvic pain ( n = 41) - group II c. The average age of women in the first and second clinical groups of the study was 37.71 ± 0.93 and 41.05 ± 1.08 (M ± m) years, respectively.Results. The most effective regimen in the longterm treatment agonists GnRH 3.6 mg 3–6 months. + LNG-IUS The highest rates of personal anxiety reduction on the J. Taylor scale (-56.26%) after 12 months were determined by a-GnRG with non-steroid anti-inflammatory drugs, Dienogest 2mg or hormonal contraceptives containing Dienogest 12 months.Conclusion The proposed approach to treating chronic pelvic pain significantly reduced the intensity of pain in 83.53% of women, stabilized the psychoemotional state in 93.30%, and reduced the recurrence of CPP by 3.9 times compared with women who received conventional therapy.