Chronic pelvic pain syndrome is a complex process and mostly includes several organ systems. The gynecologic aspects of chronic pelvic pain syndrome can be divided into four distinct components: intra-abdominal pain, vaginal pain, pelvic floor pain, and sexual pain. The сommon gynecological causes of chronic pelvic pain are endometriosis, adenomyosis, vulvovaginal pain syndrome, pelvic floor muscle dysfunction, and sexual pain in women.This article describes the gynecological examination of patients with chronic pelvic pain and discusses the most common gynecological diseases and methods of their treatment. A review of the literature was conducted, which included the recommendations of the International Society for Urinary Incontinence, the European Association of Urology, and the International Association for the Study of Pain.Gynecological examination of patients with chronic pelvic pain begins with a history taking and physical examination. Laboratory tests, imaging examinations, and diagnostic procedures can be used additional methods to make a more accurate diagnosis. Treatment methods include physical therapy, medication, trigger point injections, and surgery.Because the diagnosis and treatment of chronic pelvic pain can be complex, it is important that physicians know the various aspects of this syndrome to be able to provide appropriate care for patients. Detailed history taking and physical examination for identifying the cause of the pain can help to determine the next step in evaluation and treatment. However, gynecological pathology is one of many, but not the only, that can be associated with chronic pelvic pain. This, it is necessary to perform a multimodal and multidisciplinary approach in the management of patients with chronic pelvic pain.
The research for the purpose of efficiency compared application of vaginal and sublingual form of micronized progesterone in the treatment of a threatened miscarriage of І and II trimesters of pregnancy. Under the supervision were 58 pregnant women who were found during the test retrohorial hematoma. Depending on the route of administration of micronized progesterone patients were divided into 2 groups. The first group included 28 women who were prescribed according to the instructions vaginal tablets Luteina. The second group consisted of 30 patients who used sublingually Luteina. Monitoring the effectiveness of treatment carried out by clinical and laboratory course of the disease based on the dynamic changes of patients complaints, evaluations of ultrasound data in dynamics. The results showed that the effectiveness of treatment when using sublingual or vaginal routes of administration Luteina did not differ significantly, the use of micronized progesterone possible to maintain pregnancy in 79.3% of patients with retrohorial hematomas. Unfavorable factors for the development of pregnancy is central and retrohorial large hematoma. Key words: threatened miscarriage, retrohorial hematomas, micronized progesterone, treatment.
У статті наводяться дані оцінки ефективності<br />лікування хронічного ендометриту у жінокз безпліддям Обстежено ЗО пацієнтокз патологією ендометрію. Всім жінкам проведено<br />ехографію, гістероскопію, гістологічне дослідження ендометрію. Доведено, що комплексний підхід до терапії дозволяє покращити<br />наслідки лікування хронічного запального процесу слизової матки.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.