Chronic pelvic pain syndrome in the genesis of stress-induced infertility in women of reproductive age

Zhuk, S.I.; Nochvinа, O.A.; Каминский, А. В.

doi:10.18370/2309-4117.2015.26.12-17

Reproductive Endocrinology

2015

DOI: 10.18370/2309-4117.2015.26.12-17

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Chronic pelvic pain syndrome in the genesis of stress-induced infertility in women of reproductive age

S.I. Zhuk¹,

O.A. Nochvinа

А. В. Каминский

Abstract: С.І. ЖУК д. мед. н., професор, завідувачка кафедрою акушерства, гінекології та перинатології Національної академії післядипломної медичної освіти ім. П.Л. Шупика О.А. НОЧВІНА к. мед. н., асистент кафедри акушерства і гінекології № 2 Вінницького національного медичного університету ім. М.І. Пирогова, Центр матері та дитини, м. Вінниця А.В. КАМІНСЬКИЙ завідувач відділенням планування сім'ї та допоміжних репродуктивних технологій з кабінетом ендокринної гінекології і денним стаціонаром Українського державного інс… Show more

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Medical and social aspects in women of reproductive age with chronic pelvic pain

Shurpyak

Solomko

2021

RHW

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The objective: a study of the medical and social characteristics of women in reproductive age with chronic pelvic pain on the basis of retrospective analysis.Materials and methods. The analysis of medical documentation of 314 patients in reproductive age with a verified diagnosis of chronic pelvic pain (CPP) was performed on the basis of studying of case histories and outpatient cards. Data were analyzed: anthropometric data, age, body mass index, place of residence, gynecological pathology, duration and nature of the menstrual cycle, comorbidities, previous treatment, disease duration, pain intensity, bad habits, number of pregnancies and births, reproductive plans and other methods examination.Results. It was found that more than a third of women, who were treated for pathologies that cause CPP, need medical help again. 58 % of patients sought help for CPP for the first time, 42 % had already received treatment for CPP. Concomitant non-gynecological pathology is more often observed in such patients (48.7 %).The most commonly diagnosed were interstitial cystitis (42 %) and irritable bowel syndrome (34 %). The combination of gynecological, urological and surgical pathology was found in 22 % of patients. Patients with CPP had deficiency in vitamin D (68 % of the 162 patients tested for vitamin D) and had subjectively more severe pain. At the same time, the lack of routine examination of thyroid function and vitamin D status attracted attention. Simultaneously, women with CPP are much more likely than the general population to have infertility (56.4 %), and the incidence of miscarriage is twice as high as the population, with a tendency to recurrent pregnancy loss.Conclusions. Concomitant non-gynecological pathology, infertility, miscarriage, vitamin D deficiency and subjectively more severe pain are more common in women with chronic pelvic pain. However, the level of diagnosing thyroid pathology and determining the concentration of vitamin D in such patients is insufficient.

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Medical and social aspects in women of reproductive age with chronic pelvic pain

Shurpyak

Solomko

2021

RHW

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Chronic pelvic pain syndrome in the genesis of stress-induced infertility in women of reproductive age

Cited by 1 publication

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Medical and social aspects in women of reproductive age with chronic pelvic pain

Medical and social aspects in women of reproductive age with chronic pelvic pain

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