ОСОБЕННОСТИ ДИАГНОСТИКИ И ТЕРАПИИ ЭНДОМЕТРИОЗА

Abstract

Abstract. Endometriosis, which affects up to 10 % of women of reproductive age, is the presence of endometrial tissue outside the uterine cavity. This is more common in women with pelvic pain or infertility. In some women, endometriosis is asymptomatic, while others show symptoms such as debilitating pelvic pain, dysmenorrhea, dyspareunia, lack of pregnancy. We have studied data on epidemiology, risk factors, clinical picture, diagnosis formulation and modern methods of diagnosis and treatment of endometriosis in domestic and foreign literature. . In patients with endometriosis, risk factors such as early menarche, late menopause, shortening of the menstrual cycle, absence of childbirth, and a short period of breastfeeding are more often detected. The clinical picture of endometriosis is variable and ranges from debilitating pelvic pain and infertility to asymptomatic course. In the diagnosis of endometriosis, in addition to anamnesis and physical examination data, a large ultrasound and magnetic resonance imaging of the pelvis play an important role. Laparoscopy can be used to confirm the diagnosis before additional treatments are prescribed. Studies comparing dienogest (selective progestin) with Gn RH analogues have shown a comparable reduction in pain. Data from other researchers have shown the effectiveness of the intrauterine system with levonorgestrel (Mirena) in endometriosis. The study of the data presented in the publications of domestic and foreign authors revealed the commonality of approaches to the diagnosis and treatment of endometriosis. At the same time, there are some differences in the use of various drugs in the treatment of this pathology and the duration of therapy, which are not of a fundamental nature. The goals of therapy - relief of pain syndrome and improvement of the patient's quality of life also do not differ according to different authors. All of the above allows us to conclude that the problems with endometriosis are relevant and require further analysis and search for new methods of effective diagnosis and treatment.