DETERMINATION OF THE PRECONDITIONS FOR THE DEVELOPMENT OF ENDOMETRIOS ON THE BASE OF THE CLINICAL CHARACTERISTICS OF ADOLESCENT GIRLS WITH DYSMANORRHEA

The aim of the study is to study the anamnestic data and clinical characteristics of adolescent girls with dysmenorrhea and to determine possible prerequisites for the development of endometriosis in these patients. Materials and methods. 157 adolescent girls aged from 12 to 17 years were examined (30 healthy girls; 65 patients with primary dysmenorrhea, 62 with secondary dysmenorrhea. The diagnostic complex included an analysis of the antenatal and early neonatal periods, a general clinical examination with determination of the severity of amenorrhea on a point scale; special gynecological, ultrasound examination with assessment of the contractile activity of the myometrium; methods of statistical analysis. Results and discussion. As a result of the research, the presence of pathological conditions in the antenatal and early neonatal periods was established in teenage girls with dysmenorrhea; predominance of severe and extremely severe manifestations of dysmenorrhea when assessed on a point scale; violation of the contractile activity of the uterus in patients with secondary dysmenorrhea and clinical and ultrasound manifestations of endometriosis. Conclusion. Identified violations may be the basis for the development of endometriosis in adolescence