КЛІНІЧНА ЗНАЧИМІСТЬ АНКЕТИ ДЛЯ ОЦІНКИ ТАЗОВОГО БОЛЮ У ХВОРИХ ЕНДОМЕТРІОЗОМ

Endometriosis is a common, chronic disease of women of reproductive age, characterized by the presence of endometrial-like epithelium and/or stroma outside the endometrium, usually with an associated inflammatory component. Among the main clinical symptoms of endometriosis, dysmenorrhea, dyspareunia, chronic pelvic pain, heavy menstrual bleeding, and infertility can be distinguished. The aim of the work was to assess the risk factors for the occurrence, frequency, and nature of clinical manifestations in patients with endometriosis, based on a developed questionnaire for assessing pelvic pain. The study was based on the analysis of questionnaires for assessing pelvic pain, the total number of subjects was 100, who were divided into two clinical groups: the main group (50 women), which consisted of patients with endometriosis who had clinical manifestations of endometriosis, the control group consisted of 50 healthy women without manifestations of endometriosis, clinical and paraclinical indicators that served as a control for comparing the data of the paraclinical examination of patients in the main observation group. During the initial examination, each patient, both in the control and main groups, who agreed to participate in the study, filled out a questionnaire for assessing pelvic pain. The pelvic pain assessment questionnaire was divided into 6 main blocks, which included an assessment of the clinical manifestations of endometriosis 6 months before the initial examination, which included: general questions about pelvic pain, information about bowel and bladder function, medical therapy, assessment of reproductive function, surgical interventions for endometriosis. Also, this questionnaire included 2 additional blocks of questions that described the state of health at the time of the initial examination. The pelvic pain assessment questionnaire is an effective patient-centered tool for assessing the clinical manifestations of endometriosis, choosing the optimal management tactics for patients with endometriosis. A combined estimate of the prevalence of endometriosis, regardless of clinical symptoms, stage of the disease, form of endometriosis, diagnostic method, continent, showed that the prevalence of endometriosis is about 18%. The study of endometriosis has been of interest to researchers for more than one decade. Despite significant interest, the difficulties of making a primary diagnosis are associated with the lack of universal diagnostic criteria and a rather diverse symptomatology . Among the main clinical symptoms of endometriosis, dysmenorrhea, dyspareunia, chronic pelvic pain, heavy menstrual bleeding, infertility can be distinguished. Other conditions associated with endometriosis may include irritable bowel syndrome, irregular pelvic pain, migraine, low back pain, bladder disorders, significantly affecting the general physical, mental and social condition. In some cases, the disease may be asymptomatic, and an average of 8 years are required to diagnose endometriosis. The above factors contribute to the delay between the onset of initial symptoms and the initial diagnosis, which ultimately significantly impairs the effectiveness of treatment.