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Pelvic pain and endometriosis: diagnosis and treatment

Abstract

Pelvic pain is one of the most common causes of treatment for a gynecologist. The occurrence of pelvic pain is associated with a variety of gynecological and non-gynecological diseases. Since pain is associated with inflammation, and pain and inflammation, in turn, are supported by estrogens, women are more likely to develop chronic pelvic pain with the development of peripheral and central sensitization of the nervous system. The pain symptom may be the first sign of endometriosis, but, on the other hand, a prolonged persistence of pain, arising for any reason, can cause the development of chronic estrogen-dependent inflammation, which is endometriosis. This determines the urgency of the pelvic pain problem, as a harbinger and the first symptom of endometriosis, and the task of timely alleviation of pain symptoms.

About the Authors

I. V. Kuznetsova
First Moscow State Medical University n.a. I.M. Sechenov
Russian Federation


D. I. Burchakov
First Moscow State Medical University n.a. I.M. Sechenov
Russian Federation


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Review

For citations:


Kuznetsova I.V., Burchakov D.I. Pelvic pain and endometriosis: diagnosis and treatment. Medical alphabet. 2018;2(13):52-60. (In Russ.)

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ISSN 2078-5631 (Print)
ISSN 2949-2807 (Online)