Pathogenetic aspects of chronic pelvic pain in endometriosis: diagnostic prospects (literature review)

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PURPOSE

To present literature data on the main aspects of the neuropathic component of pain and important points in the management of patients with endometriosis and chronic pelvic pain.

MATERIALS AND METHODS

At present, a limited amount of data on the pathogenesis of chronic pelvic pain associated with endometriosis and early methods of its diagnosis are presented in domestic and foreign literature. Our task was to analyze the available sources, to identify the main promising areas for the diagnosis and treatment of pain in endometriosis.

RESULTS

Perspective in terms of diagnosing the diagnosis of endometriosis in chronic pelvic pain is the determination of the levels of neurotransmitters (dopamine, noradrenals) and genetic tests. The treatment of chronic pain should be aimed at eliminating the symptoms of central sensitization using the latest methods of treatment (transcaranial magnetic stimulation, virtual reality methods). Conclusions: An interdisciplinary approach to the diagnosis and treatment of patients with endometriosis and chronic pelvic pain will improve the effectiveness of treatment.

Keywords:

chronic pelvic pain

diagnosis

endometriosis

pain management

Authors:

Chernetsova A.S.

Russian university of medicine

ORCID: 0000-0001-9451-6371

Adamyan L.V.

Russian university of medicine

SPIN RSCI: 9836-2713
Scopus AuthorID: 7006372422
ResearcherID: Q-1722-2018
ORCID: 0000-0002-3253-4512

Murvatov K.D.

Main Military Clinical Hospital of the National Guard Troops of the Russian Federation

Stepanyan A.A.

Academy of Women‘s Health and Endoscopic Surgery

Received:

15.02.2023

Accepted:

25.07.2023

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