Modern approaches to complex patient-focused therapy of endometriosis as a psychosomatic pathology of social significance

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Abstract

Endometriosis is a chronic inflammatory disease characterized by the presence of endometrium-like tissue outside the uterus. One in nine women are diagnosed with endometriosis and most of them experience dysmenorrhea, non-menstrual pelvic pain, asthenia and infertility. Endometriosis should be considered as a systemic, not only gynecologic disease, therefore it is important to study the psychosocial mechanisms of its development. Endometriosis can be associated with significant psychosomatic and social discomfort, and more research is needed to understand the relationship between the various factors that influence its development.

The aim of this review is to identify possible approaches to multimodal patient-focused therapy of endometriosis aimed at overcoming psychological and emotional predictors of the development of this socially significant pathology and improving the quality of life of women with endometriosis.

Conclusion: Endometriosis is a complex gynecologic disease and psychological factors such as emotional distress and cognitive processes play an important role in its development. Multiple studies are currently conducted to reveal the complex of psychosomatic factors that affect women suffering from endometriosis and to determine the key links in the pathogenesis of these processes. Thus, it will be possible to study the psychological symptoms comprehensively and identify potential approaches to prevention and treatment aimed at eliminating these predictors and improving the quality of life of patients with endometriosis.

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About the authors

Ioanna J. Managadze

I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia

Email: ktb1966@mail.ru
ORCID iD: 0000-0001-8745-9372

student, N.V. Sklifosovsky ICM

Russian Federation, Moscow

Angelina A. Nesterova

I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia

Email: angelina.aleksashina@mail.ru
ORCID iD: 0009-0004-1913-5703

PhD student of the Department of Obstetrics and Gynecology

Russian Federation, Moscow

Sergey A. Levakov

I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia

Author for correspondence.
Email: levakoff@yandex.ru
ORCID iD: 0000-0002-4591-838X

Dr. Med. Sci., Professor, Head of the Department of Obstetrics and Gynecology, N.V. Sklifosovsky ICM

Russian Federation, Moscow

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