Features of the clinical picture and severity of pain syndrome in girls with genital endometriosis on the background of conservative therapy of the disease in adolescence

Introduction . Endometriosis is characterised by a chronic course and significantly affects the quality of life young patients. Aim. To study features clinical picture pain syndrome in adolescent girls with genital endometriosis against background 1 year therapy. Materials methods A prospective longitudinal included 32 (14–17 years old) confirmed diagnosis endometriosis. The severity were assessed conservative therapy NSAID (naproxen) to relieve dysmenorrhea gestagen (dienogest) for year. Results main complaint was pain, which appeared on day before menstruation or middle cycle since menarche (64%) increased 1–1.5 after (23%) very intense (8.3 ± 1.6 V scale) tensive (44%) clutching (25%) nature. One third adolescents reported daily (24%), majority (75%) complained restricted activity performance, gastrointestinal symptoms dysuria (22%). After treatment gestagens NSAIDs patients had significant decrease days (p <0,001), as well outside frequency restriction activities weakness, lowered working capacity menstrual < 0.001), 0.001) urinary disorders need mandatory medication 0.001). Conclusion reduction manifestations an improved observed during No intensification increase headache attacks changes BMI group, indicative good tolerance contributes adherence female