V.F.Snegirev Archives of Obstetrics and GynecologyV.F.Snegirev Archives of Obstetrics and GynecologyАрхив акушерства и гинекологии им. В.Ф. Снегирева2313-87262687-1386Eco-Vector8101410.17816/2313-8726-2021-8-3-133-138ReviewsНаучные обзорыReview ArticleDysmenorrhea and endometriosis in teenage girls (review)Дисменорея и эндометриоз у девочек-подростков (обзор литературы)https://orcid.org/0000-0002-2283-2356UnanyanAra L.УнанянАра Леонидович
Russian Federation

MD, Dr. Sci. (Med.), professor; address

д.м.н., профессор

9603526@mail.ruhttps://orcid.org/0000-0002-6844-3321PivazyanLaura G.ПивазянЛаура Горовна
Russian Federation

V-year student

студентка V курса

laurapivazyan98@gmail.comAvetisyanDzhulietta S.АветисянДжулиетта Сергеевна
Russian Federation

IV-year student

студентка IV курса

julietavetisian@mail.ruSiordiyaArchil A.СиордияАрчил Александрович
Russian Federation

MD, Cand. Sci. (Med.), assistant professor

к.м.н., доцент

9603526@mail.ruhttps://orcid.org/0000-0003-3338-1113IshchenkoAnatoliy I.ИщенкоАнатолий Иванович
Russian Federation

MD, Dr. Sci. (Med.), Professor

д.м.н., профессор

9603526@mail.ruI.M. Sechenov First Moscow State Medical UniversityПервый Московский государственный медицинский университет им. И.М. Сеченова (Сеченовский университет).M. Sechenov First Moscow State Medical UniversityПервый Московский государственный медицинский университет им. И.М. Сеченова (Сеченовский университет)28092021831331382309202123092021Copyright ©; 2021, Eco-VectorCopyright ©; 2021, ООО "Эко-Вектор"2021Eco-VectorООО "Эко-Вектор"https://archivog.com/2313-8726/article/view/81014

Most adolescents experience discomfort during menstruation. Usually, girls are diagnosed with primary dysmenorrhea in the early reproductive period and respond well to symptomatic treatment with non-steroidal anti-inflammatory or hormonal drugs. If first-line therapy does not improve the symptoms of dysmenorrhea, transabdominal ultrasonography is indicated. Most often, these patients are diagnosed with endometriosis, which is the main cause of secondary dysmenorrhea in adolescents. Endometriosis should be assumed in patients with persistent, clinically pronounced dysmenorrhea that does not respond to treatment with hormonal drugs and non-steroidal anti-inflammatory drugs, especially if no other cause of chronic pelvic pain or secondary dysmenorrhea is detected on the basis of history, physical examination, and ultrasonography of pelvic organs. The aim of the therapy is to relieve symptoms, suppress disease progression, and protect future fertility.

Большинство подростков испытывают дискомфорт во время менструации. Обычно у девушек раннего репродуктивного периода диагностируется первичная дисменорея, которая хорошо отвечает на симптоматическое лечение нестероидными противовоспалительными или гормональными препаратами. Если терапия первой линии не улучшает симптомы дисменореи, то показано проведение трансабдоминального ультразвукового исследования (УЗИ). Чаще всего у данных пациенток диагностируют эндометриоз, являющийся основной причиной вторичной дисменореи у детей-подростков. Следует предполагать эндометриоз у пациенток с постоянной, клинически выраженной дисменореей, не реагирующей на лечение гормональными препаратами и нестероидными противовоспалительными препаратами, особенно если никакой другой причины хронической тазовой боли или вторичной дисменореи не выявлено на основании анамнеза, физического обследования и УЗИ органов малого таза. Целью терапии является облегчение симптомов, подавление прогрессирования заболевания и защита будущей фертильности.

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