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The Journal "Obstetrics and Gynecology"Journal HistoryAims and ScopePolicies on Conflict of Interest, Human and Animal Rights, and Informed ConsentEditorial ProcessData sharing statementAdvertising PolicyThe Process for Handling Cases Requiring Corrections, Retractions, and Editorial Expressions of ConcernEditorial BoardEditorial CounsilInformation for ProfessionalsNewsContacts
ArchiveEthical StandardsSubscription
For authors
InstructionsInformed consent policyContract offerEASE GuidelinesICJME CriteriaWAME Recommendations on ChatGPT and Chatbots in Relation to Scholarly Publications
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Obstetrics and Gynegology2024№7
Modern approaches to complex patient-focused...

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

DOI
https://dx.doi.org/10.18565/aig.2024.79

Managadze I.D., Nesterova A.A., Levakov S.A.

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

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. 

Authors’ contributions: Levakov S.A. – developing the concept and design of the study, editing the text; Managadze I.D., Nesterova A.A. – collection and analysis of the literary data, writing the text. 
Conflicts of interest: The authors declare no possible conflicts of interest.
Funding: The study was conducted without sponsorship.
For citation: Managadze I.D., Nesterova A.A., Levakov S.A. Modern approaches to complex patient-focused therapy of endometriosis as a psychosomatic pathology of social significance.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2024; (7): 28-39 (in Russian)
https://dx.doi.org/10.18565/aig.2024.79

Keywords

endometriosis
chronic pelvic pain
affective disorders
anxiety
depression
psychoemotional status
endometriosis treatment
endometriosis diagnosis
psychological aspects of endometriosis
digital immersive technologies
cognitive behavioral therapy
psychological approaches
Full text (in Russian)

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Received 03.04.2024

Accepted 19.06.2024

About the Authors

Ioanna J. Managadze, student, N.V. Sklifosovsky ICM, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University),
119991, Russia, Moscow, Trubetskaya str., 8, bld. 2, +7(495)609-14-00, ktb1966@mail.ru, https://orcid.org/0000-0001-8745-9372
Angelina A. Nesterova, PhD student of the Department of Obstetrics and Gynecology, N.V. Sklifosovsky ICM, I.M. Sechenov First Moscow State Medical University,
Ministry of Health of Russia (Sechenov University), 119991, Russia, Moscow, Trubetskaya str., 8, bld. 2, +7(495)609-14-00, angelina.aleksashina@mail.ru,
https://orcid.org/0009-0004-1913-5703
Sergey A. Levakov, Dr. Med. Sci., Professor, Head of the Department of Obstetrics and Gynecology, N.V. Sklifosovsky ICM, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University), 119991, Russia, Moscow, Trubetskaya str., 8, bld. 2, +7(495)609-14-00, levakoff@yandex.ru,
https://orcid.org/0000-0002-4591-838X
Corresponding author: Sergey A. Levakov, levakoff@yandex.ru

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