PREVENTION OF REPRODUCTIVE DISORDERS IN ADOLESCENT GIRLS WITH PRIMARY DYSMENORRHEA

Abstract

Today one of the urgent problems of adolescent gynecology is dysmenorrhea. The paper presents the results of a complex treatment of primary dysmenorrhea in 106 girls aged 15-17, depending on the severity of the disease and vegetative state of patients.In patients with predominance of combined and parasympathetic type of the autonomic nervous system with no deviations of hormonal status administration of nonsteroidal anti-inflammatory drugs was very effective. In case of moderate dysmenorrhea, accompanied by sympathetic tone of autonomic nervous system and luteal phase defect, the use of gestagens in the second phase of the cycle was accompanied by a stable therapeutic effect and relief of pain from 93,3% of girls by 6 months of therapy. Administration of the combined oral contraceptives in severe dysmenorrhea with excessive estradiol levels and parasympathetic tone of the autonomic nervous system contributes to the normalization of menstrual function and hormonal status in 90,0% of patients.Timely conducted comprehensive treatment measures based on identified pathological processes, vegetative state and psychoemotional peculiarities improve the quality of life of adolescents and prevent violations of the formation of the reproductive system.