Obstetrics, Gynecology and Reproduction

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Aim: to systematize data on rehabilitation methods and management tactics for women with external form of genital endometriosis.

Materials and Methods. We searched for publications in international scientific databases: scientific electronic library eLibrary, Scholar, ScienceDirect, Cochrane Library, PubMed/MEDLINE for the last 5 years. The data on the modern approach to the therapy and rehabilitation of women with external genital endometriosis are presented. Search terms in Russian and English were used: “endometriosis”, “rehabilitation”, “gynecology”, “quality of life”.

Results. Endometriosis is considered an independent risk factor for the development of malignant tumors not only of the reproductive system, but also of the large intestine, bladder, mammary glands. The review presents a current view of the treatment and rehabilitation of women with external genital endometriosis. Endometriosis is a polyetiological disease that can manifest itself as dysmenorrhea, dyspareunia, chronic pelvic pain, as well as dysuria and dyshesia when involving adjacent organs in the pathological process. Relapses, infertility, emotional and psychosexual disorders, problems with socialization are often detected in these patients.

Conclusion. It is necessary not only to conduct comprehensive treatment, but also to develop personalized rehabilitation programs that can improve the quality of life, as well as create comfortable conditions for social adaptation in society.



Aim: to assess the effects of several symptoms on the quality of life (QoL) of a number of symptoms in perimenopausal women with endometrial hyperplasia and abnormal uterine bleeding (АUB).

Materials and Methods. This study was conducted from Semtember, 2019 to June, 2020. In total, 50 women aged 45–55 years who visited gynecological department with complaints of AUB were randomly interviewed using a questionnaire. MENQOL (Menopause-Specific Quality of Life Questionnaire) was used to assess and evaluate for perimenopause related symptoms. Menopausal status was classified according to the World Health Organization’s definition of menopause.

Results. The majority (the total of 97.14 %) of women experienced at least five or more menopausal symptoms. Vasomotor symptoms were experienced in the form of hot flushes (80 %), sweating (70 %), and night sweating (62 %). The most common physical symptoms were frequent back pain in the lumbar region (96 %), decrease in physical strength (92 %), generalized weakness, tiredness (90 %), weight gain (80 %), pain in the neck (90 %). Of the participants reported, there were various problems such as experiencing depressive feeling for unknown reasons (20 %), anxiety and nervousness (20 %), dissatisfaction with personal life (44 %), poor memory (14 %), feeling low (14 %), and impatience and irritability (12 %). Sexual problems reported in the form of changes in sexual drive (20 %), vaginal dryness (10 %), and a few (10 %) avoided intimate contact with the partners. Menopausal status, educational level and body mass indexes, marital status were also studied as being among the multi-factors that were significantly associated with the frequency and the severity of menopause related symptoms.

Conclusion. The severity of perimenopausal symptoms decreases the QoL in everyday life of women aged 45–55 years with endometrial hyperplasia and АUB.


Open letter of MD, Dr Sci Med, Professor, Academician of RAS Nikolay N. Volodin, President of
Russian association of specialists in perinatal medicine (RASPM) regarding the case of Elina

ISSN 2313-7347 (Print)
ISSN 2500-3194 (Online)