Obstetrics and Gynecology

doi: 10.25005/2074-0581-2017-19-1-12-16
DIFFERENTIATED APPROACH TO THE THERAPY OF DYSMENORRHEA IN TEENAGE GIRLS

S.M. Mardonova1, F. Abdulazizova1, L.А. Rasulova1, G.А. Abdullohodjaeva1

1Tajik National Research Institute of Obstetrics, Gynecology and Perinatology, Dushanbe, Tajikistan.

Objective: To develop a differentiated approach to the treatment of dysmenorrhea in adolescent girls.

Methods: Surveyed 135 girls and adolescent girls at the age of 12-18 years old, who has addressed to Health Centre. Primary dysmennorrhea was observed in 85 of patients and comprised the dominant group (63%).

Results: The signs of mild and moderate dysmenorrhea caused by functional hyperprostaglandinemia were observed in 55 (64.7%) patients. They were prescribed diclofenac in the form of a suppository 50 mg three times a day or in the form of tablets 50 mg three times daily for 5 days and vitamin E 200-400 μg orally per day regularly during 3 months. To patients 17 (19.8%) with luteal phase deficiency, except nonmedicamentous therapy were prescribed Dufaston 20 mg/day - 10 days for 3 months. The following course of therapy improved the feelings of all 17 (19.8%) patients. Visceral dysplasia of connective tissue took place in 26 (30.5%) adolescent girls, whom were assigned Magne-B6 in tablets for 2 times a day and Novinet according to the contraceptive scheme during the 3-6 months. The therapy gave affirmative effect to10 (83.3%) of patients.

Conclusions: The indicators of right selected method of treatment became: disappearance of pain, normalization of the vegetative nervous system and psycho-emotional status of a patient, hormonal background and reduction of the index resistancy of myometrium vessels and uterine arteries.

Keywords: Dysmenorrhea, pain, nonsteroidal anti-inflammatory drugs, adolescent girls, hyperprostaglandinemia, Duphaston.

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Authors informations:

Mardonova Salomat Murodovna, Candidate of Medical Sciences, Associate Professor, Deputy Director of Medical Affairs at Scientific Research Institute of Obstetrics, Gynecology and Perinatology

Abdulazizova Farida, postgraduate student at Scientific Research Institute of Obstetrics, Gynecology and Perinatology

Rasulova Layli Amirhonovna, Candidate of Medical Sciences, Head of Outpatient Department at Scientific Research Institute of Obstetrics, Gynecology and Perinatology

Abdullohodjaeva Gandjina Abduazalovna, Scientific Officer of the Obstetrics Department at Scientific Research Institute of Obstetrics, Gynecology and Perinatology

Address for correspondence:

Abdullohodjaeva Gandjina Abduazalovna
Scientific Officer of the Obstetrics Department Scientific Research Institute of Obstetrics, Gynecology and Perinatology

734025, Republic of Tajikistan, Dushanbe, Tursunzade Street 31,

Tel.: (+992) 938 088870

E-mail: dr.tshm.tj@mail.ru

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