Use of the Pain Assessment Scales in Complex Examination of Women with Chronic Pelvic Pain

The problem of improving the evaluation and treatment of women with chronic pelvic pain (CPP) syndrome is one of the biggest in modern gynecology. This is due to the high frequency of this pathology, numerous aspects of the pathogenesis, underlying psychological disorders and difficulties that arise in choosing an effective treatment. Treatment of patients with gynecological pathology is more effective in regard to assessment of pain intensity. The objective of our study was to establish the Pain Assessment Scales in complex examination of women with CPP. Objectives and methods: The main group consisted of 62 patients, who were diagnosed with the pelvic varicose veins (PVV). Control group consisted of 32 patients without pain and symptoms of gynecological pathology. The average age of women was 32.1 ± 2.4 years. Pain assessment was carried out according to Brief Pain Inventory, Numeric Pain Rating Scale, Short-form McGill Pain Questionnaire and Visual Analog Scale. Results: half of the patients have had sleep disorders, emotional lability with frequent changes of mood was observed in 79.0 % and a third of women were in depression. Most women felt cramping, aching and tender pain of moderate intensity (82.2 %). Previous therapy of chronic pain was transient in 79,0 % of cases and has resulted in relief of some patients (10 %). Conclusions: It is noted that a quantitative assessment of pain has no diagnostic value for the differential diagnosis of the causes of CPP and has prognostic value of routine assessment of pain during treatment.