Analysis of the relationship of parameters of the autonomic nervous system and the manifestation of pain syndrome in women with chronic pelvic pain

Relevance. The number of women suffering from chronic pelvic pain (CPP) is quite high all over the world and amounts to 26 % of all visits to gynecologists and urologists. Chronic pelvic pain is a complex, multifactorial condition that has a significant impact on quality of life and leads to depression. Currently, increasing attention is being paid to dysregulation of the autonomic nervous system (ANS) in the formation of chronic pelvic pain in patients, therefore it is necessary to take into account the state of the ANS when diagnosing, treating and rehabilitating CPP. The purpose of the study is to analyze the relationship between the main parameters characterizing the functional state of the autonomic nervous system and the severity of pain in women with chronic pelvic pain and to study the effectiveness of pain relief in them through rehabilitation measures, including those aimed at normalizing the balance of autonomic regulation basic life support systems of the patient’s body. Materials and Methods. 40 middle-aged women from 33 to 52 (42.1 ± 5.8) years old with a diagnosis of chronic pelvic pain were studied. The patients were divided into 2 groups: in group 1, the author’s method of rehabilitation of women with chronic pelvic pain was used; in the rehabilitation of women from group 2, methods of intravaginal massage and a set of exercises aimed at stretching the pelvic floor muscles were used. To evaluate the results of the study, the following were used: visual analogue scale (VAS), central sensitization questionnaire, DN 4 questionnaire (Douleur Neuropathiqueen 4 questions), Nymigent questionnaire, pelvic floor impact questionnaire-7 (PFIQ-7), assessing quality of life, index Kerdo, orthoclinostatic test, UNI-T thermal imager (UTi 165 K, China). Results and Discussion. Analysis of the results of the study showed a decrease in pain syndrome and normalization of autonomic parameters in group 1 of the subjects, which indicates the relationship between the autonomic nervous system and pain syndrome. Conclusion. The results obtained will help to improve the efficiency of rehabilitation of women with chronic pelvic pain.