Pakharenko, L. V.     Clinical and social aspects of dysmenorrhea development [] / L. V. Pakharenko // Запорож. мед. журн. - 2018. - Том 20, N 5. - С. 687-691 MeSH-главная: ДИСМЕНОРЕЯ -- DYSMENORRHEA (этиология) ТАЗОВЫЕ БОЛИ -- PELVIC PAIN (патофизиология, психология) КАЧЕСТВО ЖИЗНИ -- QUALITY OF LIFE Аннотация: Dysmenorrhea is one of the most spread diseases in gynecological practice. The pathology rate is about 45–95 % of menstruated women. Aim of the research was to determine clinical and social aspects of women with dysmenorrhea. Materials and methods. The study involved 155 women with diagnosis dysmenorrhea who formed the basic group. 55 persons had primary form of disease (the I group), 100 patients – secondary one (the II group). Control group included 30 women without pathology. Intensity of pain was determined by Visual Analogue Scale, quality of life – 36-Item Short Form Health Survey. For statistical analysis we used program Stаtistica 6.0. Results. We did not find any association between employment, body mass index and development of dysmenorrhea. The number of persons with reduced physical activity was 1.86 times more in the group with dysmenorrhea (61.94 %) than among healthy individuals (33.33 %; ?2 = 7.28, P = 0.007; OR = 3.84, CI = 1.67–8.83, P = 0.002). Gynecological pathology in anamnesis had only 46.67 % of controls and 74.19 % of basic group patients (?2 = 7.77, P = 0.005; OR = 3.29, CI = 1.47–7.33, P = 0.004). High rate of gynecological diseases among patients with dysmenorrhea was due to great frequency of this pathology in the women of the II group. Almost the same rate of primagravida and multigravida was also among persons in the observed groups. Duration of pain syndrome usually was 1–2 days in the I group women. Persons of the II group indicated prolonged pain syndrome during menses lasting 2–4 days. Besides this, chronic pelvic pain (?2 = 19.42, P 0.001 compared to the I group), dyspareunia and dyschezia (?2 Экз-ры: