Chronic pelvic pain and combined oral hormonal contraception

PURPOSE OF THE STUDY: To determine the frequency of usage of combined oral hormonal contraception/COHC/ and its efficiency in women with chronic pelvic pain/CPP/. MATERIALS AND METHODS: Three-hundred and seventy consecutively admitted in the Clinic women with CPP were included in the study. They were divided into 2 groups--group A/n = 80/--women that had used COHC and group B/n = 290/--women that had not used COHC in order to cope with pain symptomatic. The patients from the both groups were compared according to their socio-demographic menstrual and reproductive characteristics type of disease duration of CPP assessment of pain intensity and McGill pain indices subjective rating of efficiency of the used COHC by the means of 5-rate scale in diseases manifested with chronic pain symptomatic/leiomyoma /L/ endometriosis/E pelvic congestion syndrome/PCS/ adhaesion syndrome/AS Allen-Masters syndrome and other gynaecologic pathology/OGP/--chronic pelvic inflammatory disease/ CPID/ ovarian cysts /OC/ etc./. RESULTS AND DISCUSSION: Duration of CPP /in months/ was comparatively longer in group A /5074 +/- 1033/in comparison wit group B/4138 +/- 597/. No significant difference was found in quantitative pain assessment but in group A higher values of all pain indices/sensory affective total pain rating index/and of evaluative overall pain intensity of total pain experience were set compared with those of group B. It was ascertained a bigger number of types of used medicines in group A/analgesics spasmolytics gestagenes and GnRH-agonists/. Efficiency of COHC was assessed by the patients in the range "good-/basically/very good-excellent" and that was well demonstrated by women with L E AS and OGP/CPID etc./. CONCLUSION: COHC was administered to patients with more heavily demonstrated chronic pelvic pain symptomatic that required combination of more than two medicines in order to obtain a better therapeutic effect. Diseases manifesting with CPP like E L and OGP/CPID OC AS etc/are of great priority in treatment with COHC.