Author(s):  O.V. Trushina, candidate of Sciences, State healthcare institution "Saratov regional children's clinical hospital, Saratov, Russia,

V.S. Orlova, Dr., Prof., Belgorod National Research University, Belgorod, Russia,

I.V. Kalashnikova, candidate of Sciences, associate Professor, Belgorod National Research University, Belgorod, Russia,

Issue:  Volume 41, №1

Rubric:  Preventive Medicine

Annotation:  Characteristics of clinical manifestations and severity of primary dysmenorrhea in adolescence are largely determined by the presence of background pathology. In this regard the condition of somatic health in adolescent girls from menstrual pain syndrome, which developed on the background of indications of un-differentiated connective tissue dysplasia4 (UCTD), has been studied. 210 girls aged 11-17 years with primary dysmenorrhea were examined. Depending on the presence or absence of signs of undifferentiated connective tissue dysplasia, two groups were identified: the main one (I) - 120 patients, the comparison group (II) - 90 patients. Dominant phenotypic manifestation of undifferentiated dysplasia of connective tissue in main group was asthenic type of constitution, which is found in 99.2±2.4% of the patients. Al-most all the patients of the main group (92.5±2.4%) and more than half of the comparison group (52.2±5.3%; p=0.00001) had a disharmonious physical development, the frequency of which increases as they get older. The progressive character of UCTD contributed to the formation of functional disorders of the central and autonomic nervous system, musculoskeletal system, occurred in different variants of the clinical manifestations in all the girls of the main group, without exception, that aggravates a perception of a menstrual pain syndrome. Therefore, adolescent girls with signs of undifferentiated connective tissue dysplasia are at risk for physical development, somatic pathology and a more heavy current of primary dysmenorrhea.

Keywords:  adolescent girls; primary dysmenorrhea; undifferentiated connective tissue dysplasia; men-strual pain syndrome.

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