Тег: polycystic ovary syndrome

Аннотация: (English) Relevance. Dysmenorrhea and polycystic ovary syndrome (PCOS) remain among the most common gynecological conditions in women of reproductive age, substantially reducing quality of life and frequently proving resistant to standard pharmacological therapy. In recent years, non-pharmacological methods of correction based on the phases of the menstrual cycle have been actively introduced into clinical practice. Of particular interest to the obstetrician-gynecologist is the concept of cyclically oriented physical rehabilitation proposed by Vasiltsova (2023), which systematizes non-pharmacological interventions in accordance with the hormonal profile of each phase of the cycle. Objective. To determine the clinical indications and contraindications for referring patients with dysmenorrhea and PCOS to cycle-oriented physical rehabilitation, and to substantiate the need for medical supervision of this method from the standpoint of obstetrics and gynecology. Materials and methods. Analysis of the current literature on the non-pharmacological correction of dysmenorrhea and PCOS, together with a detailed clinical analysis of the Cyclical Core Balance concept presented by Vasiltsova (2023) from the standpoint of obstetric and gynecological practice. Results. It is shown that the cyclically oriented rehabilitation protocol, provided that patients are correctly stratified by diagnosis and that mandatory medical supervision is maintained, may serve as an effective adjunct to the standard therapy of dysmenorrhea and of selected PCOS phenotypes. Clinical criteria for patient selection, absolute and relative contraindications, and an algorithm for cooperation between the obstetrician-gynecologist and the physical rehabilitation specialist are defined. Conclusion. Integrating gynecological expertise into cycle-oriented physical rehabilitation protocols appears to be a clinically justified direction for the development of multidisciplinary care for women with dysmenorrhea and PCOS. The concept proposed by Vasiltsova merits further study and may be recommended for inclusion in continuing professional education programs in obstetrics and gynecology.