Psychological and vegetative disorders in women with algomenorrhea

Abstract

Adolescents today suffer from various neurological disorders, psychovegetative dysfunction being the main one. An important stage of adolescence is the formation of reproductive function in women. The autonomic nervous system is crucial for the formation of menstrual cycle. Coordination of the autonomic and hormonal regulation of menstrual function is performed on the hypothalamic level. We aimed to investigate the clinical and psychological peculiarities of autonomic dysfunction in girls with impaired formation of menstrual cycle. This article presents data of the clinical and psychological examination of 75 girls aged 14–17 years (15,8±1,7) with menstrual disorders of algomenorrhea type and dysfunction of the autonomic nervous system. We applied the standard neurological examination, the visual analog scale (10‑point), the Multidimensional
Fatigue Inventory (MFI‑20), A. M. Vein’s questionnaire, Kérdö’s index, and Spielberger-Khanin questionnaire. The control group was comprised of girls aged from 14 to 17 years without neurological or gynecological pathologies. The study showed that girls with algomenorrhea had the following neurological complaints: headaches, dizziness with blackouts following a change in the position of the body, nausea, lypothymia, syncope, tingling in the heart, feeling of not getting enough air, and dyssomnias. Abdominal pain during menstruation was observed in 100 % of the girls. The initial sympathetic autonomic tone observed in 57 girls (76,0 %) indicated strain of adaptation mechanisms. Moreover, the psychological testing revealed a high level of anxiety and asthenia in the examined girls (compared to the control group). The results obtained indicate that a comprehensive approach to this pathology is required.