[Psychoemotional state and sexual function in women with chronic pelvic pain in genital endometriosis].

The purpose of this review is to consider current ideas about psychophysiology of chronic pelvic pain (CPP) in external genital endometriosis (GE), as well as the impact of the psychoemotional state and sexual function in women with CPP on its development and maintenance. The review is based on the study of original Russian and English-language articles and our own extensive clinical experience. References are made to statistically reliable, randomized and placebo-controlled studies of the last 20 years, in some cases to small and open-ended studies indicating their low evidence. The analysis shows a variety of opinions on this issue united by an understanding of the promising role of a biopsychosocial approach to the diagnosis and treatment of CPP in GE. Further studies of the role of psychosocial factors in the development of CPP are needed, as well as an assessment of the effectiveness of a comprehensive multidisciplinary approach to the treatment of CPP and associated sexual dysfunctions.