Etiological and pathogenetic factors of chronic pelvic pains

The article proves that gynecological diseases fall under the category of most often organic causes of chronic pelvic pains along with such states as hurt of abdomen muscles and backbone morbus, syndrome of large intestine irritation and infection of urinary tracts. At the same time a number of researches convincingly shows that intensity and localization of pains as to commissural disease and endometriosis doesn’t correlate with gravity and localization of pathologic process. Besides that, the review generalizes various psychological and social factors, which are to be taken into consideration in evaluating of chronic pelvic pains (ChPP) genesis. A number о f principles are elaborated regarding to the role of psychiatrical help in complex examination and treatment of patients with ChPP, including psychotherapeutic methods and treatment with antidepressants.