GynecologyGynecologyГинекология2079-56962079-5831Consilium Medicum45645810.26442/20795696.2023.3.202341REVIEWОБЗОРReview ArticleMastodynia: Current data on the causes, course, diagnosis, and treatment approaches. A reviewМастодиния. Современные данные о причинах, течении, диагностике и подходах к коррекцииhttps://orcid.org/0000-0002-5335-1248LeschenkoOlga Ya.ЛещенкоОльга Ярославовна
Russian Federation

D. Sci. (Med.), Scientific Centre for Family Health and Human Reproduction Problems

доктор медицинских наук, гинеколог-эндокринолог, врач высшей категории, гл. науч. сотр. отд. научных технологий

loyairk@mail.ruScientific Centre for Family Health and Human Reproduction ProblemsФГБНУ «Научный центр проблем здоровья семьи и репродукции человека»041020232532822892405202315092023Copyright ©; 2023, Consilium MedicumCopyright ©; 2023, ООО "Консилиум Медикум"2023Consilium MedicumООО "Консилиум Медикум"https://creativecommons.org/licenses/by-nc-sa/4.0https://gynecology.orscience.ru/2079-5831/article/view/456458

Mastodynia is a common clinical symptom in general medical and gynecological practice. The objectives of this literature review are to analyze scientific information on the epidemiology of mastodynia/mastalgia, the impact on quality of life, inconsistencies in the etiology determination, to formulate a diagnostic concept, classification, and treatment, and to assess the therapeutic effects of Vitex Agnus-Castus. Scientific publications over the past 30 years were searched in the main research databases, CochraneLibrary, PubMed, Science Direct, Google Scholar, and ELibrary, using the terms "mastalgia," "mastodynia," "Vitex Agnus-Castus," "chest pain," "chest pain, breast pain." The pathophysiology of mastodynia is multifaceted, with various etiology factors and independent ways of pain occurrence. Most studies have emphasized the importance of correctly classifying breast pain for accurate diagnosis and effective therapy to reduce the frequency and severity of pain episodes and improve quality of life while minimizing side effects. Vitex Agnus-Castus is safe and effective in the treatment of mastodynia.

Мастодиния является частым клиническим симптомом в общей врачебной и гинекологической практике. Задачи данного библиографического обзора: провести анализ научных сведений об эпидемиологии мастодинии/масталгии, о влиянии на качество жизни, противоречиях в определении этиологии, сформулировать диагностическую концепцию, классификацию, лечение, а также выяснить терапевтические эффекты Vitex Agnus-Castus. Проведен поиск научных публикаций в основных исследовательских базах данных, CochraneLibrary, PubMed, Science Direct, Google Scholar, ELibrary за последние 30 лет; использованы термины «масталгия/mastalgia», «мастодиния/mastodynia», «прутняк/Vitex Agnus-Castus», «боль в груди», «боль в молочных железах/chest pain, breast pain». Патофизиология мастодинии объясняется не одним механизмом, а разными причинами с независимыми путями формирования болезненных ощущений. Большинство исследований подчеркнули важность правильной классификации боли в молочных железах для точной диагностики и эффективной терапии, чтобы уменьшить частоту и выраженность эпизодов боли и улучшить качество жизни при минимизации побочных эффектов. Препараты на основе Vitex Agnus-Castus являются безопасными и эффективными в лечения мастодинии.

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