Chronic pelvic pain (HTB) remains a relevant multidisciplinary problem. Its symptoms are the result of interaction between psychological factors and dysfunction of the immune, neurological and endocrine systems. HTB is a serious problem for women. Approximately 14% of women experienced HTB at least once in their lives. HTB is grueling and related to significant costs and incidence, and its etiology is multifactorial, which often complicates medical treatment and treatment of associated symptoms. Best practice guidelines recommend an interdisciplinary and biopsychosocial approach to treatment. However, the problem of HTB requires further comprehensive study and expanding possible methods of effective pain control and improving the quality of life of the female population. The article systematizes literary sources on the genesis of pain, the principles of classification, diagnostics and management.

Despite progress made in anesthesiology and operative gynecology, adequate postoperative analgesia remains un urgent problem. The aim of the work was to evaluate the effectiveness of intraoperative analgesia using an open approach with the use of the sacral protrusion. Plexus block during the operation of extirpation of the uterus leads to a significant decrease in the intensity of the postoperative pain syndrome, the consumption of morphine in the early postoperative period and accelerates the rehabilitation of patients on the first day after operation.

The topic of obstetric and gynecological aggression is a widespread topics, but at the same taboo. The reason is the stigma and fear of women who have been subjected to medical violence. This is something that is not spoken out loud, is not put on public display, because behind it lies pain and shame. Therefore, they do not attach any importance to the topic of obstetric violence. According to modern data, every third woman in the world suffers from the inhumane actions of obstetricians. And these actions lead to irreparable consequences in the life of every woman. The purpose of the study is to assess the impact of obstetric violence on the quality of a woman's life. Background. To identify the main ways of overcoming this problem. It was established that the negative experience of visiting a gynecologist associated with feeling of pain causes a feeling of fear before the next examination, this reduces visits to preventive examinations, which can lead to the detection of diseases at later stages of its development and complicate the treatment. The negative experience of visiting a gynecologist associated with the feeling of pain worsens the quality of life of a woman according to the indicators of the “Mental health” component. Establishing the presence of factors of obstetric and gynecological violence requires psychological assistance to patients and the development of ethical approaches to the provision of medical care by doctors and medical personnel and the improvement of pain relief methods