PREVALENCE OF PELVIC INFLAMMATORY DISEASES IN PATIENTS WITH DIABETES MELLITUS
DOI:
https://doi.org/10.11603/mcch.2410-681X.2023.i4.14383Keywords:
pelvic inflammatory diseases, type 2 diabetes, cardiometabolic diseases, infertility, epidemiologyAbstract
Introduction. Studies have shown that women with a history of pelvic inflammatory disease had a significantly higher risk of developing hypertension and type 2 diabetes mellitus. The social significance of this group of pathologies lies in the reduction of fertility due to the development of serious complications, which leads to a decrease in the quality of life of patients.
In the study, scientific publications of recent years, which are available on the Internet, were processed, the key words were “pelvic inflammatory diseases” “diabetes mellitus”, “cardiometabolic diseases”, “endometritis”, “parametritis”, “salpingitis”, “oophoritis”.
Despite a relatively shorter duration of diabetes mellitus type 2 compared to women with type 1 diabetes, this patients are equally at risk for reproductive dysfunction, which may be related to comorbid obesity, polycystic ovary syndrome, and endogenous or exogenous hyperinsulinemia. It has been scientifically proven that, in addition to genital tract infections, diseases such as obesity, lipid metabolism disorders, and a history of abortion are also associated with an increased risk of infertility in pelvic organ disease (PID). The incidence of type 2 diabetes mellitus is also higher in women who have had a PID, while women with type 2 diabetes mellitus also have an increased risk of developing a PID. Moderate, significant statistical associations were found between urinary tract infection and PID, urinary tract infection, and diabetes. Infectious factors of PID can contribute to the development of cardiometabolic disorders through direct effects on the vascular system or indirect systemic effects of the response to infection.
The aim of the study – to analyze the frequency of distribution and features of the course of pelvic inflammatory diseases in patients with diabetes mellitus.
Conclusions. Analysis of the scientific literature indicates limited data on the epidemiology of pelvic inflammatory diseases and their association with diabetes mellitus.
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