MANAGEMENT OF PATIENTS WITH BENIGN PATHOLOGY OF THE MAMMARY GLANDS AND ENDOMETROID OVARIAN CYSTS
DOI:
https://doi.org/10.11603/24116-4944.2022.1.13246Keywords:
reproductive health, dyshormonal disorders of the mammary glands, thyroid dysfunctionAbstract
The aim of the study – to assess the problem of the spread of the combination of dyshormonal diseases of the mammary glands and other diseases of female genital organs.
Materials and Methods. 150 women aged 23 to 35 were included in the study. The control group consisted of 25 healthy non-pregnant women. Anamnestic data were obtained through personal interviews with patients, as well as extracting the necessary information from inpatient and individual medical history records. The study included examination of patients' complaints, anamnesis, hormonal profile, ultrasonographic examinations and collection of family anamnesis.
Results and Discussion. In nearly 24 % of patients, infertility was the reason for referral, and menstrual cycle disorders in 45 % of patients. Аlmost 34 % of patients complained of рain in the lower abdomen before menstruation. Dysmenorrhea bothered 36 % of patients, 19 % of patients complained of sleep disturbance, periodic headache – 24 %, feeling of fatigue – 29 %, hair loss – 18 %, dry skin – 12 %, swelling of the lower extremities – 18 %, weight gain – 42 %, transferred inflammatory diseases of the lower part of the genital tract in almost 43 % of patients, laparoscopic interventions for ovarian endometriosis in 68 %, myomectomy – in 9 %, primary infertility occurred in 72 % of women and secondary infertility – in 28 % of patients. Structural and functional changes of the thyroid gland were found in 63 % of the examined patients. Prevalence of autoimmune thyroiditis (38 %) is dominated by hypothyroidism (13 %) and hyperthyroidism (12 %).
Conclusions. We found that dyshormonal disorders of the mammary glands most often have accompanying dyshormonal pathology of the thyroid gland, endometriosis and infertility, which are associated with impaired reproductive function.
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