CLINICAL CHARACTERISTICS OF WOMEN WITH INFERTILITY COMORBID WITH POLYCYSTOUS OVARY SYNDROME AND CHRONIC ENDOMETRITIS
DOI:
https://doi.org/10.11603/1681-2786.2021.4.12863Keywords:
infertility, polycystic ovary syndrome, chronic endometritis, inflammatory diseases of the genitourinary systemAbstract
Purpose: to assess the clinical and anamnestic picture of patients with infertility and with comorbidity of polycystic ovary syndrome and chronic endometritis.
Materials and Methods. We carried out a retrospective analysis of medical records of 140 patients who were divided into 3 groups. The first study group consisted of 52 patients with endocrine infertility against the background of PCOS, the second of 58 patients with infertility against the background of PCOS and chronic endometritis (this group included patients whose pregnancies have terminated prematurely and/or had implantation failure ), and the third was a comparison (control) group of 30 patients with infertility due to male-related causes. We conducted a comparative analysis of general clinical parameters of patients with endocrine infertility against the background of PCOS as well as with comorbidity of PCOS and chronic endometritis.
Results. The retrospective analysis of medical records, general clinical indicators and anamnestic data of patients with endocrine infertility against the background of PCOS as well as comorbidity of PCOS and chronic endometritis.
Conclusions. The results indicate characteristic clinical and anamnestic differences in patients with infertility against the background of polycystic ovary syndrome and chronic endometritis, compared to the patients with PCOS. In particular, they had high incidence of urogenital pathologies with a predominance of cystitis, urethritis, hydrosalpinx, chronic salpingo-oophoritis and colpitis of various etiologies. We determined that a significantly higher percentage of women in this group had vagonal infections of the vagina caused by Ureaplasma urealyticum parvum (25.86 %) and Chlamydia trachomatis (20.69 %); chronic inflammatory diseases in the patients of this group were significantly more likely asymptomatic.
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