THE FREQUENCY OF OCCURRENCE OF CHRONIC ENDOMETRITIS IN WOMEN WITH DIFFERENT VARIANTS OF REPRODUCTIVE DISORDERS

Abstract

The study is devoted to the prevalence of chronic endometritis in women with reproductive disorders. There has been conducted a randomized clinical-epidemiological study of 327 women of fertile age who have applied with impaired reproductive function. Among them 125 (38 %) women showed primary infertility, secondary infertility was diagnosed in 98 (30 %) women, 104 (32 %) women complained of miscarriage. The in-depth survey allowed determining the structure of the causes of reproductive disorders. Endocrine factors and chronic endometritis were the most common causes in women with reproductive disorders. Chronic endometritis was identified in 78 (24 %) women. Among the causes in women with primary infertility the leading place belongs to the endocrine factor which constitutes 41 % (51). At secondary infertility endocrine factor and chronic inflammation were very significant; they were 18 % (18) and 21 % (21), respectively. In women with recurrent miscarriages chronic endometritis with a frequency of 39 % (41) takes the leading place. The results indicate the importance of chronic endometritis in the development of reproductive disorders, especially in miscarriage (39 % in miscarriage, 21 % in secondary infertility, 18 % in primary infertility, p < 0,05). The high frequency of chronic inflammation of the endometrium requires a comprehensive survey of women with reproductive disorders to conduct adequate medical therapy.