RISK FACTORS FOR DEVELOPMENT OF CHRONIC ENDOMETRITIS IN WOMEN WITH REPRODUCTIVE DISORDERS

Abstract

Inflammatory diseases of the reproductive system continue to take one of the first places among the causes of reproductive disorders. A high frequency of chronic endometritis in women with reproductive disorders is registered and in modern conditions, it has no tendency to the decrease. The research is dedicated to the analysis of the data of the anamnesis of 127 women with chronic endometritis and reproductive disorders. Patients who visited doctor in connection with reproductive disorders underwent complex examination. It included the data of the anamnesis, general clinical and gynecological examinations, laboratory and instrumental methods. Verification of diagnosis of chronic endometritis was carried out following the results of the histological examination of the endometrium. In the group of women with chronic endometritis 56 % (71) of women complained of miscarriage, in 20 % (25) there was diagnosed primary infertility, and in 24 % (30) secondary infertility. It was revealed that in patients with chronic endometritis diseases of gastro-intestinal tract, kidneys, and upper respiratory tract dominated among somatic pathology. A high percentage of women had urogenital infections in the past. Those infections were determined in 49 % (62) of women, 65 % (40] of those patients had mono-infection. Chlamydia, trichomoniasis, and viral infections prevailed among pathogens. Women with chronic endometritis more often had operative interventions on the abdominal organs. Percentage of women 56 % (71) with indication for curettage of the uterus regarding terminated pregnancy (after spontaneous abortion or non-developing pregnancy) is high, 25 % (18) of them had both miscarriage and non-developed pregnancy in history and 20 % (15) of patients had from 2 to 4 curettage of the uterine cavity. The percentage of complicated deliveries and abortions was 28 % (35).