Endometrial pathology in polycystic ovary syndrome women with infertility
https://doi.org/10.51922/1818-426X.2023.2.57
Abstract
Polycystic ovary syndrome (PCOS) is one of the most common endocrine disorders in women of reproductive age. In this pathology, the morphofunctional characteristics of the endometrium have features that cause violations of the realization of reproductive function and unfavorable outcomes of gestation, as well as the risk of developing endometrial cancer. According to the study, the normal characteristic of the endometrium was found in 22 (44.9 %). In the structure of endometrial pathology in patients with PCOS, endometrial polyps accounted for a significant proportion – 16 (32.6 %) patients, chronic endometritis – 30 (61.2 %), simple endometrial hyperplasia – 7 (14.2 %). Functional pathology was also noted: proliferative endometrium with pathology (anovulatory endometrium) was found in 9 patients (18.3 %), endometrial hypoplasia – in 7 (14.2 %). PCOS has a high incidence of endometrial pathology, which necessitates the development of clinical approaches for the diagnosis and correction of the pathology.
About the Authors
E. N. Kirillova
УО «Белорусский государственный медицинский университет»
Belarus
Belarus
S. A. Pavlukova
УО «Белорусский государственный медицинский университет»
Belarus
Belarus
D. A. Davydov
РНПЦ ОМР им. Н. Н. Александрова
Belarus
Belarus
References
1. Kovaleva, Yu. V. Lechenie anovulyatornogo besplodiya u bolnykh s sindromom polikistoznykh yaichnikov / Yu. V. Kovaleva // Problemy reproduktsii. Materialy IV mezhdunarodnogo kongressa po reproduktivnoi meditsine. – 2011. – 319 s.
2. Kondrikov, N. I. Patologiya matki. Rukovodstvo dlya vrachei / N. I. Kondrikov, I. V. Barinova. – 2-e izdanie. – M.: Prakticheskaya meditsina, 2019. – 352 s.
3. Kulakov, V. I. Vspomogatelnye reproduktivnye tekhnologii – nastoyashchee i budushchee / V. I. Kulakov // Lechenie zhenskogo i muzhskogo besplodiya. – M.: Meditsinskoe Informatsionnoe Agentstvo, 2005. – S. 11–12.
4. Orazov, M. R. Hronicheskij endometrit: patogenez, diagnostika, lechenie i ego svyaz’ s besplodiem / M. R. Orazov, L. M. Mihaleva, P. A. Semenov // Klinicheskaya i eksperimental’naya morfologiya. – M., 2020 – № 2. – S. 16–25.
5. Chittenden, B. G. Policystic Ovary Syndrome and Risk of Gynaecological Cancer: A Systematic Review / B. Chittenden, G. Fullerton, A. Maheshwari, S. Bhattacharya // Reprod Biomed. – 2009. – № 3. – Р. 398–405.
6. Cicinelli, E. Chronic Endometritis in Patients with Unex-plained Infertility: Prevalence and Effects of Antibiotic Treatment on Spontaneous Contraception / E. Cicinelli, M. Matteo, G. Trojano, P. Mitola, R. Tinelli, A. Vitagliano, F. Crupano, A. Lepera, G. Miragliotta, L. Restall // Am J Reprod Immunol. – 2018. – № 1.
7. Haoula, Z. Evaluaning the Association between Endometrial Cancer and Policystic Ovary Syndrome / Z. Haoula, M. Salmon, W. Atiomo // Hum Reprod. – 2012. – № 5. – Р. 1327–31.
8. Kimura, F. Rewiew: Chronic Endometritis and Its Effect on Reprodaction / F. Kimura, A. Takebayashi, M. Inshida, A. Nacamura, J. Katazowa, A. Morimune, K. Hirata, A. Takahashi, S. Tsuji // J Obstet Gynecol Res. – 2019. – № 5. – Р. 951–960.
9. Kurman, R. World Health Organisation Classification of tumors of female reproductive organs / R. Kurman, M. Carcangiu, C. Herrington, R. Young // 4th ed. – Lyon, France: IARC Press, 2014.
Review
For citations:
Kirillova E.N., Pavlukova S.A., Davydov D.A. Endometrial pathology in polycystic ovary syndrome women with infertility. Medical Journal. 2023;(2):57-61. (In Russ.) https://doi.org/10.51922/1818-426X.2023.2.57
Views:
43
Email this article 