Clinical and Diagnostic Parallels, Therapeutical Strategies in Benign Ovarian Tumor-Like Formations

Abstract

This paper deals with study of the characteristics of clinical course of benign ovarian tumor formations in women of reproductive age, depending on the fertility and the choice of treatment strategy. Functional ovarian cysts in 60,45 % of cases were diagnosed in parous patients, in 39,55 % -in nulliparous women, in 5,22 % -in women with infertility. Corpus luteum cysts in 36,96 % of cases occured in nulliparous patients, whereas follicular cysts were more common for parous women (28,4 %) and infertile patients (28,57 %). The clinical picture of ovarian retention formations to 56,72 % of cases manifested by the pain syndrome in all patients, regardless of parity, whereas cycle disorders were more specific for parous patients (37,04 %). In 14,29 % of patients with infertility ovarian tumor formations were asymptomatic. In nulliparous patients inflammation of the uterine appendages was diagnosed significantly more often than in parous women. Increasing of the frequency of the myometrium pathology in the group of parous patients was significantly more often than in nulliparous women. Lack of individualization of the diagnostic algorithm, low commitment to hormonal, immunomodulatory therapy, use of standard antibiotic regimens led to ineffective treatment measures and to the formation of antibiotic resistance and the development of the process relapse.