Pathogenetic aspects of endometriosis-associated infertility

Адамян, Л. В.; Adamyan, L. V.; Salimova, Dinara; Кондратович, Л. М.

doi:10.17116/repro201521682-88

Cited by 4 publications

(1 citation statement)

References 31 publications

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“…Салимовой, Л.М. Кондратович (2015), позволил авторам показать, что многофакторность бесплодия, возникающего при эндометриозе, явля-ется причиной низкой частоты восстановления фер-тильности у больных при использовании не только общепринятых (хирургический и консервативный) методов лечения, но и высокотехнологичных мето-дов ВРТ в различных вариациях [2]. Авторы [9,19] считают, что создание максимально эффективной в отношении восстановления фертильности тактики ведения пациенток с различными формами и стади-ями эндометриоза является важной задачей.…”

Section: Discussionunclassified

Sex hormone levels and the nucleons isoforms expression of estrogen and progesterone receptors in eutopic endometrium of patients with peritoneal form endometriosis and infertility

Бурлев¹,

Ilyasova²

2016

Probl. reprod.

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Section: Discussionunclassified

Sex hormone levels and the nucleons isoforms expression of estrogen and progesterone receptors in eutopic endometrium of patients with peritoneal form endometriosis and infertility

Бурлев¹,

Ilyasova²

2016

Probl. reprod.

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External genital endometriosis: treatment and rehabilitation

Солопова

Ачкасов

Moskvichyova

et al. 2021

Akušerstvo, ginekologiâ i reprodukciâ

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Aim: to systematize data on rehabilitation methods and management tactics for women with external form of genital endometriosis.Materials and Methods. We searched for publications in international scientific databases: scientific electronic library eLibrary, Scholar, ScienceDirect, Cochrane Library, PubMed/MEDLINE for the last 5 years. The data on the modern approach to the therapy and rehabilitation of women with external genital endometriosis are presented. Search terms in Russian and English were used: “endometriosis”, “rehabilitation”, “gynecology”, “quality of life”.Results. Endometriosis is considered an independent risk factor for the development of malignant tumors not only of the reproductive system, but also of the large intestine, bladder, mammary glands. The review presents a current view of the treatment and rehabilitation of women with external genital endometriosis. Endometriosis is a polyetiological disease that can manifest itself as dysmenorrhea, dyspareunia, chronic pelvic pain, as well as dysuria and dyshesia when involving adjacent organs in the pathological process. Relapses, infertility, emotional and psychosexual disorders, problems with socialization are often detected in these patients.Conclusion. It is necessary not only to conduct comprehensive treatment, but also to develop personalized rehabilitation programs that can improve the quality of life, as well as create comfortable conditions for social adaptation in society.

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Incidence rate and structure of external genital endometriosis in hospital patients

et al. 2021

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Aim. To assess the frequency of genital endometriosis and its various forms based on the analysis of hospitalized morbidity. Materials and methods. Analysis of the medical data base of the gynecological clinic of the Gorodkov Ivanovo Research Institute of Maternity and Childhood for the period 20002019. The unit of observation is a case of endometriosis in a patient who left the gynecological clinic of a 24-hour hospital. The clinical characteristics of the prevalence of genital endometriosis are given based on the analysis of 9.378 surgery protocols for the period 20002019. The stages of spread of the endometrioid process were assessed according to the 1985 R-AFS classification. Results. The total number of patients diagnosed with endometriosis was 17% of the total number of gynecological patients. The proportion of hospitalized with endometriosis in 20002019 increased by 2 times from 4.5 to 9.2%. Over 20 years, the proportion of patients with endometriosis of the uterus (N80.0) from 36.2 to 9.0% (p0.001), with endometriosis of the rectovaginal septum and vagina (N80.4) decreased from 2.6 to 0% (p0.01). The proportion of patients with ovarian endometriosis (N80.1) increased from 12.1 to 34.6% (p0.001), pelvic peritoneal endometriosis (N80.3) from 16.5 to 51.1% (p0.001). The proportion of patients with endometriosis of two or more localizations increased from 1.6 to 40.2% (p0.001). Over the 20-year period, there was a decrease in the average age of patients with endometriosis from 37.80.43 years in 2000 to 36.20.34 years in 2009 and 33.80.29 years in 2019 (p0.001). The range of fluctuations in age characteristics ranged from 13 to 55 years. The overwhelming majority of observations are minor forms (I and II stages of the disease) 57.6%. Retrocervical endometriosis was diagnosed in 20.1%. Endometrioid ovarian cysts were in 11.7% of cases. In most cases, endometriotic lesions were combined with adhesions of the small pelvis. Conclusion. Thus, genital endometriosis is a common gynecological pathology, which is often the reason for hospitalization for surgical intervention in women of different age groups. However in most cases affects in most important period in a womans life reproductive. The given data emphasize the need to study and develop therapeutic measures to improve the system of organizing medical care, to find the most optimal and effective forms of diagnosis, approaches to the treatment and rehabilitation of women with endometrisis, which would significantly reduce the volume of surgical interventions, thus reducing financial costs, including overcoming infertility.

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Pathogenetic aspects of endometriosis-associated infertility

Cited by 4 publications

References 31 publications

Sex hormone levels and the nucleons isoforms expression of estrogen and progesterone receptors in eutopic endometrium of patients with peritoneal form endometriosis and infertility

Sex hormone levels and the nucleons isoforms expression of estrogen and progesterone receptors in eutopic endometrium of patients with peritoneal form endometriosis and infertility

External genital endometriosis: treatment and rehabilitation

Incidence rate and structure of external genital endometriosis in hospital patients

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