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LOCAL AND SYSTEMIC HORMONAL IMBALANCE IN FEMALE PATIENTS WITH CHRONIC ENDOMETRITIS

https://doi.org/10.51523/2708-6011.2018-15-2-5

Abstract

Material and methods . The main group consisted of 45 (75.00 ± 5.59 %) females diagnosed with chronic endometritis, the control group - of 15 (25.00 ± 5.59 %) patients without chronic endometritis. Results. Disorders of the reproductive function were statistically significantly more often found in patients of the main group - 42 (93.33 ± 8.98 %) (χ² = 36.82, p < 0.00001), infertility - in 30 (66.67 ± 7.03 %) (χ² = 17.24, p < 0.00001). The estradiol concentration in patients with chronic endometritis was 0.22 (0.19-0.24), in the control group - 0.25 (0.22-0.27) nmol/l (z = -2.49, p = 0.01). Expression of estrogen receptors in the main group was 95.30 % (92.30-95.30 %), in the control group - 78.70 % (76.00-78.00 %) (z = 3.57, p = 0.0003). Conclusion. Low estrogen levels at the systemic level and high expression of estrogen receptors in the endometrium in female patients with chronic endometritis leads to high incidence rate - 93.3 % of reproductive dysfunction.

About the Authors

Yu. A. Lyzikova
Gomel State Medical University
Belarus


D. A. Zinovkin
Gomel State Medical University
Belarus


References

1. Тихончук ЕЮ, Асатурова АВ, Адамян ЛВ. Частота выявления и структура патологических изменений эндометрия у женщин репродуктивного возраста с генитальным эндометриозом. Акушерство и гинекология. 2012;12:87-94.

2. Kasius JC, Broekmans FJM, Sie-Go DMDS, Bourgain C, Eijkemans MJC, Fauser BC, Devroey P, Fatemi HM. The reliability of the histological diagnosis of endometritis in asymptomatic IVF cases: a multicenter observer study. Hum Reprod. 2011;27(1):153-8.

3. Cicinelli E, Matteo M, Tinelli R, Lepera A, Alfonso R, Indraccolo U, Marrocchella S, Greco P, Resta L. Prevalence of chronic endometritis in repeated unexplained implantation failure and the IVF success rate after antibiotic therapy. Hum Reprod. 2014;30(2):323-30.

4. Мелкозерова ОА, Бащмакова НВ, Погорелко ДВ, Читяков МА. Энергия низкочастотного ультразвука в восстановлении рецепторного поля эндометрия после неразвивающийся беременности. Акушерство и гинекология. 2014;7:61-6.

5. Requena A, Cruz M, Bosch E, Meseguer M, García-Velasco J. High progesterone levels in women with high ovarian response do not affect clinical outcomes: a retrospective cohort study. Reproductive Biology and Endocrinology. 2014;12(1):69.


Review

For citations:


Lyzikova Yu.A., Zinovkin D.A. LOCAL AND SYSTEMIC HORMONAL IMBALANCE IN FEMALE PATIENTS WITH CHRONIC ENDOMETRITIS. Health and Ecology Issues. 2018;(2):24-28. (In Russ.) https://doi.org/10.51523/2708-6011.2018-15-2-5

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ISSN 2220-0967 (Print)
ISSN 2708-6011 (Online)