Comparative tactic of auxiliary genesial technologies is after the different methods of treatment of pathology of ovaries

Abstract

DOI: 10.52705/2788-6190-2022-04-10
УДК 618.177-089.888.11:618.11/.12-08-035

The objective: to promote efficiency of treatment of infertility for women after the different
methods of treatment of pathology of ovaries and salpinxs on the basis of improvement and
introduction of algorithm of diagnostic and treatment-and-prophylactic measures.

Materials and methods. Retrospective group research was conducted 300 patients with infertility,
which have been 543 cycles of auxiliary genesial technologies. From 300 patients with infertility
150 (50,0%) women had in anamnesis reconstructive plastic operative interferences on the
uterine appendages 1 basic group), have been 298 cycles. For all patients the followings operative
interferences were executed: 86 (57,3%) patients in anamnesis took place to the operation on
ovaries; 64 (42,7%) patients in anamnesis were had place to the operation on salpinxs.
Results. For women which carried conservatively plastic and radical operations on salpinxs
amount of aspirated follicles and identified of mature oocytes does not differ for certain (р>0,05).
At presence of hydrosalpinx after conservatively plastic operations on salpinxs in comparison
from tubectomia there is a decline of amount of pregnancies (16,7% and 42,0%) and increase of
genesial losses (25,0% and 9,5%).
Efficiency of auxiliary genesial technologies for women with different pathology of ovaries and
salpinxs depends on the timeliness of diagnostics, quality of leadthrough of operative interference
with the preservation of the functional state of ovaries, timeliness of the use of auxiliary genesial
technologies and adequate prophylaxis of genesial losses on the early terms of pregnancy.

Conclusions. The leadthrough of auxiliary genesial technologies after the different methods of
treatment of pathology of ovaries and salpinxs has the features which need to be taken into
account on all stages of conduct of women.
The use of the algorithm improved by us allows to promote efficiency of treatment of womanish
infertility for the women of groups of high risk. Findings allow to us to recommend the algorithm
improved by us for the wide use in the clinics of reproduction.