Women have infertility with of high quality pathology of mammary glands

Abstract

DOI: 10.52705/2788-6190-2023-01-10
УДК 618.19-006.03-055.2:618.177-08

The objective: іncrease of efficiency of treatment of infertility for women with pathology of mammary glands on the basis of study of clinical and echographic, endocrinology and haemodynamic features and improvement of algorithm of auxiliary genesial technologies.
Materials and methods. 90 women which were on treatment of infertility after different methods are plugged in research, including auxiliary genesial technologies.
Researches carried stage-by-stage character: 1 the stage is forming of basic (n=60) and control groups (n=30) in accordance with a presence and treatment of pathology of mammary glands; 2 the stage is an analysis of factors of risk of pathology of mammary glands; 3 stage – clinicaland-laboratory inspection of women of basic group; 4 the stage is forming 1 (n=30) and 2 groups
(n=30) in accordance with the methods of treatment of mastopathy; 5 the stage is an estimation of influence of different methods of stimulation of superovulation on the state of mammary glands.
Research methods: clinical, echographic, endocrinological, statistical.
Results. For patients with different reasons infertility more frequent takes place diffuse form fibroticcystophorous
mastopathy (pipe or masculine factors – 60,0%; combination factors – 52,0% and anovulation – 51,4%) to compare with a key form (14,3%; 8,0% and 4,0% respectively). At the use of short protocol of stimulation of superovulation for women with the knotted form of mastopathy in 26,6% new node or swollen appear those, that existed before, and in 12,5% – the nodular shape appears. At application of long protocol it takes place far rarer – 5,5%.
Clinical efficiency of treatment of infertility for women with pathology of mammary glands at the use of short protocol is 33,3%, and long – 50,0%. Basic complications of pregnancy is the involuntary breaking in a 1 trimester (20,0% and 6,7%), and also premature declivous – 20,0% and 6,7% respectively.
Conclusions. The results of the conducted researches testify that a scientific task in relation to the use of auxiliary genesial technologies women with pathology of mammary glands have actual enough and timely. The use of the algorithm improved by us allows to promote efficiency of treatment of infertility, and also provide the low level of perinatal pathology. Practical introduction
of the got results will allow to improve treatment of infertility without worsening of pathology of mammary glands.