Treatment of infertility at violations of menstrual function for multiparous women

Abstract

DOI: 10.52705/2788-6190-2022-04-9
УДК 618.17/.5-002.2-055.28-06:618.173-08

The objective: an increase of efficiency of treatment of violations of menstrual function on a
background the chronic inflammatory processes of the genesial system for multiparous women on
the basis of study clinical-and-endocrinological, immunological and microbiological changes, and
also improvement of algorithm of diagnostic and treatment-and-prophylactic measures.

Materials and methods. 100 multiparous patients were inspected, with different violations of
menstrual function on a background the chronic inflammatory process of the genesial system,
which were up-diffused on two groups: 1 group – 50 multiparous women and which got the
generally accepted treatment-and-prophylactic measures; 2 groups are 50 multiparous women,
conducted stage-by-stage after the method developed by us. A control group was made 50
gynaecological and somatically healthy women of genesial age with 1-2 births in anamnesis.

Results. Multiparous women have the basic variants of violations of menstrual function menorrhagias
and metrorrhagias – 61,0%; algodysmenorrhea – 39,9%; irregular cycle – 37,0% and premenstrual
syndrome – 13,0%%, here frequency of the united variants is 50,0%. Violations of menstrual function
for multiparous women arise up on a background high-purity of chronic salpingo-oophoritis (73,0%)
and endometritis (27,0%) it is united with bacterial vaginosis (73,0%) and chronic cervicitis (61,0%).

Conclusions. the use of the algorithm of treatment-and-prophylactic measures for multiparous
women, improved by us, allows far to promote efficiency of treatment of violations of menstrual
function and proceeding in a genesial function due to the effective correction of microbiological
immunological and dishormonal violations.
The got results allow to us to recommend such approach in a practical guard healthy for the
maintainance of genesial function of women.