Tactic of proceeding in the genesial function of women is after urgent operations on ovaries

Abstract

DOI: 10.52705/2788-6190-2022-04-8
УДК 618.17/.5-036.8:618.11-089

The objective: to learn the features of proceeding in the genesial function of women after urgent
operations on ovaries.

Materials and methods. Investigated the morpho-functional state of ovaries in 100 patients from
an simple serous cystadenoma (50) and mature teratoma and after organ-preserving operations
(cystectomia, resection). Parallel estimated a menstrual and genesial function. Operative
interference to all patients was executed by laparoscopic access on the generally accepted
method. Taking into account the volume of the executed operative interference, the inspected
were up-diffused on 3 groups. Clinical, endocrinology, biochemical, morphological and static
methods were plugged in the complex of the conducted researches.

Results. In 1 year after an operation the number of pregnancies which made off timely births
prevailed for patients with the unchanged ovarian reserve. For patients from the sub-group of
moderate reduction ovarian reserve premature births took place at every second, from a subgroup
with low ovarian reserve timely births are not fixed not at any looked after.
It should be noted that in a sub-group with moderate reduction ovarian reserve in 2 times more
frequent what in a sub-group such complications met with the unchanged ovarian reserve, as
preeclampsia, threat of terminating pregnancy development of placenta disfunction. At the study
of genesial function in 2 years after operative interference, it is discovered by us, that 1,3 time had
an amount of pregnancies which came less than, by comparison to research in 1 year.
For patients after cystectomia concerning the of high quality tumours of ovary an amount of
pregnancies was 18,0%, and in looked after a resection at 1,5 time less than – 14,0%. It should
be noted that a 34,0% patient in a 1 group and 40,0% in 2 groups was guarded from pregnancy.
Consequently, from all looked after, such which carried organ-preserving operations on ovaries
and designings realization of genesial function, pregnancy came in 2 years only at every second
(50,0%). Thus a percent of timely births in a sub-group with the unchanged ovarian reserve was
in 2 times higher than in a sub-group with moderate reduction ovarian reserve.
The worst indexes of realization of genital function are fixed in inspected with low ovarian reserve,
that characterized by the presence of such complications: involuntary abortions – 4,0%, nondeveloping
pregnancy– 2,0%.

Conclusions. Patients with normal ovarian reserve in most supervisions have the unchanged
indexes of fecundity. Complications of pregnancy more frequent appeared for patients with a
moderate reduction and low ovarian reserve, that it is necessary to take into account at a conduct
to pregnancy in information sick.
Information is got by us confirm an idea that in connection with high-frequency of infertility for
patients with moderate reduction ovarian reserve after operative interference with late genesial
period the use of auxiliary genesial technologies is rotined for realization of genesial function.
Findings must be taken into account at development of algorithm of diagnostic, treatment-andprophylactic
and rehabilitation measures.