Preview

Medical alphabet

Advanced search
Open Access Open Access  Restricted Access Subscription or Fee Access

Chronic endometritis and infertility. Clinical and morphological aspects

https://doi.org/10.33667/2078-5631-2024-19-25-27

Abstract

Target. Optimize the diagnosis of chronic endometritis. To evaluate the influence of various factors on the formation of chronic endometritis in patients with infertility, to study the effectiveness of office hysteroscopy and endometrial biopsy in its diagnosis.

Materials and methods of research. A retrospective analysis of the medical histories of patients with chronic endometrioma and a history of infertility was conducted for the period from 2020 to 2022 at the Stavropol Regional Clinical Multidisciplinary Center in Stavropol.

Results. Hysteroscopy with endometrial scratching, as well as routine endometrial curettage, were among the leading risk factors for the development of chronic endometritis. More gentle office hysteroscopy with endometrial biopsy showed high sensitivity but average specificity in the diagnosis of chronic endometritis.

About the Authors

V. A. Aksenenko
Stavropol State Medical University
Russian Federation

Aksenenko Viktor A., DM Sci (habil.), professor, head of Dept of Obstetrics and Gynecology (with a course of additional professional training)

Stavropol



D. V. Aksenenko
Stavropol State Medical University
Russian Federation

Aksenenko Denis V., PhD Med, head of Dept of Obstetrics and Gynecology No. 2

Stavropol



A. A. Grigoryants
Stavropol State Medical University
Russian Federation

Grigoryants Armen A., PhD Med, assistant at Dept of Obstetrics and Gynecology No. 2

Stavropol



V. V. Kolesnikova
Stavropol State Medical University
Russian Federation

Kolesnikova Viktoriia V., medical resident at Dept of Obstetrics and Gynecology (with a course of additional professional training)

Stavropol



A. A-A. Uzdenova
Stavropol State Medical University
Russian Federation

Uzdenova Amina A-A., medical resident at Dept of Obstetrics and Gynecology (with a course of additional professional training)

Stavropol



References

1. Zarochentseva NV, Arshakian AK, Men’shikova NS et al. Chronic endometritis: etiology, clinical presentation, diagnosis, treatment. Russian Bulletin of Obstetrician-Gynecologist. 2013; 13 (5): 21–27. (In Russ.). DOI: https://dx.doi.org/10.18565/aig.2024.40

2. Chen Yq., Fang Rl., Luo Yn. et al. Analysis of the diagnostic value of CD 138 for chronic endometritis, the risk factors for the pathogenesis of chronic endometritis and the effect of chronic endometritis on pregnancy: a cohort study. BMC Women’s Health. 2016; 16: 60. DOI: 10.1186/s12905‑016‑0341‑3

3. Huang W, Liu B, He Y. et al. Variation of diagnostic criteria in women with chronic endometritis and its effect on reproductive outcomes: A systematic review and meta-analysis. Am J. Reprod Immunol. 2020; 140: 103146. DOI: 10.1016/j.jri.2020.103146

4. Ozerskaya I. A., Kazaryan G. G. Ultrasound diagnostics of endometritis: features of blood supply of different morphological types. Bulletin of the Peoples’ Friendship University of Russia. Series: Medicine. 2019; 2: 147–155. (In Russ.). DOI: 10.22363/2313‑0245‑2019‑23‑2‑147‑155

5. Edited by Prof. M. N. Bulanov. M. Ultrasound diagnostics in gynecology. Guidelines for physicians. M.: VIDAR, 2022; 712. (In Russ.). DOI: https://dx.doi.org/10.18565/aig.2021.6.115–121

6. Cicinelli E, Vitagliano A, Kumar A. et al. International Working Group for Standardization of Chronic Endometritis Diagnosis. Unified diagnostic criteria for chronic endometritis at fluid hysteroscopy: Proposal and reliability evaluation through an international randomized-controlled observer study. Fertil. Steril. 2019; 112: 162–73. DOI: 10.1016/j.fertnstert.2019.03.004

7. Santoro A, Travaglino A, Inzani F. et al. The Role of Plasma Cells as a Marker of Chronic Endometritis: A Systematic Review and Meta-Analysis. Biomedicines. 2023; 11 (6): 1714. DOI: 10.3390/biomedicines11061714


Review

For citations:


Aksenenko V.A., Aksenenko D.V., Grigoryants A.A., Kolesnikova V.V., Uzdenova A.A. Chronic endometritis and infertility. Clinical and morphological aspects. Medical alphabet. 2024;(19):25-27. (In Russ.) https://doi.org/10.33667/2078-5631-2024-19-25-27

Views: 115


ISSN 2078-5631 (Print)
ISSN 2949-2807 (Online)