Clinical status of reproductive aged women with combined pathology of the uterus – leiomyoma and adenomyosis

Authors

DOI:

https://doi.org/10.18370/2309-4117.2019.50.51-55

Keywords:

combined uterine pathology, uterine leiomyoma, adenomyosis

Abstract

Clinical assessment of the general status of patients with combined uterine pathology (leiomyoma (LM) and adenomyosis) has a practical importance for determining specific therapeutic tactics. The study of the general condition of reproductive aged women with this pathology allows determining of many factors that can affect the clinical course of disease.

Purpose of the study was to investigate the clinical status of reproductive aged women who suffer from combined uterine pathology – LM and adenomyosis.

Materials and methods. 120 women of reproductive age were examined. Group IA united 60 patients with combined uterine pathology – asymptomatic LM and nodal, diffuse, diffuse-focal adenomyosis III, IV degrees of severity with active clinical course; group IB united 60 patients with combined uterine pathology - symptomatic LM and diffuse, diffuse focal adenomyosis I, II degrees of severity with inactive clinical course. Examination was carried out in accordance with the orders of the Ministry of Health of Ukraine.

Results. A study of the general status of reproductive aged women has revealed many factors that can affect the clinical course of disease. The study of nosological forms of extragenital pathology revealed a wide range of different organs and systems diseases, co-morbidities of mainly chronic course, varying severity in 100% of women. A number of somatic diseases can be both a cause and a consequence of gynecological pathology, especially hormonal etiology. Analysis of the anamnestic data on the transferred gynecological diseases showed 100% frequency of the combined and concomitant pathology of the female genital tract.

Conclusions. Completed study involving reproductive aged women with combined uterine pathology (LM and adenomyosis) showed many factors that can affect the clinical course of disease. Obtained data indicate that there are complex metabolic disorders in the women’s body suffering from that combined uterine pathology.

Author Biographies

М. Б. Запорожченко, Odesa National Medical University Odesa Regional Clinical Medical Center, Odesa

MD, associate professor of the Obstetrics and Gynecology Department №1

Head of the Gynecology Department

А. В. Сидоренко, Odesa National Medical University Odesa Regional Clinical Medical Center, Odesa

Postgraduate student of the Obstetrics and Gynecology Department №1

Obstetrician gynecologist of the Gynecology Department

Д. Ю. Парубіна, Odesa National Medical University Odesa Regional Clinical Medical Center, Odesa

Postgraduate student of the Obstetrics and Gynecology Department №1

Obstetrician gynecologist of the Gynecology Department

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Published

2019-12-28

How to Cite

Запорожченко, М. Б., Сидоренко, А. В., & Парубіна, Д. Ю. (2019). Clinical status of reproductive aged women with combined pathology of the uterus – leiomyoma and adenomyosis. REPRODUCTIVE ENDOCRINOLOGY, (50), 51–55. https://doi.org/10.18370/2309-4117.2019.50.51-55

Issue

Section

Tumors and pretumoral pathology