Endometrial polyps in the reproductive age: the finishing touches to the clinical portrait
DOI:
https://doi.org/10.18370/2309-4117.2016.29.39-43Keywords:
endometrial polyp, micropolyps, chronic endometritis, infertilityAbstract
The article presents the results of the study of clinical presentation, history of reproductive aged women with endometrial polyps and micropolyps. Possibility of the diagnosis of this disease on clinical manifestations was estimated.
The study involved 130 patients aged 18–35 years: 70 patients with endometrial polyps (group I), 30 patients with micropolyps (group II) and 30 patients of the control group (group III).
Analysis of complaints showed that the most common reason for hospital treatment in the majority of the surveyed women was infertility. The prevalence of infertility suggests that the structural and functional changes in the endometrium if there are micropolys are not only a serious obstacle for the embryo implantation and pregnancy development, but can also be а basis for the endometrial polyps formation. And such clinical symptoms of micropolyp as perimenstrual bleeding, discharge from the genital tract, algodysmenorrhea, menorrhagia, pain in women with endometrial polyps only prove common pathogenetic mechanisms.
Analysis of menstrual blood loss indicates that 46% of women with endometrial polyps and 87% with micropolyps this criterion differs from the normal values. The amount of menstrual blood loss in groups I and II was the same, but significantly different from the control group.
Analysis of the gynecological diseases structure in women of major groups revealed that the proportion of patients with infertility in the group with endometrial polyps was 66%, predominantly due to primary infertility, which suffered 49% respondents.
Thus formed the following clinical picture of patients with endometrial polyps. Women with micropolyps are women with secondary infertility dominant. Starting early sexual activity before the age of 18, they use ineffective contraception. Pregnancy occurs without much difficulty, but often results in spontaneous abortions and frequent abnormal uterine bleeding in these women makes them regular gynecological hospital patients.
References
- Savchenko , T.N., Voropaeva, E.A., Batiyan, T.S., et al. “Microbiota composition and mucosal immunology in post-menopausal women with endometrial polyps.” Doctor.Ru 68.9 (2011): 33–9.
- Cicinelli, E., Resta, L., Nicoletti, R., et al. “Endometrial micropolyps at fluid hysteroscopy suggest the existence of chronic endometritis.” Human Reproduction 20.5 (2005): 1386–9.
- Resta, L., Palumbo, M., Rossi, R., et al. “Histology of micropolyps in chronic endometritis.” Histopathology 60.4 (2012): 670–4.
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