• Features of the cervix uteri in women of reproductive age with endometrial polyps and micropolyps

Features of the cervix uteri in women of reproductive age with endometrial polyps and micropolyps

HEALTH OF WOMAN.2016.7(113):108–111; doi 10.15574/HW.2016.113.108 
 

Features of the cervix uteri in women of reproductive age with endometrial polyps and micropolyps


Tatarchuk T. F., German D. G.

SI «Institute of Pediatrics, Obstetrics and Gynecology, NAMS of Ukraine», Kiev


The article presents the comparative analysis of the state of the cervix in women with endometrial polyps and micropolyps.


Patients and methods. 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).


Results. According to the anamnesis of women in the I group were significantly more frequent diseases of the cervix, which corrected physical surgery methods, in particular cryodestruction. In group II, the representatives of these indicators were similar to healthy. Normal colposcopic picture met significantly less frequently in patients and I, and II group. The differences in the incidence of HPV high oncogenic risk in all groups were not statistically significant.


Conclusion. Destructive methods used in the detection of any changes in the cervix are often overly aggressive, form scars and contributing to inflamaciones process. In the chain of events leading to the formation of PE, cervical pathology and its correction can take the basic place.


Key words: endometrial polyp, micropolyps, chronic endometritis, uterine cervix, colposcopy.


REFERENCES

1. Ryibalko IE. 2005. Novyie podhodyi k diagnostike i lecheniyu polipov matki. Avtoref. diss. kand. med. nauk: spets. 14.00.01 «Akusherstvo i ginekologiya». Blagoveschensk:28.

2. Hitryih OV. 2007. Sovremennyie aspektyi problemyi polipov endometriya v postmenopauze. Rossiyskiy vestnik akushera-ginekologa 6:28–33.

3. Annan J, Aquilina J, Ball E. 2012. The management of endometrial polyps in the 21st century. The Obstetrician & Gynaecologist 14:33–38. http://dx.doi.org/10.1111/j.1744-4667.2011.00091.x

4. Salim S, Won H, Nesbitt-Hawes E et al. 2011. Diagnosis and management of endometrial polyps: a critical review of the literature. Journal of Minimally Invasive Gynecology 18;5:569–581. http://dx.doi.org/10.1016/j.jmig.2011.05.018; PMid:21783430

5. Cicinelli E, Resta L, Nicoletti R et al. 2005. Endometrial micropolyps at fluid hysteroscopy suggest the existence of chronic endometritis. Human Reproduction 20;5:1386–1389. http://dx.doi.org/10.1093/humrep/deh779; PMid:15734762

6. De Sa Rosa e de Silva AC, Rosa e Silva JC, Candido dos Reis FJ et al. 2005. Routine office hysteroscopy in the investigation of infertile couples before assisted reproduction. Journal of Reproductive Medicine 50:501–506.

7. Jayap-rakasan K, Sahu B, Thornton J, Raine-Fenning N. 2012. Surgical intervention versus expectant management for endometrial polyps in subfertile women (Protocol). Електронний ресурс. The Cochrane collaboration. Режим доступу до ресурсу: http: //onlinelibrary. wiley. com/doi/10.1002/14651858.CD009592.pub2/epdf.

8. Aplin J, Fazleabas A, Glasser S, Giudice L. 2008. The Endometrium. UK: Informa healthcare:882.

9. Indraccolo U, Di Iorio R, Matteo M et al. 2013. The pathogenesis of endometrial polyps: a systematic semi-quantitative review. European Journal of Gynaecological Oncology XXXIV;1:5–22.