Home / Archives / Vol. 2 No. 3 (2022): Perinatology and reproductology: from research to practice / Articles Patients have tactic of auxiliary genesial technologies after the different methods of operative treatment of pathology of cervix

The objective: is proceeding in a genesial function for women after the different methods ofoperative treatment of pathology of cervix on the basis of study for them clinical—and-functionaland morphological features, and also improvement and introduction of algorithm of surgical andtreatment-and-prophylactic measures with the use of auxiliary genesial technologies. Materials and methods. An inspection and treatment was conducted 96 patients of genesial agewith infertility on a background passionately dystrophic and hyperplastic processes of endocervix.Basic group from 70 patients were made by women, which treatment of pathology of cervix whichwas studied was executed, by the methods of cryolysis or radio wave surgery (in particular by themethod of cryolysis – 30 patients, by the method of radio wave surgery – 40 patients); to the groupcomparisons entered 26 women which surgical operations – curettage and bougienage concerningpathology of cervix were executed. Results. Pathology of cervix is one of principal reasons of femaly infertility, thus in 45,8% – primaryand in 54,2% – secondary. Concomitant violations of menstrual function for these patients meet in89,6%, and chronic inflammatory processes of uterus and appendages – in 33,4% respectively. Forwomen with the secondary infertility after the different methods of operative treatment of pathologyof cervix the burdened genesial anamnesis takes place due to high-purity of artificial (73,7%)and involuntary abortions (44,7%), thus a level of inflammatory complications after differentendometrial interferences is 86,4%. The clinical results of auxiliary genesial technologies dependon the presence of concomitant dishormonal violations for women after the different methods ofoperative treatment of pathology of cervix: frequency of implantation – higher at 1,7 time, offensiveof pregnancy – in 2,0 times and births by a living fetus – at 2,1 time. Conclusions. The got results testify to efficiency of the offered algorithm of the differentiated goingnear the introduction of auxiliary genesial technologies for women with pathology of cervix takinginto account the presence of concomitant dishormonal violations. The presented information allowto recommend the improved algorithm for the wide use in cabinets and clinics of reprooduction.