FEATURES OF THE COURSE OF ADENOMYOSIS IN WOMEN WITH INFLAMMATORY DISEASES OF THE UTERUS

Аннотация

Benign hyperplastic diseases of the uterus, in particular adenomyosis, are an urgent medical and social problem, and recently its significance has grown significantly, which is associated with a steady increase in the number of such diseases among women of reproductive age. One of the reasons may be inflammatory diseases of the genital sphere in women, which represent a significant and still unresolved problem of modern gynecology. The aim is to determine the development of adenomyosis in women with inflammatory diseases of the uterus. Materials and methods. We examined 62 women of reproductive age who were divided into two groups: group 1 – 29 women with chronic endometritis in combination with adenomyosis, with a history of intrauterine interventions, group 2 – 33 women with an established diagnosis of adenomyosis. Results. The age of the examined ranged from 29 to 49 years, and averaged 38.1 ± 0.3 years. It was found that the clinical picture of chronic endometritis does not depend on the presence of adenomyosis in such women. In the examined women of both the first and second groups, inflammatory diseases of the pelvic organs, the lower genitals, hyperplastic processes of the endometrium, abnormal uterine bleeding are almost equally common. Conclusions. Ultrasound performed on expert-class devices allows not only to make the correct diagnosis, but also to determine the extent of the spread of adenomyosis in the uterus. The diffuse form of grade 1 adenomyosis is also often not detected and not described by ultrasound. This leads to improper treatment and its low effectiveness. In some patients, the only sign of endometritis detected by ultrasound may be mucosal vascularization and hypervascularization of the underlying layer of the myometrium.