DEVELOPMENT OF PELVIC INFLAMMATORY DISEASES AGAINST THE BACKGROUND OF LONG-TERM USE OF SELF-MADE INTRAUTERINE DEVICE: A CASE REPORT

Background. Pelvic inflammatory diseases (PIDs) retain their leading position in the structure of gynecological morbidity and account for 60.4-65% of the entire pathology of the organs of the reproductive system. Currently, particular attention is paid to the evaluation of the effect of intrauterine contraceptives on the development of PIDs. The development of pyometra is especially dangerous. In postmenopausal women, the frequency of purulent complications against the background of long-term use of intrauterine devices (lUDs) is significantly increasing. Description of the clinical case. This article describes the clinical case of pyometra that evolved against the background of a multi-year presence of self-made intrauterine device in the uterine cavity. This case very clearly illustrates the problem of development of purulent pelvic diseases of against the background of long-term and uncontrolled use of lUDs. It is important to inform patients about the possible risks of using IUDs longer than needed, about the risk of purulent-septic complications, especially in postmenopausal women. Conclusion. Gynecologists need to carry out a thorough follow-up of women using IUDs, as well as diagnose PIDs at the proper time, and adequately and competently choose the tactics for treating such patients.

pelvic inflammatory diseases, intrauterine contraception, pyometra