Some ways of improvement of pathological uterine bleeding causes diagnostics in women of reproductive age

Аннотация

Objective: improvement of pathological bleeding causes diagnostics (PBS) in women of the reproductive age.

Полный текст

Methods: hysteroscopic, histologic, cytologic, bacteriology, the investigation of hemostasiograms. 106 women of Reproductive age with clinical manifestation of PBC have been investigated.

Results: The use of the diagnostics complex in 86,7% of women permitted to reveal the organic cause of PBC whereas these patients have been treated for dysfunctional uterine bleedings during 2-3 years. The group of the revealed diseases included: endometrium polyps - 32,6%; internal endometriosis - 29,3%; chronic ensometritis - 27,1%; focus endometrium hypoplasia - 7,6%; submucous uterine myomas - 3,2%. Complex diagnostic technique has allowed to reveal the combination of internal endometriosis and focus endometrium hyperplasia, in 21 % cases in half of the cases chronic endometritis was followed by endometrium interpretation difficult in 19,4% of cases. The use of cytologic method improves the diagnostic possibilities in case of atrophy and hypoplasia. The presence of pathogenic and pseudopathogenic microorganisms has been revealed in 21,4% of the patients and virus infection in 7,4% of women.

Conclusion: The suggested complex method of PBC causes diagnostics allows to improve the exactness of diagnostics and the quality of management in 2,5 times.