77 -11 (73) 2024 - Zufarova Sh.A., Turakulova Sh.Sh. - CLINICAL-ULTRASONIC MANIFESTATIONS OF SMALL FORMS OF ENDOMETRIOSIS IN WOMEN WITH INFERTILITY

CLINICAL-ULTRASONIC MANIFESTATIONS OF SMALL FORMS OF ENDOMETRIOSIS IN WOMEN WITH INFERTILITY

Zufarova Sh.A. - Tashkent Pediatric Medical Institute

Turakulova Sh.Sh. - Tashkent Pediatric Medical Institute

Resume

The article presents the results of an assessment of clinical and ultrasound manifestations of minor forms of endometriosis in women with infertility. It was found that patients with endometriosis-associated infertility more often indicated an early onset of menarche and longer menstruation, often combined with primary dysmenorrhea, endometrial hyperplasia, pelvic inflammatory diseases due to STIs, gastrointestinal diseases, allergic reactions, surgical interventions on the small organs pelvis. The complaints were dominated by abnormal uterine bleeding in the form of heavy menstrual bleeding, intermenstrual spotting, pain, and hyperprolactinemia. Establishing stages 1-2 of endometriosis, ultrasound indicators changed significance depending on the location of endometrioid heterotopias. The best results of non-invasive diagnosis of endometriomas were obtained when the lesion was localized in the ovary. Non-invasive diagnostics are the least informative for the peritoneal location of endometriotic lesions.

Key words: endometriosis, early diagnosis, ultrasound diagnosis, infertility

First page

438

Last page

445

For citation:Zufarova Sh.A., Turakulova Sh.Sh. - CLINICAL-ULTRASONIC MANIFESTATIONS OF SMALL FORMS OF ENDOMETRIOSIS IN WOMEN WITH INFERTILITY//New Day in Medicine 11(73)2024 438-445 https://https://newdayworldmedicine.com/en/new_day_medicine/11-73-2024

List of References

1. Красильникова А.К., Герасимов А.М., Абдуллаева Л.Х. Факторы риска и клинико-анамнестические особенности у женщин с эндометриоз-ассоциированным бесплодием в современных условиях //Научное обозрение. Медицинские науки. 2022;6:23-28.
2. Красильникова А.К., Малышкина А.И., Сотникова Н.Ю, Анциферова Ю.С. Клиника малых форм эндометриоза //Вестник ИвГМА. 2018;3(23):18–23.
3. Эндометриоз: Клинические рекомендации и др. М., 2020; 60 с.
4. Agarwal S.K., Chapron C., Giudice L.C., Laufer M.R., Leyland N., Missmer S.A., Singh S.S., Taylor H.S. Clinical diagnosis of endometriosis: a call to action. //Am J Obstet Gynecol. 2019 Apr;220(4):354. DOI: 10.1016/j.ajog.2018.12.039. 3.
5. Ashrafi M., Sadatmahalleh S.J., Akhoond M.R., Talebi M. Evaluation of Risk Factors Associated with Endometriosis in Infertile Women. //Int J Fertil Steril. 2016;10(1):11-21. DOI: 10.22074/ijfs.2016.4763. 7.
6. Simpson C.N., Lomiguen C.M., Chin J. Combating Diagnostic Delay of Endometriosis in Adolescents via Educational Awareness: A Systematic Review. Cureus. 2021 May;20(13(5):e15143. DOI: 10.7759/cureus.15143.
7. Soliman A.M., Fuldeore M., Snabes M.C. Factors associated with time to endometriosis diagnosis in the United States. //J Womens Health (Larchmt). 2017;26:788-797.
8. Svensson A., Brunkwall L., Roth B., Orho-Melander M., Ohlsson B. Associations Between Endometriosis and Gut Microbiota. //Reprod Sci. 2021 Aug;28(8):2367-2377. DOI: 10.1007/s43032-021-00506-5.
9. Wang W., Li R., Fang T. et al. Endometriosis fertility index score maybe more accurate for predicting the outcomes of in vitro fertilisation than r-AFS classification in women with endometriosis. Reprod. Biol. Endocrinol. 2013;11:112. DOI: 10.1186/1477-7827-11-112. 6.
10. Warzecha D., Szymusik I., Wielgos M., Pietrzak B. The Impact of Endometriosis on the Quality of Life and the Incidence of Depression-A Cohort Study. //Int J Environ Res Public Health. 2020 May;21(17 (10):3641. DOI: 10.3390/ijerph17103641.

    file

    download