ACADEMIC RESEARCH IN MODERN SCIENCE
International scientific-online conference
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PROBLEMS IN DIAGNOSING SECONDARY INFERTILITY IN WOMEN
Pardaeva Ozoda Gayratovna
https://doi.org/10.5281/zenodo.13999629
Abstract
According to various authors, 10-15% of married couples suffer from
infertility, 40-45% of which are due to the female factor. At the same time, the
most common causes of infertility in women are tubo- peritoneal (40-50%),
ovulatory dysfunction (30-40%) and uterine factors (15-20%).
Aim of the study.
Assessment of the role of endovisual diagnostic and
treatment methods in the management of women with secondary infertility.
Material and methods of research:
we investigated 35 women of
reproductive age who applied to the department of gynecology of the
Samarkand Regional Multidisciplinary Medical Center in 2022 -2023. The
inclusion criteria for patients were: 1) secondary infertility 2) normal hormonal
profile 3) normal semen characteristics of the husband (spermogram) 4) normal
ovarian reserve 5) normal hysterosalpingography findings 6) no
contraindications to hysterolaparoscopy 7) reproductive age (18- 40 years).
After a complete examination and the absence of contraindications, the
essence of the procedure was explained to the patients (and their spouses). In
particular, patients were given detailed information that diagnostic
hysteroscopy and laparoscopy would be performed simultaneously. If an
intrauterine pathology is detected, diagnostic hysteroscopy will switch to
therapeutic. If there are no changes on hysteroscopy, diagnostic laparoscopy will
be performed simultaneously, with transition to therapeutic laparoscopy when
pathology is detected. For all this, we received informed written consent with
accentuation of all peculiarities of the surgical intervention.
The operation was performed in the early follicular phase of the menstrual
cycle under general anesthesia.
Results and discussion:
The average age of respondents and the average
duration of infertility were 27.8±8 and 5.3±3.6 years, respectively. Of the 35
women with secondary infertility, 20 had a history of cesarean section.
Conclusions:
Thus, we can conclude that today the proposed standard methods
for diagnostics of infertility such as hysterosalpingography and ultrasonography
are not always fully informative. Hysterolaparoscopy is the most acceptable
method for diagnosing infertility. Today, despite the fact that hystero- and
laparoscopy are invasive interventions, the greatest advantage of these methods
is the simultaneous implementation of both diagnostic and therapeutic
ACADEMIC RESEARCH IN MODERN SCIENCE
International scientific-online conference
40
interventions. Moreover, these invasive procedures are considered safe and the
percentage of complications according to the literature does not exceed 1.65%
[2] and are moderate abdominal pain. And most importantly, unlike traditional
diagnostic methods, endovisual diagnostic methods help to identify so-called
“small forms” of lesions such as endometrial polyps, synechiae, etc.
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