Особливості акушерсько-гінекологічного анамнезу жінок постменопаузального віку з внутрішньоматковою рідиною

Abstract

The article presents data on the characteristics of obstetric-gynecological history of postmenopausal women with intrauterine fluid. The objective: is to study whether the obstetric and gynecological history has an effect on the development of intrauterine fluid in postmenopausal women and based on these data to identify a risk group for the development of intrauterine fluid in postmenopausal women. Materials and methods. A prospective study of 130 female patients of the postmenopausal period with intrauterine fluid and with the physiological course of the postmenopausal period was conducted. During the examination of patients, the data of obstetric history were analyzed, while paying attention to the onset of menarche, menstrual dysfunction, the total number of pregnancies and childbirth, infertility. When studying the gynecological history, we studied gynecological diseases for which surgical interventions were performed on the pelvic organs, inflammatory diseases of the uterus and appendages, the complications arising after surgical interventions were evaluated, and attention was paid to the course of the peri and postmenopausal period. Results. As a result of the study, it was found that postmenopausal women with intrauterine fluid had a burdened obstetric history in the form of menstrual irregularities such as hyperpolymenorrhea (16.4%), abortions and spontaneous miscarriages (71.9% and 16.4%, respectively). there was also a high incidence of secondary infertility (5.9%). From the gynecological history in postmenopausal women with intrauterine fluid, a high frequency of inflammatory processes of the uterus and appendages (37.3%), diseases of the cervix (29.8%) and an increased percentage of surgical interventions in this regard are noteworthy: for cervical diseases – 37%, with inflammatory diseases of the uterus – 8.9% (p<0.05). Conclusions. Compared with postmenopausal women with a physiological course of menopause, postmenopausal women with intrauterine fluid have complications in obstetric and gynecological history. Key words: postmenopausal period, intrauterine fluid, obstetric and gynecological history.