Features of hemodynamics of pelvic organs in women with tubal-peritoneal infertility

Abstract

BACKGROUND: Insufficient effectiveness of modern methods of treatment of tubal-peritoneal infertility, including the use of in vitro fertilization, may be due to a persistent violation of the hemodynamics of the pelvic organs in patients.
 AIM: To identify the features of the hemodynamics of the pelvic organs in women with tubal-peritoneal infertility using the method of computer tetrapolar reopletismography.
 MATERIALS AND METHODS: The study included 53 women aged 25 to 35 years, according to the criteria for inclusion, non-inclusion in the study and exclusion from the study. The main group included 33 patients with secondary tubal-peritoneal infertility, confirmed by laparoscopy and chromohydrotubation. The control group consisted of 20 apparently healthy women with a history of spontaneous pregnancy, vaginal delivery and no abortions. The tetrapolar reopletismography study was performed on days 1921 of the ovulatory menstrual cycle. Statistical processing of the obtained results was carried out using the computer software package Statistica v. 11 (StatSoft, Inc., USA) using methods of parametric and nonparametric statistics.
 RESULTS: The study revealed a significant decrease in volumetric indicators of pelvic blood flow, systolic blood flow to the pelvic organs and blood circulation intensity, as well as significant changes in vascular tone and regional vascular resistance in the pelvic basin, in the main group patients compared with the control.
 CONCLUSIONS: Identified significant violations of the hemodynamics of the pelvic organs in tubal-peritoneal infertility can be regarded as an unfavorable factor that must be taken into account when choosing a treatment strategy. Therefore, the normalization of the hemodynamics of the organs of the female reproductive system using medical and efferent methods should be an important component in the complex treatment of tubal-peritoneal infertility, including before in vitro fertilization.