THE ETHNIC CHARACTERISTICS OF THE COMBINATION OF SEXUALLY TRANSMITTED INFECTIONS IN WOMEN WITH INFERTILITY AND GENITAL TUBERCULOSIS

Abstract

Genital TB is the cause of tubal-peritoneal infertility in 60–95% of clinical observations. The aim of the study was to reveal the peculiarities of reproductive disorders and combinations of sexually transmitted infections and conditionally pathogenic microflora in women with genital tuberculosis in Russian and Buryat ethnic groups. Materials and methods. The main group consisted of 92 women 32,7±4,8 years with tuberculosis of genital organs, 56 (61%) Russians and 36 (39%) Buryat. 115 women without genital tuberculosis 31,4±7,1 years, respectively, Russian and Buryat women made a comparison group. Results. The frequency of tubal peritoneal infertility among Russians and Buryats was 67,9% and 63,9%, (Pc2>0,05) in the main group. The duration of infertility for more than 5 years was 55,6% Russian and 37,5% Buryat (Pc2<0,05) in the main group. The combination of trichomoniasis, gonorrhea, chlamydia and viral infection was more often detected in women with reproductive disorders and genital tuberculosis 60,9% versus 45,2% (Pc2>0,05) without statistical difference in ethnic groups. Viral infection (cytomegalovirus and herpes of type 1, 2) was significantly more often detected in women with genital tuberculosis than in 28,3% versus 14,8%, (Pc2<0,05). Conclusion. A high incidence of genital infections and opportunistic microflora was detected in women at risk of genital tuberculosis with reproductive disorders irrespective of the presence of genital tuberculosis — 81,6%, indicating that clinical manifestations of genital tuberculosis and its combination with sexual infections in women with infertility are not specific. Experts detect Urogenital TB already in irreversible anatomical changes when the prospects of recovery of reproductive function are unsatisfied even using modern IVF.