LAPAROSCOPY FOR THE RECOVERY OF REPRODUCTIVE HEALTH IN WOMEN WITH POLYCYSTIC OVARY SYNDROME
Abstract
Aim: to analyze the usefulness of laparoscopic methods for the recovery of reproductive health in women with polycystic ovary syndrome (PCOS).
Materials and methods. A continuous retrospective analysis of 56 outpatient cards and case histories of women with PCOS and concomitant infertility for the period from 2013 to 2015 was conducted using the documentation from the Kursk Regional Perinatal Center. The average age of the patients was 28.29 ± 4.43 years, the duration of infertility – from 1 to 15 years. Anamnestic and clinical data, concomitant pathology and long-term results of laparoscopic treatment and diagnostic procedures were studied.
Results. The patients underwent surgical treatment after conservative therapy failed to restore their fertility. As a result, 49 women (87.5%) were able to restore the regular menstrual cycle and 35 women (62.5%) got pregnant.
Conclusion. The use of laparoscopy revealed the ultimate cause of infertility and allowed for surgical treatment able to restore the reproductive women’s health.
About the Authors
I. N. Medvedevа
Kursk State Medical University, Health Ministry of Russian Federation.
Russian Federation
Russian Federation
Medvedevа Irina Nikolaevna – PhD, Assistant Professor, Department of Obstetrics and Gynecology, Faculty of Postgraduate Education.
ul. Karla Marksa, 3, Kursk, 305041.
A. B. Khuraseva
Kursk State Medical University, Health Ministry of Russian Federation.
Russian Federation
Russian Federation
Khuraseva Anna Borisovna – MD, Professor, Department of Obstetrics and Gynecology, Faculty of Postgraduate Education.
ul. Karla Marksa, 3, Kursk, Russia, 305041.
K. S. Svyatchenko
Kursk State Medical University, Health Ministry of Russian Federation; Kursk City Polyclinic № 7.
Russian Federation
Russian Federation
Svyatchenko Ksenia Sergeevna – Рostgraduate student, Department of Obstetrics and Gynecology, Faculty of Postgraduate Education.
ul. Karla Marksa, 3, Kursk, 305041.
Obstetrician-gynecologist, Women's health outpatient clinic № 7.
ul. Deineki, 7/1, Kursk, 305007.
T. A. Biryukova
Kursk City Polyclinic № 7.
Russian Federation
Russian Federation
Biryukova Tatiana Anatolyevna – Head of Women's health outpatient clinic № 7.
ul. Deineki, 7/1, Kursk, 305007.
References
1. Gynecology: national guideline [Ginekologiya: nacional'noe rukovodstvo (Pod red. V.I. Kulakova, I.B. Manuhina, G.M. Savel'evoj)]. Moskva: GEOTAR-Media. 2011: 1088 s (in Russian).
2. Solopova A.G., Makatsariya A.D., Solopova A.E., Nikiforova O.V. Sclerocystic ovaries: current approaches to the problem [Cklerokistoznye yaichniki: sovremennyj vzglyad na problem]. Akusherstvo, ginekologiya i reprodukciya. 2017; 11 (2): 57-68 (in Russian). DOI: 10.17749/23137347.2017.11.2.057-068.
3. Arkhipkina T.L., Lyubimova L.P. Hyperhomocysteinemia, dysfunction of endothelium and their connection with sex steroids in polycystic ovaries syndrome [Gipergomocisteinemiya, disfunkciya endoteliya i ih svyazi s polovymi steroidami pri sindrome polikistoznyh yaichnikov]. Akusherstvo, ginekologiya i reprodukciya. 2016; 10 (3): 24-8 (in Russian). DOI: 10.17749/2313-7347.2016.10.2.024-028.
4. Guriev T.D. Polycystic ovaries syndrome [Sindrom polikistoznyh yaichnikov]. Akusherstvo, ginekologiya i reprodukciya. 2010; 2: 10-5 (in Russian).
5. Guideline for outpatient care in obstetrics and gynecology [Rukovodstvo po ambulatornopoliklinicheskoj pomoshchi v akusherstve i ginekologii (Pod red. V.E. Radzinskogo)]. 2-e izd., pererab. i dop. Moskva: GEOTARMedia. 2014: 944 s (in Russian).
6. PCOS: from a revision of views to new therapeutic strategies. Modern scientific data and clinical recommendations of the Ministry of Health of the Russian Federation in 2015 [SPKYa: ot peresmotra predstavlenij k novym terapevticheskim strategiyam. Sovremennye nauchnye dannye i klinicheskie rekomendacii MZ RF 2015 goda. Informacionnyj byulleten' (Pod red. E.N. Andreevoj, M.B. Hamoshinoj)]. Moskva: StatusPraesens. 2016: 28 s (in Russian).
7. Yermoshenko B.G., Krutova V.A., Nadtochiy A.V. Restoration of reproductive function in patients with an endocrine factor of infertility [Vosstanovlenie reproduktivnoj funkcii u pacientok s endokrinnym faktorom besplodiya]. Kubanskij nauchnyj medicinskij vestnik. 2009; 3: 46-50
8. Pavlova S.A., Bugrova T.I., Bushkova O.N. The role of laparoscopy in the diagnosis and treatment of female infertility [Rol' laparoskopii v diagnostike i lechenii zhenskogo besplodiya]. Zhurnal akusherstva i zhenskih boleznej. 2006; 15: 33 (in Russian).
9. Abashidze A.A., Arakelyan V.F. Pipe-peritoneal infertility and laparoscopy: urgency of the problem [Trubno-peritoneal'noe besplodie i laparoskopiya: aktual'nost' problemy]. Akusherstvo, ginekologiya i reprodukciya. 2016; 10 (2): 77-79 (in Russian). DOI: 10.17749/2313-7347.2016.10.2.077-079.
10. Pajanidi Yu.G., Zhordania K.I., Stylidi I.S., Zakharova T.I., Bokhyan V.Yu. Rare forms of uterine leiomyoma (clinical observations) [Redkie formy lejomiom matki (klinicheskie nablyudeniya)]. Akusherstvo, ginekologiya i reprodukciya. 2016; 10 (4): 66-71 (in Russian). DOI: 10.17749/23137347.2016.10.4.066-071.
For citation:
Medvedevа I.N., Khuraseva A.B., Svyatchenko K.S., Biryukova T.A. LAPAROSCOPY FOR THE RECOVERY OF REPRODUCTIVE HEALTH IN WOMEN WITH POLYCYSTIC OVARY SYNDROME. Obstetrics, Gynecology and Reproduction. 2017;11(4):30-34. (In Russ.) https://doi.org/10.17749/2313-7347.2017.11.4.030-034
Views: 166
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Email this article 