Endometrial pathology of women of late reproductive age
The study involved 237 women aged 35-44 years who were sent to hysteroscopy to confirm the diagnosis and treatment. Studying the history of women of late reproductive age with endometrial pathology revealed a high prevalence of somatic pathology in this category of patients (68.4%): gastro-intestinal tract determined in 25.3%, liver pathology in 18.6%, heart disease in 17,8%. Obesity and allergies were observed in about 16% of patients. The structure of the most common gynecological diseases of surveyed women were pelvic inflammatory disease (adnexitis at 49.4%) and uterine fibroids (27.4%). Almost every second patient were recorded with the presence of ectopic columnar epithelium of the cervix (in 111 or 46.8%), which indicates the presence of hormonal imbalance. Fairly high percentage rate of chlamydial infection (37 or 15.6%) was observed in this category of women, confirming the theory of the role of inflammation in the development of hyperplastic processes of pelvic organs. Women in late reproductive age in the case of infertility should be required for hysteroscopy due to the fact that endometrial pathology may remain undiagnosed and influence the outcome of infertility treatment and subsequent health.