Clinical features of the endometrial polyps in the age aspect
The purpose of the study was the investigation of the characteristics of the clinical, hysteroscopic and histological picture of polyps of the uterus in women of a wide age range. Materials and methods. We analyzed 90 cards of hospitalized patients treated in the gynecological department of the Simferopol Clinical Maternity Hospital № 1 in 2019. The studied cohort consisted of three groups of women of 30 people each aged 25-34 years, 35-44 years and 45-54 years. Results. The younger women of the group I presented the abnormal uterine bleeding. The lower abdominal nagging pains combined with bloody discharge from the genital tract were presented in the patients of group II. In group II (35-44 years old), the association was also noted between systemic endocrine disorders and the development of female reproductive diseases. Thus, obesity was diagnosed in 20% of women. The obesity was also mentioned in patients of group III (perimenopausal age). The peculiarity of the hysteroscopic clinical picture of endometrial polyps at different periods of a woman’s life was found to be more often detected in reproductive age against the background of the endometrial mucosa of various phases of the menstrual cycle and glandular endometrial hyperplasia, and in postmenopausal women against the background of endometrial atrophy. Conclusion. The occurrence and course of this hyperplastic process has an age specific pattern. The analysis of routing the patients with endometrial polyp shows the untimely diagnosing of this gynecological pathology. Transvaginal ultrasound examination of the pelvic organs remains the "gold standard" in the diagnosis of this pathology in women of all age groups.