Epidemiology of endometrial disease in elderly and senile women
The analysis was performed of frequency and structure of endometrial pathology in 3998 women aged 60-87 years receiving follow-up clinic-hospital monitoring care. The frequency of different endometrial pathology was 2,5%, or 24,8 per 1,000 women. Glandular fibrous endometrial polyps predominated (2,2%; 22,0%). Endometrial adenocarcinoma (0,1%; 1,5 %) and chronic endometritis (0,1%; 1,2 %) was detected 15 to 18 times less frequently. In this case, pathological changes in the endometrium were found 4 times more frequently in women aged 60-74 years (endometrial polyps, 4.5 times; chronic endometritis, 1.5 times; endometrial adenocarcinoma, 2 times). The study demonstrates the high efficiency of follow-up monitoring of postmenopausal women for early detection and treatment of endometrial pathology, in particular, oncological processes. The continuity in the work of the outpatient and inpatient medical institutions underlying the provision of medical care is important.