ETIOLOGICAL ASPECTS OF CHRONIC ENDOMETRITIS (LITERATURE REVIEW)
The review presents the modern data about etiology of chronic endometritis (CE). It is shown that the increase of CE associated with the growth of intrauterine manipulations, including ART, «abortion aggression», with increasing the duration of wearing intrauterine devices,the surge of frequency of sexually transmitted infections, the growth of microbial pharmacological resistance and radical restructuring of vaginal biotope. Specifically it’s noted that the decisive role in the occurrence of CE belongs to a combination of the factors – state of the macroorganism, massiveness of infection and virulence of the microbial agent. It is shown the involvement of the representatives of vaginal and cervical flora to infection of the endometrium. It is shown that a special role in the genesis of CE belongs to the microbial associations, especially, aerobic-anaerobic, aggressiveness in comparison with monocultures is determined by the pronounced virulence of the organisms. It is detailed discussed the importance of the different microorganisms in the genesis of CE.