Clinical and Statistical Analysis of the History of Women Who Underwent Inflammatory Diseases of the Reproductive System
Purpose of the study was to assess the structure and dynamics of the incidence of sexually transmitted infections (STIs), as well as to identify the nature of the impact of STIs on the reproductive function of women. Materials and methods. A retrospective analysis of the anamnesis of women who underwent inflammatory diseases of the reproductive system according to the archive of outpatient records and case histories of the Kiev city center of reproductive medicine and perinatal medicine in 371 patients for the period from 2017 to 2019 was carried out. Results. The leading role in the development of inflammatory diseases of the reproductive system certainly belongs to sexually transmitted pathogens. Opportunistic pathogenic and pathogenic bacteria are the main types of pathogens of these infections. It should be noted that pathogens are usually present in the form of various microbial associations, is the disease often has a multibacterial nature. When analyzing the structure of the incidence of STIs in women, it was revealed that the incidence of ureaplasmosis is in the first place, which is 45.3%. In second place - the incidence of chlamydia 28%. III place was shared by trichomoniasis and gardnerellosis, the frequency was 20.5% each. The incidence of mycoplasmosis was 11.1%. Also, 4 (1.1%) cases of gonorrhea and 2 (0.54%) cases of syphilis were identified. It can be concluded that acute inflammatory diseases of the uterine appendages with a fairly high frequency cause all STIs. Chronization of the inflammatory processes of the uterine appendages was more often observed with mycoplasmosis, trichomoniasis and chlamydia. Background diseases of the cervix met with all STIs. Menstrual irregularities were most common when infected with mycoplasmosis and gardnerellosis. Infertility is often caused by STIs such as mycoplasmosis, trichomoniasis and chlamydia. Moreover, a combination of several infections dramatically increases the risk of infertility. The cause of the threat of interruption was more often ureaplasmosis, trichomoniasis and mycoplasmosis. An undeveloped pregnancy and habitual miscarriage were the prerogative of viral infections. Preservation of reproductive function in women and men is one of the priority tasks of modern medicine. One of the main causes of reproductive health problems is infection with sexually transmitted infections (STIs).