REPRODUCTIVE HEALTH IN CHRONIC ENDOMETRITIS
Chronic endometritis (CE) can completely prevent the implementation of a woman’s reproductive plans. The inflammatory process disrupts decidualization during the corresponding period of the menstrual cycle, which leads to conditions under which normal implantation is not possible and infertility, undeveloped pregnancy, spontaneous abortion, habitual miscarriage, preeclampsia, unsuccessful attempts of in vitro fertilization (IVF)occur. Given the current demographic situation in Russia, the problem is becoming especially urgent. The diagnostic value of the applied research methods is different. The most informative are immunohistochemical examination and hysteroscopy. However, the isolated use of one of these methods for making a diagnosis is controversial. It is shown that HE is distinguished by a visual variety of endoscopic manifestations, while some characteristic signs may be absent. The largest number of false-negative results was obtained using echography. HE is successfully treated with the right therapy, depending on the diagnosed macrotype. In most cases, antibacterial therapy helps to eliminate the inflammatory process. This review focuses on the processes that occur in CE, and explains the problems associated with unsuccessful diagnosis.