Women s Health and Reproduction,
Journal Year:
2024,
Volume and Issue:
61(1)
Published: Jan. 1, 2024
Aim.
To
study
the
controversial
issues
of
diagnosis
and
treatment
chronic
endometritis
(CE)
its
impact
on
fertility,
according
to
foreign
domestic
authors.
Key
points.
Although
immunohistochemical
for
plasma
cells
is
considered
gold
standard
diagnosing
CE,
it
has
limitations.
The
need
achieve
consensus
diagnostic
criteria
cholecystitis
was
noted
in
order
exclude
influence
heterogeneity
studies
assessment
results.
An
integrated
approach
based
knowledge
about
pathogenesis
CE
facilitates
selection
adequate
treatment.
positive
role
antibacterial
therapy
resolving
undoubted.
In
recent
years,
restore
immune
defense
been
widely
discussed.
importance
a
complex
natural
antimicrobial
peptides
cytokines
restoring
fertility
improving
pregnancy
outcomes
already
proven
several
publications.
Physiotherapeutic
methods
continue
be
studied,
most
popular
currently
are
cavitated
solutions,
peloids,
electropulse
magnetic
therapy.
Conclusion.
require
clear
definition.
Treatment
should
include
broad-spectrum
antibiotic
therapy,
immunomodulatory
physiotherapy.
Keywords:
endometritis,
infertility,
recurrent
miscarriage,
antibiotics,
immunomodulators,
peloid
ultrasonic
cavitation,
interference
magnetotherapy,
laser
Journal of Clinical Medicine,
Journal Year:
2022,
Volume and Issue:
12(1), P. 285 - 285
Published: Dec. 29, 2022
To
identify
the
prevalence
and
risk
factors
for
chronic
endometritis
(CE)
with
tubal
correlation
between
among
infertile
populations.
A
total
of
52
patients
(CE
group)
who
underwent
laparoscopy
hysteroscopic
surgery
were
recruited
July
2020
December
2021.
38
without
(non-CE
included
as
a
control.
Patients
endometriosis
intra-uterine
abnormalities
excluded.
Endometrial
samples
collected
during
CD138
immunohistochemistry
staining
diagnosis
CE.
Preoperative
information
(including
age,
reproductive
health
characteristics,
previous
medical
surgical
history),
intra-operative
patency
fallopian
tube,
presence
hydrosalpinx,
score
grade
lesion
condition)
post-operative
(counts
CD138-positive
HPF
in
endometrial
specimen)
collected.
multivariate
analysis
revealed
that
unilateral
or
bilateral
occlusion
significantly
higher
CE
group
(OR
3.066,
95%
CI
1.020-9.213,
p
=
0.046).
The
tubes
8.785,
1.408-54.818,
0.020)
rather
than
2.860,
0.893-9.162,
0.077)
was
associated
endometritis.
hydrosalpinx
on
one
side
7.842,
1.279-48.086,
0.026)
both
sides
9.450,
1.037-86.148,
0.046)
comparison
counts
follows:
1
(50.00%
vs.
12.50%
11.11%,
0.051),
2
(38.89%
25.00%
22.22%,
0.615),
≥3
(11.11%
62.50%
66.67%,
0.005).
stage
condition
positively
correlated
women
(r
0.460,
0.001).
closely
related
to
blockage
hydrosalpinx.
severity
degree
inflammation
endometrium.
Seminars in Reproductive Medicine,
Journal Year:
2021,
Volume and Issue:
39(01/02), P. 013 - 023
Published: March 1, 2021
Abstract
Fetal
implantation
requires
carefully
orchestrated
involvement
of
the
maternal
immune
system.
Aberrant
function
within
has
been
suggested
as
a
cause
failure.
The
emergence
immunological
theories
miscarriage
led
to
testing
an
adjuvant
treatment
in
assisted
reproductive
technology;
however,
it
remains
controversial,
with
mixed
evidence
both
for
and
benefits
testing.
Literature
on
common
methods
technology
is
reviewed
including
those
peripheral
uterine
natural
killer
cells,
chronic
endometritis,
T-helper
cells
cytokine
ratio.
There
little
consensus
context
recurrent
field
limited
by
lack
uniformity
approach
heterogeneity
pathophysiological
cause.
Nevertheless,
system
heavily
involved
new
era
personalized
medicine
ensures
that
more
defined
will
be
achieved.
Women s Health and Reproduction,
Journal Year:
2024,
Volume and Issue:
61(1)
Published: Jan. 1, 2024
Aim.
To
study
the
controversial
issues
of
diagnosis
and
treatment
chronic
endometritis
(CE)
its
impact
on
fertility,
according
to
foreign
domestic
authors.
Key
points.
Although
immunohistochemical
for
plasma
cells
is
considered
gold
standard
diagnosing
CE,
it
has
limitations.
The
need
achieve
consensus
diagnostic
criteria
cholecystitis
was
noted
in
order
exclude
influence
heterogeneity
studies
assessment
results.
An
integrated
approach
based
knowledge
about
pathogenesis
CE
facilitates
selection
adequate
treatment.
positive
role
antibacterial
therapy
resolving
undoubted.
In
recent
years,
restore
immune
defense
been
widely
discussed.
importance
a
complex
natural
antimicrobial
peptides
cytokines
restoring
fertility
improving
pregnancy
outcomes
already
proven
several
publications.
Physiotherapeutic
methods
continue
be
studied,
most
popular
currently
are
cavitated
solutions,
peloids,
electropulse
magnetic
therapy.
Conclusion.
require
clear
definition.
Treatment
should
include
broad-spectrum
antibiotic
therapy,
immunomodulatory
physiotherapy.
Keywords:
endometritis,
infertility,
recurrent
miscarriage,
antibiotics,
immunomodulators,
peloid
ultrasonic
cavitation,
interference
magnetotherapy,
laser