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CLINICAL AND ANAMNESTIC FEATURES OF PATIENTS WITH ENDOMETRIAL POLYPS AND ENDOMETRIAL HYPERPLASIA

Bogomolova Yu. A.  (Assistant at the Department of Obstetrics and Gynecology, Tver State Medical University )

Milekhina A. A.  (Assistant at the Department of Obstetrics and Gynecology, Tver State Medical University )

Korotkevich E. N.  (Tver State Medical University)

Pokrovsky G. A.  (Tver State Medical University)

Hyperplastic processes of the endometrium (HPE) occupy one of the leading places in the structure of gynecological morbidity. This study examined the anamnestic and clinical characteristics of patients in the Tver region with endometrial polyps (EP) and endometrial hyperplasia (EH). Complaints, obstetric and gynecological history data, the presence of concomitant extragenital pathology were analyzed, height, weight, and waist circumference were measured in women who underwent hysteroresectoscopy or hysteroscopy with curettage of the uterine cavity. Based on the results of histological examination, 3 groups were identified: group 1 - 32 patients with EP; group 2 - 17 women with EH; group 3 - 14 patients whose morphological description of the endometrium corresponded to the norm (control group). It was revealed that patients with EP were 7 times more likely to have a history of chronic inflammatory diseases of the vagina and cervix, compared to healthy women (p <0.05). Patients with EH are 1.8 times more likely to have obesity (p<0.05 compared to healthy women), 2.8 times more likely to have a history of EH, waist circumference is 18.1 cm larger, body mass index (BMI) is 5.5 kg/m2 greater (p<0.05 compared to women with EP). Diabetes mellitus was present in 28.1-29.4% of patients with GPE and was not found in patients in the control group (p<0.05). Thus, timely prevention of GPE should include treatment of chronic inflammatory diseases of the female reproductive system, correction of anovulatory conditions, treatment of diabetes mellitus and therapeutic lifestyle modification to reduce body weight.

Keywords:endometrial polyp, endometrial hyperplasia, abnormal uterine bleeding, hyperestrogenism, postmenopause
 

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Citation link:
Bogomolova Y. A., Milekhina A. A., Korotkevich E. N., Pokrovsky G. A. CLINICAL AND ANAMNESTIC FEATURES OF PATIENTS WITH ENDOMETRIAL POLYPS AND ENDOMETRIAL HYPERPLASIA // Современная наука: актуальные проблемы теории и практики. Серия: Естественные и Технические Науки. -2025. -№04. -С. 184-187 DOI 10.37882/2223-2966.2025.04.02
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