The characteristics of the endometrial pathology in premenopausal period

The goal of study was to study the incidence and the clinical manifestation of the endometrial pathology in premenopausal period. 73 premenopausal women with various endometrial pathology were examined. The average age of the examined was 47.82 ± 0.27 (45-51) years. The age of the menarche was 11.0...

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Main Authors: F. T. Aliyeva, D. V. Bryunin
Format: Article
Language:Russian
Published: Open Systems Publication 2023-01-01
Series:Лечащий Врач
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Online Access:https://journal.lvrach.ru/jour/article/view/1003
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author F. T. Aliyeva
D. V. Bryunin
author_facet F. T. Aliyeva
D. V. Bryunin
author_sort F. T. Aliyeva
collection DOAJ
description The goal of study was to study the incidence and the clinical manifestation of the endometrial pathology in premenopausal period. 73 premenopausal women with various endometrial pathology were examined. The average age of the examined was 47.82 ± 0.27 (45-51) years. The age of the menarche was 11.0 ± 0.15 (11-17) years, with the duration of the menstrual cycle 27.24 ± 0.47 (21-45) days and menstruation 5.1 ± 0.14 (3-8) grays. Onset of sexual activity was at age 19.5 ± 0.57 (16-31) years. The number of pregnancies was 5.2 ± 0.02 (1-10), from which 1.72 ± 0.11 (1-4) terminated with vaginal births, 1.57 ± 0.11 (1-4) with medical abortions, and 1.91 ± 0.34 (1-4) with spontaneous abortions. All the patients were conducted clinical, functional, hormonal, endoscopic, morphological methods of examination. The results obtained were subjected to statistical processing using standard computer programs "Statgraph", designed for parametric and non-parametric methods for calculating average values. There was confirmed that 5.5% of patients with various pathology of the endometrium had no clinical symptoms. 44.9% of examined had polymenorrhea, 29% menorrhagia, 21.7% metrorrhagia, 20.3% opsomenorrhea, 17.4% bloody spotting from the vagina, 17.4% of patients had lower abdominal pain and 13% had proyomenorrhea. Among the types of the endometrial pathology in the premenopausal period there was prevalence in the endometrial polyp, in 54.8% of patients (at the same time, a glandular-fibrous polyp of the endometrium was diagnosed in 45.2% of patients). 22.5% of examined had endometrial hyperplasia, 13% endometritis, and 9.6% combination of uterine Myoma and endometrial hyperplasia. The incidence of high grade endometrial cancer was 2.7%. Thus, in women with endometrial pathology, who are in the is a fairly high frequency of menstrual irregularities in combination with uterine pathology, which requires dynamic monitoring to prevent the development of complications and malignant neoplasms.premenopausal period, there  is a fairly high frequency of menstrual irregularities in combination with uterine pathology, which requires dynamic monitoring to prevent the development of complications and malignant neoplasms.
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spelling doaj-art-a9182035e2af4fa1a9491de07e30b74d2025-08-20T02:49:02ZrusOpen Systems PublicationЛечащий Врач1560-51752687-11812023-01-01012414310.51793/OS.2022.25.12.007998The characteristics of the endometrial pathology in premenopausal periodF. T. Aliyeva0D. V. Bryunin1Federal State Autonomous Educational Institution of Higher Education Sechenov First Moscow State University of Medicine of Ministry of Health of the Russian FederationClinic of Obstetrics and Gynecology named after V. F. SnegirevThe goal of study was to study the incidence and the clinical manifestation of the endometrial pathology in premenopausal period. 73 premenopausal women with various endometrial pathology were examined. The average age of the examined was 47.82 ± 0.27 (45-51) years. The age of the menarche was 11.0 ± 0.15 (11-17) years, with the duration of the menstrual cycle 27.24 ± 0.47 (21-45) days and menstruation 5.1 ± 0.14 (3-8) grays. Onset of sexual activity was at age 19.5 ± 0.57 (16-31) years. The number of pregnancies was 5.2 ± 0.02 (1-10), from which 1.72 ± 0.11 (1-4) terminated with vaginal births, 1.57 ± 0.11 (1-4) with medical abortions, and 1.91 ± 0.34 (1-4) with spontaneous abortions. All the patients were conducted clinical, functional, hormonal, endoscopic, morphological methods of examination. The results obtained were subjected to statistical processing using standard computer programs "Statgraph", designed for parametric and non-parametric methods for calculating average values. There was confirmed that 5.5% of patients with various pathology of the endometrium had no clinical symptoms. 44.9% of examined had polymenorrhea, 29% menorrhagia, 21.7% metrorrhagia, 20.3% opsomenorrhea, 17.4% bloody spotting from the vagina, 17.4% of patients had lower abdominal pain and 13% had proyomenorrhea. Among the types of the endometrial pathology in the premenopausal period there was prevalence in the endometrial polyp, in 54.8% of patients (at the same time, a glandular-fibrous polyp of the endometrium was diagnosed in 45.2% of patients). 22.5% of examined had endometrial hyperplasia, 13% endometritis, and 9.6% combination of uterine Myoma and endometrial hyperplasia. The incidence of high grade endometrial cancer was 2.7%. Thus, in women with endometrial pathology, who are in the is a fairly high frequency of menstrual irregularities in combination with uterine pathology, which requires dynamic monitoring to prevent the development of complications and malignant neoplasms.premenopausal period, there  is a fairly high frequency of menstrual irregularities in combination with uterine pathology, which requires dynamic monitoring to prevent the development of complications and malignant neoplasms.https://journal.lvrach.ru/jour/article/view/1003premenopausal periodendometrial polypendometrial hyperplasiahighly differentiation endometrial carcinoma
spellingShingle F. T. Aliyeva
D. V. Bryunin
The characteristics of the endometrial pathology in premenopausal period
Лечащий Врач
premenopausal period
endometrial polyp
endometrial hyperplasia
highly differentiation endometrial carcinoma
title The characteristics of the endometrial pathology in premenopausal period
title_full The characteristics of the endometrial pathology in premenopausal period
title_fullStr The characteristics of the endometrial pathology in premenopausal period
title_full_unstemmed The characteristics of the endometrial pathology in premenopausal period
title_short The characteristics of the endometrial pathology in premenopausal period
title_sort characteristics of the endometrial pathology in premenopausal period
topic premenopausal period
endometrial polyp
endometrial hyperplasia
highly differentiation endometrial carcinoma
url https://journal.lvrach.ru/jour/article/view/1003
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