OPTIMIZATION OF THE PREGRAVIDAL EXAMINATION OF PATIENTS WITH UNSUCCESSFUL PROGRAMS OF ASSISTED REPRODUCTIVE TECHNOLOGY (PATIENTS WITH INFERTILITY)

Abstract

The study included 287 patients with tubal-peritoneal infertility after unsuccessful attempts of in vitro fertilization (IVF). All women, from 5 to 8 days of the menstrual cycle performed hysteroscopy with taking material for histological and cultural study of the endometrium, extended colposcopy (CPS). Endometrial pathology is not detected by ultrasound before IVF and Paypell biopsy was detected in 252 (87,9 %) patients, chronic endometritis prevailed in 78,7 %. The etiological structure was determined with a predominance of opportunistic microflora and mixed infection had almost all patients. 196 (68,2 %) patients had colposcopic signs of chronic inflammation of the cervix. Pregravid preparation for assisted reproductive technology (ART) should include hysteroscopy, followed by causal therapy.

Keywords

• chronic endometritis
• polyps of the endometrium
• hysteroscopy
• preconception training
• assisted reproductive technology
• extracorporal fertilization
• pipelle biopsy