Endometrial condition in patients with polycystic ovary syndrome

Sokolova E.A.

Vishnevsky National Medical Research Center of Surgery

ORCID: 0000-0002-5667-7833

Krasnopol’skaya K.V.

Moscow Regional Scientific Research Institute of Obstetrics and Gynecology;
M.F. Vladimirsky Moscow Regional Clinical Research Institute;
Prior Reproductive Health Clinic

ORCID: 0000-0002-1275-9220

Belokurova M.V.

Moscow Regional Research Institute of Obstetrics and Gynecology

Isakova K.M.

State budgetary institution of health care Moscow Region «Moscow Regional Scientific Research Institute of Obstetrics and Gynecology»

Endometrial condition in patients with polycystic ovary syndrome

Authors:

Sokolova E.A., Krasnopol’skaya K.V., Belokurova M.V., Isakova K.M.

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Journal: Russian Bulletin of Obstetrician-Gynecologist. 2021;21(2): 86‑90

DOI: 10.17116/rosakush20212102186

Downloaded: 103

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To cite this article:

Sokolova EA, Krasnopol’skaya KV, Belokurova MV, Isakova KM. Endometrial condition in patients with polycystic ovary syndrome. Russian Bulletin of Obstetrician-Gynecologist. 2021;21(2):86‑90. (In Russ.)
https://doi.org/10.17116/rosakush20212102186

Подписка 2025-2 (Russian Bulletin of Obstetrician-Gynecologist)

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MATERIAL AND METHODS

It was examined 166 patients with polycystic ovary syndrome and infertility. The average age of the patients was 31.3±3.5 years. During patients’ examination the general clinical, bacteriological, and enzyme immunoassay methods were used, and the status of the endometrium was assessed according to the findings of a histological study.

RESULTS

Hysteroscopy with separate diagnostic curettage was performed in 117 patients. Endometrial pathology was not detected in 48 (41%) patients. In 6 women the hypo-plastic type of endometrium was determined. In 63 (53.8%) patients benign glandular fibrous, glandular fibrous polyps of the endometrium and/or endo-cervix, as well as various types of endometrial hyperplasia were observed. Among patients with hyperplastic processes in the endometrium, 73% (46 patients) were patients with menstrual cycle duration of more than 3 months; 54.3% of them were overweight or obese.

CONCLUSION

Patients with polycystic ovary syndrome, infertility and menstrual periods of more than 3 months, i.e. with severe oligo-, amenorrhea, overweight or obesity, it is advisable to recommend hysteroscopy with separate diagnostic curettage before entering the extracorporeal fertilization program. Patients with normal body weight and menstrual periods of less than 3 months should undergo office hysteroscopy with endometrial biopsy.

Keywords:

polycystic ovary syndrome

infertility

hysteroscopy

hyperplastic processes in the endometrium

separate diagnostic curettage

endometrial biopsy

Authors:

Sokolova E.A.

Vishnevsky National Medical Research Center of Surgery

ORCID: 0000-0002-5667-7833

Krasnopol’skaya K.V.

Moscow Regional Scientific Research Institute of Obstetrics and Gynecology;
M.F. Vladimirsky Moscow Regional Clinical Research Institute;
Prior Reproductive Health Clinic

ORCID: 0000-0002-1275-9220

Belokurova M.V.

Moscow Regional Research Institute of Obstetrics and Gynecology

Isakova K.M.

State budgetary institution of health care Moscow Region «Moscow Regional Scientific Research Institute of Obstetrics and Gynecology»

Received:

14.07.2020

Accepted:

03.09.2020

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