Peculiarities of the course of genital endometriosis and its recurrence in women of reproductive age

Endometriosis remains one of the most studied pathologies in modern gynecology, as it is accompanied by such complications constant pelvic pain, menstrual cycle disorders, and infertility. These not only prevent implementation a woman’s reproductive function, but also worsen normal life woman general. The early diagnosis right choice treatment basis prevention disease recurrence. Therefore, efforts scientists are directed to this.The objective: reduce frequency genital endometriosis recurrence improve functions based on improved approaches its treatment.Materials methods. study included two groups patients. 1st group 60 women with ovarian endometriosis, whose data were analyzed retrospectively results medical histories. 2nd was prospectively endometriosis.All patients had general clinical laboratory examinations, specific ultrasound examinations. In tumor markers additionally determined, particular CA-125, HE4, CA 19-9, 72-4, 15-3, REA, level anti-Müllerian hormone, magnetic resonance imaging performed. Patients both operated histological examination material obtained during operation performed.The difference management postoperative period that, addition anti-inflammatory therapy all received hormonal (gonadotropin-releasing hormone agonist (GnRH agonist) subsequent use combined oral contraceptives (COCs) or simultaneous GnRH COCs transition variants for dienogest 6 months continuously). Recurrence pathology detected after 3 repeated endometriosis.Results. showed that period, 5 (8.3 %) 4 (6.7 – adhesions. Whereas group, there no cases adhesions.In 11 (18.3 diagnosed recurrence, (10.0 found 1 (1.7 woman, adhesions (p<0.05). During year number pregnant among persons who wished become history infertility statistically higher compared particular, 10 (16.7 2 (3.3 women, respectively (p<0.05).Conclusions. proposed algorithm minimizes risk improves function.