THE CAUSES OF INFERTILITY, ASSOCIATED WITH EXTERNAL GENITAL ENDOMETRIOSIS AND POLYCYSTIC OVARY SYNDROME

Aim. To study risk factors of infertility in combination of polycystic ovary syndrome and external genital endometriosis.

Materials and methods. There were 4 clinical groups: 1 group – 31 patients with combination POCS and EGE (26,5%); 2 group – 33 patients with POCS (28,2%), 3 group – 32 patients with EGE (27,35%), and 4 group – 21 healthy patients (17,95%), who were hospitalized for operative sterilization (control group). The patients’ anamnesis, gynecological, and reproductive amanuensis and clinical parameters were estimated in all patients.

Results. Combined gynecological pathology: young age, high frequency of childhood infections during prepubertal and pubertal period. In combined gynecological pathology there were irregular menstruation 1,6 times more often, in 61,29% – painful, and in 58,06% – heavy menstruation. Androgenic dermatopathy among the patients of 1 group was present in 87,1% as an acne, and as an oily seborrhea in 41,94%, R=0,46.

Conclusion. Patients with combined pathology have the most unfavorable reproductive anamnesis.