Endosalpingitis

Endometritis is an inflammatory disease of the uterus (endometrium) caused by infection, viruses, fungi, protozoa, nutritional disorders or other factors that lead to changes in the biochemical or structural properties of the muscular wall of the uterus.

Endometriosis is a common gynecological disease characterized by the growth of tissue of the uterine mucosa (endometrium) outside its cavity - in the uterus and other organs. In women of reproductive age, endometriosis affects 6 to 25% of patients. The effectiveness of surgical intervention in the treatment of patients with endometriosis reaches 60-80%, but its recurrence in patients with stages II-III is more than 40%. This leads to repeated operations in the vast majority of women of reproductive age, which is associated with a high risk of the formation of postoperative scars and adhesions.

The level of diagnosis of the disease remains relatively low and amounts to 70–75%, and the presence of isolated endometriosis in the examined patients is even less common than the combination of endometriotic lesions with uterine fibroids or inflammatory tissue changes. In the absence of pregnancy planning, due to heavy bleeding, the development of adhesions, as well as when endometriosis is detected, laparoscopy is indicated. Moreover, bleeding detected during diagnostic hysteroscopy in premenopause and postmenopause is associated with the degree of spread of the process outside the uterus, and not with age. For women with deep intraligamentary foci of endometriosis, diagnostic testing is recommended before surgical treatment.