Clinical course of long-term consequences of endometritis after cesarean section on the background of hormonal therapy

Abstract

Аim - is to study the features of the clinical course of the long-term consequences of endometritis that occurred after cesarean section,
depending on the method of restorative treatment. Materials and methods. 60 women who had endometritis after operative delivery by cesarean section were examined: group I - 40
women who received rehabilitation measures, group II - 20 women who did not receive them. The complex of rehabilitation measures in group I,
in addition to traditional therapy, included hormonal correction with combined oral contraceptives. Clinical and laboratory examination was carried out
for 2 years with an interval of every 6 months. Results. The rehabilitation treatment carried out in group I patients, 12 months after delivery, contributed to a significant reduction in
the frequency of pain syndrome from 52.5% to 42.5%; algomenorrhea from 57.5% to 45.0%; menstrual cycle disorders from 47.5% to 42.5%;
decreased libido - from 52.5% to 47.5% and neuroendocrine disorders from 17.5% to 12.5% of cases. Conclusions. Comprehensive rehabilitation treatment within 24 months after delivery significantly reduced the average frequency of
clinical symptoms of "disease of the operated uterus": after 12 months in group I, a significant decrease to 2.3 symptoms versus 4.3 in group II;
this pattern persisted after 18 months - 1.7 versus 4.6 and after 24 months - 1.5 versus 4.9; it also contributed to a significant decrease
in the frequency of pathological neuroendocrine symptoms in patients of group I by an average of 15.0%. The study was conducted in accordance with the principles of the Declaration of Helsinki. The study protocol was approved
by the Local Ethics Committee of the institution mentioned in the work. Informed consent of the women was obtained for the study. The author declares that there is no conflict of interest.