Pathogenetic mechanisms causing abnormal inflammation in the eutopic endometrium of women with endometriosisassociated infertility and methods of its management

Mekan R. Orazov, S.V. Volkova, М.Б. Хамошина, M.A. Soyunov
In: Voprosy ginekologii, akušerstva i perinatologii · 2021 · vol. 20(1) , pp. 138–145 · doi:10.20953/1726-1678-2021-1-138-145 · W3159171774
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This review examines pathogenic mechanisms of abnormal inflammation in the eutopic endometrium of women with endometriosis-associated infertility, detailing morphological and functional changes alongside treatment methods for estrogen-induced inflammation.

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This review examines the pathogenic mechanisms underlying abnormal inflammation within the eutopic endometrium of women suffering from infertility associated with endometriosis. The authors analyze morphological and functional alterations in the endometrial tissue, highlighting how these changes contribute to defects in endometrial receptivity and perpetuate a cycle of inflammation in patients with external genital endometriosis. Additionally, the paper outlines various treatment strategies aimed at managing estrogen-induced inflammation in this specific patient population. This paper is centrally about endometriosis — specifically focusing on the inflammatory pathology of the eutopic endometrium in the context of associated infertility.

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Abstract

This review aims to explore existing literature surrounding the pathogenic mechanisms causing inflammation in the eutopic endometrium of women with endometriosis-associated infertility. We discuss morphological and functional changes in the eutopic endometrium in patients with endometriosis and infertility. We also cover endometrial receptivity defects and the vicious circle of endometrial inflammation in patients with external genital endometriosis associated with infertility. There is a description of treatment methods for estrogen-induced inflammation in the eutopic endometrium in women with endometriosis-associated infertility. Key words: endometriosis, infertility, endometrium, dienogest
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Pathogenetic mechanisms causing abnormal inflammation in the eutopic endometrium of women with endometriosisassociated infertility and methods of its management Mekan R.Orazov / Snezhana V. Volkova / Marina B. Khamoshina / Мuhammed А. Soyunov / This review aims to explore existing literature surrounding the pathogenic mechanisms causing inflammation in the eutopic endometrium of women with endometriosis-associated infertility. We discuss morphological and functional changes in the eutopic endometrium in patients with endometriosis and infertility. We also cover endometrial receptivity defects and the vicious circle of endometrial inflammation in patients with external genital endometriosis associated with infertility. There is a description of treatment methods for estrogen-induced inflammation in the eutopic endometrium in women with endometriosis-associated infertility. Key words: endometriosis, infertility, endometrium, dienogest For citation: Orazov M.R., Volkova S.V., Khamoshina M.B., Soyunov M.A. Pathogenetic mechanisms causing abnormal inflammation in the eutopic endometrium of women with endometriosis-associated infertility and methods of its management. Vopr. ginekol. akus. perinatol. (Gynecology, Obstetrics and Perinatology). 2021; 20(1): 138–145. DOI: 10.20953/1726-1678-2021-1-138-145

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