Combination of Genital Endometriosis with Reproductive System Pathologies in Women

This study presents the examination and treatment outcomes of 199 women of reproductive age with a verified diagnosis of genital endometriosis. The research showed that isolated external genital endometriosis was diagnosed in only 15% of the cases, while internal genital endometriosis (adenomyosis) was observed in 2 women. Among the reproductive system pathologies, the most common comorbid conditions were uterine fibroids and polyps (27.1%), pelvic adhesions and fallopian tube obstruction (21.1%), ovarian cystic formations (17%), and hyperplastic processes of the endometrium, cervix, and labia (13%). Endometriosis was associated with primary infertility in 21.6% of cases. Endometriotic lesions were mainly localized in the ovaries (74.3%). The combination of endometriosis with other reproductive system pathologies complicates diagnosis, the restoration of reproductive function, and treatment outcomes.