Rehabilitation treatment of female patients after uterine endoscopic surgery for infertility using complex physio- and hydrogen sulfide balneotherapy

Aim: To evaluate the effectiveness of combined physiotherapy and hydrogen sulfide balneotherapy in patients who underwent endoscopic surgery on the fallopian tubes for tubal and uterine infertility. Materials and methods: A total of 104 patients who had undergone endoscopic surgery on the fallopian tubes for tubal and uterine infertility were observed. Using simple randomization, the study population was divided into three groups. The control group (34 patients) received standard postoperative therapy, including conventional antibiotic treatment. The second group (32 patients) received a combination of pharmacotherapy, electro-magnetolaser therapy, and an anti-adhesion resorbable gel Mesogel (Russia). The main group (38 patients) underwent delayed rehabilitative treatment with hydrogen sulfide water therapy following combined pharmacological and electro-magnetolaser therapy. Patients were evaluated using standard clinical assessment methods, including clinical and immunological parameters, hysterosalpingography, pelvic ultrasound, and quality-of-life assessment. Results: The study assessed the restoration of reproductive function in women through physiotherapeutic and natural local treatments. The main group demonstrated significant alleviation of clinical symptoms (p 0.01), improvement in immune status parameters (p 0.05), restoration of fallopian tube patency (p 0.05), and improved pelvic organs condition. A clinically significant difference in final outcomes was observed between the main and control groups (p 0.05). The high therapeutic efficacy of the proposed rehabilitative treatment was confirmed, with pregnancy achieved in 48% of cases. Conclusion: The obtained results suggest that the proposed rehabilitation method for patients after endoscopic surgery on the fallopian tubes for tubal and uterine infertility significantly enhances the effectiveness of standard therapy and leads to a substantial improvement in reproductive function.