The clinical effectiveness of impulse electrotherapy in the complex treatment of patients with chronic endometritis

In: Kazan medical journal · 2012 · vol. 93(1) , pp. 72–76 · doi:10.17816/kmj2149 · W603120228
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AI-generated summary by claude@2026-06, 2026-06-08

Impulse electrotherapy with the SKENAR apparatus in complex treatment for chronic endometritis normalized immunoreactivity and adaptive reactions more effectively than conventional treatment.

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AI-generated deep summary by claude@2026-06, 2026-06-08

This paper studied whether adding SCENAR electrotherapy to complex pathogenetically tailored rehabilitation improves hematologic and immunologic adaptive responses in women with chronic endometritis (verified in 345/390) after early reproductive losses, including non-developing pregnancy, spontaneous miscarriage, induced abortion, or ART failures, using clinical-statistical analysis plus histology/hysteroscopy and blood leukocyte formula assessments before and after treatment. Most participants received the combined rehabilitation including SCENAR (269/390), while a smaller subgroup did not include physiotherapy (67/390), and the paper reports that the inclusion of SCENAR was associated with more favorable shifts in adaptive reaction profiles: increased calm activation and decreased training/stress-type leukocyte patterns at short follow-up, with particularly detailed changes by hysteroscopic macrotype (hypoplastic, hyperplastic, mixed). A stated limitation is that the study’s groups were not fully uniform in treatment uptake, with 54 women refusing the proposed rehabilitation (including cases with histologically verified endometritis), and the analysis also reflects variability by macrotype and timing (initial post-course and ~1 month). Relevance to endometriosis: the paper does not explicitly discuss endometriosis, but it is centrally about chronic endometritis as a pelvic inflammatory condition that is assessed in the context of reproductive losses.

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Abstract

Aim. To evaluate the clinical effectiveness of impulse electrotherapy in the complex treatment of patients with different variants of chronic endometritis based on the evaluation of adaptive reactions and immune status. Methods. Conducted was a clinical and laboratory examination of 550 women with early reproductive losses, who were divided into three groups. Studied was the efficacy of electro-impulse therapy with high-amplitude short-wavelength low-frequency electrical signals using the apparatus «SKENAR» (SKENAR-therapy) in the complex treatment of 269 women with chronic endometritis (first group). The second group included 67 women with similar variants of chronic endometritis, who were treated without the physiotherapy component. 54 patients refused the proposed rehabilitation activities (third group). Results. New data has been obtained on the adaptive reactions of the female body before and after treatment during different types of chronic endometritis. The frequency of disadaptation was highest during the hypoplastic form of chronic endometritis. Shown was the high efficiency of electro-impulse therapy, using the apparatus «SKENAR» in the complex treatment of chronic endometritis due to the normalization of parameters of immunoreactivity. It was established that SKENAR-therapy of chronic endometritis promotes early normalization of adaptive reactions in comparison to conventional methods of treatment. Conclusion. Rehabilitation treatment of chronic endometritis in combination with electro-impulse therapy with high-amplitude short-wavelength low-frequency electrical signals contributes to the recovery of immunoreactivity and to the formation of favorable adaptation reactions.

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last seen: 2026-06-10T17:14:06.276822+00:00
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