TACTICS FOR MANAGING PATIENTS WITH ENDOMETRIOID CYSTS AND INFERTILITY. CLINICAL CASE

Endometriosis is a widespread gynecological disease. There is evidence about the role of heredity in the development of endometriosis, this disease is more common in women whose relatives also suffered from endometriosis. Endometriosis occurs in 5-6% of women in the general population and in more than 50% of women suffering from infertility. Endometrioid ovarian lesion is one of the most common forms of genital endometriosis. The main symptoms of which are chronic pelvic pain, infertility and miscarriage, which leads to a significant decrease in the quality of life and ability to work, and a violation of the psychological status. Painful sensations caused by endometriosis during sexual contact can lead to interruption or avoidance of sexual intercourse and negatively affect the sexual health of endometriosis patients and their partners. Many researchers believe that the treatment of patients with endometriosis should be strictly individual and determined by the following factors: the age of the patient, the localization and prevalence of the pathological process, the severity of the clinical picture of the disease, the duration of the disease, the attitude to pregnancy. Timely diagnosis and treatment make it possible to achieve clinical recovery and prevent infertility. This article discusses current recommendations for the management of women with endometrioid ovarian cysts aimed at improving reproductive performance.