Features of clinical and laboratory parameters of adenomyosis combined with endometrioid ovarian cysts

The most common diseases among women of reproductive age include fibroids, adenomyosis and endometrioid ovarian cysts. The aim of the study was to determine the clinical and laboratory parameters of adenomyosis combined with endometrioid ovarian cysts in young women. We examined 80 women of reproductive age with adenomyosis and endometriosis of the ovaries. The average age of the examined patients was 25.4±0.14 years. All patients underwent hormonal, ultrasound and Doppler methods of examination. The results of the studies showed that 70% of the examined patients reported bleeding from the genital tract of varying intensity, and 30% complained of the absence of pregnancy. A change in the hormonal status was revealed, so the level of testosterone was increased by 3.5 times, 17-Oh progesterone was increased by an average of 5 times, the level of prolactin was increased in 35% of patients by 1.7 times. Dopplerometry revealed endometrial hyperplasia, adenomatous foci were visualized as anechoic inclusions with fuzzy edges, and the absence of a capsule around the adenomatous focus, the presence of single color signals along the periphery and the absence of blood flow inside. As a result of the treatment, fertility was restored in 27.2% of group 1 women, and in 60% of cases in group 2 women during the first year.