To prevent the development, early detection, timely initiation of treatment of endometrioid disease in women of reproductive age, it is necessary to promote a healthy lifestyle, prevent abortions, and conduct medical examinations. The presented material highlights a clinical case of managing a patient who underwent surgical treatment in the gynecological department with a diagnosis of “Retrocervical endometriosis. Stage 4. Cyst of the left ovary. Pain syndrome”. The presented clinical case emphasizes the need to choose surgical treatment at the right time and in full. The treatment tactics we have chosen testifies to the positive effect of the radical removal of all lesions both to reduce pain, relapse risk and to increase pregnancy percentage. In addition, the choice of a drug for postoperative therapy is extremely important, its sufficient duration in terms of preventing endometriosis relapse. The disease is a general medical problem, as it is associated with infertility and chronic pelvic pain that impairs the quality of life of young women. Endometriosis remains one of the main pathological diseases in women of reproductive age. Patients diag-nosed with endometriosis need monitoring and constant therapy even after radical treatments throughout their lives. It is necessary to carry out adequate therapy for endometriosis and find the optimal ratio of surgical and medical treatment individually for each patient.
Uterine fibroids is a benign, encapsulated tumor of the female genital area, often found in reproductive age. The pathogenetic mechanism and causes of the development of uterine fibroids are unknown, hence there are questions and disputes on identifying causation. A predisposition of fibroids can serve as chronic inflammatory diseases of the female genital organs, methods of surgical treatment (artificial abortions, cesarean section, biopsy of lining of uterus), dysfunctions of the hypothalamus-pituitary gland-adrenal glands-ovaries, heredity, occupational hazards, extragenital diseases. One of the current issues of modern obstetric and gynecological care is the increasing frequency of cesarean section. Caesarean section is one of the most important risk factors for infection, which causes adverse long-term complications for a woman’s health. Research purpose : to highlight with an example of clinical case how a complicated caesarean section provoked the occurrence of complicated large uterine fibroids in a woman of the reproductive period. The presented material describes a clinical case of a patient who underwent surgical treatment in the gynecological department with a diagnosis of “Multiple uterine fibroids. Tumor growth. Hypermenstrual syndrome. Posthemorrhagic anemia”. The presented clinical case emphasizes the need for a qualified approach to operative delivery, the technique of performing a caesarean section and postoperative management. Conclusion . Treatment of patients with uterine fibroids should be carried out in full, including observation and monitoring for early detection of this pathology, as well as timely preoperative preparation with surgical treatment such as myomectomy and metroplasty. In the early and late postoperative period, measures after caesarean section should be comprehensive and include timely detection of infectious complications, rational antibiotic therapy.
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