دورية أكاديمية
FEMALE INFERTILITY ASSOCIATED WITH GENITAL TUBERCULOSIS
| العنوان: | FEMALE INFERTILITY ASSOCIATED WITH GENITAL TUBERCULOSIS |
|---|---|
| المؤلفون: | T. V. Klinyshkova, A. A. Yakovleva |
| المصدر: | Акушерство, гинекология и репродукция, Vol 12, Iss 1, Pp 74-85 (2018) |
| بيانات النشر: | IRBIS LLC, 2018. |
| سنة النشر: | 2018 |
| المجموعة: | LCC:Gynecology and obstetrics |
| مصطلحات موضوعية: | infertility, genital tuberculosis, diagnostics, methods, Gynecology and obstetrics, RG1-991 |
| الوصف: | Analysis of the published reports indicates the alarming increase in prevalence of infertility that occurs in the current demographic situation and the unfavorable epidemiological trends in tuberculosis. At present, female genital tuberculosis (GT) is considered the cause of 10-27.8% of female infertility cases and seen as a serious medical and social problem in women of reproductive age (24-35 years). Making a diagnosis of GT may become a complex task since: there are no commonly accepted schemes for the diagnostic procedure and patient management; the clinical manifestations of GT are nonspecific; the molecular-genetic, morphological, and microbiological diagnostic methods may not be sufficiently sensitive; the results of using hysterosalpingography are inconsistent (40-60% of discrepancies, high risk of complications); the indications to the Koch test and test-therapy are limited; the use of laparoscopy is still debatable; and the heterogeneity of the endoscopic picture in 13-59.7% of suspected GT cases results in a low rate of confirmed GT – 9-26.3%. Immunological methods, in particular, the serological ones, take a lead in the diagnosis of extra-pulmonary tuberculosis. We propose that testing the local humoral immunity in women with infertility, along with the endoscopy, can improve the diagnosis of GT and avoid irreversible changes in the reproductive system. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | Russian |
| تدمد: | 2313-7347 2500-3194 |
| العلاقة: | https://www.gynecology.su/jour/article/view/473Test; https://doaj.org/toc/2313-7347Test; https://doaj.org/toc/2500-3194Test |
| DOI: | 10.17749/2313-7347.2018.12.1.074-085 |
| الوصول الحر: | https://doaj.org/article/dae7ecb712dc4eaf8d59728efee18af0Test |
| رقم الانضمام: | edsdoj.7ecb712dc4eaf8d59728efee18af0 |
| قاعدة البيانات: | Directory of Open Access Journals |
| تدمد: | 23137347 25003194 |
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| DOI: | 10.17749/2313-7347.2018.12.1.074-085 |