Role of the Chronic Infection in Infertility at Women, Employed in Metallurgy

Konovalov V.I., Konovalov I.P.

Abstract.

To study the role of infectious factor in the development
of infertility in women, workers of main occupaitions of metallurgical
production. Material and Methods: The examined and triated 147 infertile
women, basic trades workers metallurgical plants of Kamensk-Ural,
Sverdlovsk region. The control group consisted of 40 healthy women
with a history of two o more genera are not working in the industry.
Fertility of men in all groups was normal. Age study group ranged from
21 to 44 years (average age 29.4 years). All patients underwent clinical,
laboratory, tool, ultrasonography. According to the testimony made colposcopy
with cytology and biopsy of the cervix, hysterosalpingography,
hysteroscopy with endometrial biopsy or treatment and diagnostic curettage
of the uterine cavity, Therapeutic or diagnostic laparoscopy with
pathomorphological studies of remote tissues or biopsy material. Surveyed
patients were divided as follows: I subgroup – 30 (20,4 %) women
with primary endocrine sterility, II subgroup – 35 (23,8 %) women
with primary tubal-peritoneal infertility, III subgroup – 31 (21,1 %)
women with secondary endocrine infertility and IV of the subgroup was
51 (34,7 %) women with secondary tubal-peritoneal infertility. Results:
bacterioscopic, bacteriological research of the contents of the urogenital
tract and sexually transmitted diseases (STD) research by PCR-method
(polymerase chain reaction) performed for all patients of the main
group. At diagnosted changes sanation was perfomed, including antibacterial
therapy, local treatment, eubiotics. For women, workers of
metallurgical production, the infectious factor at endocrine infertility
was 37,9 % and at tubal-peritoneal infertility it was 46,5 %.

Keywords:

infertility, metallurgy, infectious factor

Authors
Konovalov Vyacheslav I.
Ural state medical academy Roszdrava
620028, Russia, Sverdlovsk region, Ekaterinburg, street Repina, h.3
Konovalov Igor P.
623428, Sverdlovsk region, Kamensk-Ural, Dobrolyubov's street, h.1, f.182 A,
e-mail: konovalov-1604@mail.ru