[Endometrial morphological characteristics in patients with hysteromyoma and chronic endometritis in infertility]
E L Kazachkov1, E E Voropaeva1, E A Kazachkova1
1South Ural State Medical University, Ministry of Health of Russia, Chelyabinsk, Russia.
Objective:
To characterize endometrial structural and functional state and receptivity in women with hysteromyoma (HM) and chronic endometritis (CE) in infertile couples.
Material And Methods:
A total of 130 patients who had HM and/or CE in an infertile couple were examined. Group 1 included 64 women with HM and CE; Group 2 consisted of 24 patients with HM; group 3 comprised 42 patients with EC. A control group included endometrial biopsy specimens from 20 healthy women planning a pregnancy.
Results:
Patients with HM and CE were found to develop endometrial dysfunction. Its structural signs were damage to the endometrial surface epithelium; intense stromal fibrosis with the high expression of type III and IV collagens; dysregulated processes of high angiogenesis; impaired maturation of pinopodia by the implantation window; high estrogen receptor (ER) expression in the nuclei of endometrial glandular and stromal cells; low progesterone receptor (PR) expression; and impaired secretory endometrial transformation.
Conclusion:
HM concurrent with CE is responsible for endometrial dysfunction. Its structural manifestations are mainly associated with CE.
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