Clinical aspects of preserving the reproductive health of women with atypical endometrial hyperplasia

Abstract

Introduction. Under the conditions of low birth rates in Ukraine, the problem of maintaining reproductive health is extremely urgent and acquires high medical and social significance. The problem of hyperplastic processes of the endometrium (HPE) in women of reproductive age increases the attention of clinicians, is the cause of reduced fertility and the risk of developing oncological pathologies, which have been steadily increasing in recent years in many countries of the world, including Ukraine. Endometrial hyperplasia (HE) in women of reproductive age is the main cause of reduced fertility. This is the most common pathology of the uterus in women of childbearing age, the frequency of which has no tendency to decrease. According to scientific literature, GE accounts for 15–40% of all gynecological pathology. The occurrence of repeated episodes of endometrial hyperplasia (44.1–64.7%) and oncogenicity (up to 45.1%) are reliable factors when choosing organ-preserving operations that lead to loss of reproductive function.