Personalized approach to pre-graduate preparation in women with chronic endometritis. Case report

Over the past few decades, the attention of gynecologists and reproductive specialists has been drawn to the key causes of female infertility, among which chronic endometritis (CE) dominates. The aim of the paper is to inform gynecologists about the need for a comprehensive approach (considering comorbidities) to diagnose and treat CE using medical and physiotherapeutic treatment methods. The article presents a prospective review of pregravid preparation, considering the features of the examination, verification of the diagnosis, and treatment of two patients with a history of reproductive losses due to CE. The presented clinical cases demonstrate the importance of multidirectional diagnosis of CE, the mandatory morphological examination to verify the diagnosis, as well as the feasibility of prescribing complex therapy using both drug (antimicrobial therapy, immunomodulatory, hormonal, and combined broad-spectrum agents) and physiotherapeutic methods of treatment.