Chronic Endometritis in Terms of the Results ofiIn Vitro Fertilization Programs

Abstract

The frequency of cholecystectomy in unsuccessful pregnancies in the IVF and PE
program is 51.8%, of which 81.3% are patients with tuboperitoneal factor infertility.
The sensitivity and specificity of anamnestic risk factors are compared with the data of
hysteroscopic examination with separate diagnostic curettage and histological examination of the
contents of the uterine cavity as methods of examination of CE in combination with ultrasound
diagnostic methods and tubular biopsy of the uterine cavity. .
The microbial landscape of the uterine cavity in patients with a history of unsuccessful pregnancy
in the IVF and ET program against the background of cholecystectomy is mainly represented by
associations of opportunistic microorganisms and viruses. However, in the group of patients with
a history of implantation failure in the IVF program, bacterial contamination in the uterine cavity
and in the cervical canal (p = 0.091) was 5.6% and 1.5%, respectively. it was 48.6% and 16.4% (p
< 0.001).
Based on the microbial landscape of the uterine cavity, the state of the receptor apparatus, the
thickness of the endometrium and the state of blood flow in the endometrial vessels, the algorithm
of recommended medical actions in patients with implantation failure in IVF. In the background
of cholecystectomy, the program allows to increase the effectiveness of subsequent ART
programs.