The article presents the features of the specific composition of the vaginal microflora in postmenopausal women with intrauterine fluid and methods for preventing recurrence of intrauterine fluid accumulation. The objective: is to increase the effectiveness of prevention of intrauterine fluid accumulation in postmenopausal women. Materials and methods. We examined 67 postmenopausal women with intrauterine fluid, who made up two statistically equivalent groups. In the first group, two-stage treatment was performed, including etiotropic treatment and the use of vaginal capsules with promestrin. In group II, only etiotropic treatment was performed. Results. The effectiveness of treatment was evaluated using dynamic ultrasound monitoring of pelvic organs. There was no recurrence of intrauterine fluid accumulation in group I patients according to ultrasound data. In group II patients, 51.7% of cases of recurrent accumulation of intrauterine fluid were detected. Conclusions. The proposed step-by-step treatment with promestrin helps restore and regenerate the vaginal mucosa by restoring the balance of the vaginal microflora and maintaining the physiological pH level of the vaginal contents, which also provides prevention of the accumulation of intrauterine fluid in postmenopausal women. Key words: postmenopausal period, endometrial fluid, promestrin.
Endometrial fluid accumulation in asymptomatic postmenopausal women