Influence of a method of treatment autoimmune thyroid gland pathologies on reproductive function of women
The objective: to study influence of various methods of treatment of autoimmune diseases on genesial function of women. Materials and methods. Was made the analysis of various methods of treatment illness of Greyvsa at 103 women. Besides, the screening assessment of pathology thyroid gland was carried out made at 298 women with sterility (the main group) and at 50 women who have addressed in clinic for selection of a method of contraception (control group). Selection of patients was carried out by the opened method in process of the address of patients with sterility in unit of conservation and restoration of reproductive function. Questioning is carried out at 205 women with sterility. Examination of patients with sterility was conducted according to the standard diagnostic algorithm, including endoscopic methods, and treatment – depending on the established reasons of sterility. Results. The analysis of dependence of reproductive outcomes from the used method of treatment аутоиммунной thyroid gland pathologies has shown that optimum reproductive outcomes are noted after therapy carrying out by radioactive iodine and thyroidectomy, and the least favorable – after thyroidstatical therapies. The data obtained by us testifies to the raised prevalence autoimmune pathologies of thyroid gland at patients with barreness in comparison with fertilytical women with the established risk 2.1 (р <0.001), and also about the expressed communication between autoimmune thyroided and endometriosis as the reason of barreness and close association endocrinological barrenesses and hypothyreosise. High frequency of occurrence euthyreosis craw at women with barreness testifies to necessity of carrying out of individual iodic preventive maintenance to all women with barreness. Conclusion. The received results are necessary for considering by working out of algorithm of diagnostic and treatment-and-prophylactic actions. Key words: autoimmune thyroid gland pathology, treatment methods, reproductive function.