Affiliation:
1. Pirogov Russian National Research Medical University
2. Center of Protection of Motherhood and Childhood of the City of Sochi
Abstract
Introduction. Cervical canal polyps are a common disease in gynecological practice. In the vast majority of cases, cervical polyps are a benign disease, but signs of dysplasia and malignancy can be observed in 0.1–10% of cases. The doctor faces the task of getting rid of the polyp and preventing its recurrence, which is not an easy task, since the etiology and pathogenesis of the development of this disease are not completely clear. There is an opinion about the connection of the occurrence of cervical polyps with inflammation and changes in the microbiota of the female genital organs, hormonal imbalance or a combination of these factors.Objective. To study the microbiota of the vagina and cervical canal, as well as the hormonal background in women with cervical polyps and to determine whether the appointment of Neo-Penotran Forte is appropriate and effective.Materials and methods. 84 women of reproductive age (44 – with polyps, 40 – healthy) had a study of the specific and quantitative composition of the microflora of the vagina and cervix and the study of hormonal status with the determination of the level of sex hormones. To correct the identified violations, miconazole + metronidazole was treated.Results. The data obtained indicated the absence of hormonal disorders in both groups, but the presence of dysbiotic disorders of the vaginal biotope in the group of women with cervical polyps. The frequency of detection of lactobacilli and bifidobacteria in patients with cervical polyps was reduced, and opportunistic microorganisms were isolated with greater frequency, some patients had microorganisms that were absent in healthy women. The microbiota of the vagina of the patients after treatment by miconazole + metronidazole corresponded to the normative values.Conclusion. According to the study, cervical polyps are a disease associated with dysbiotic disorders of the vaginal biotope andt it is hormone-independent. The drug miconazole + metronidazole has proven its effectiveness and safety.
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