Petrov Yu.A and Kupina A.D.
Aim. The purpose of this study was to to improve methods for the prevention, diagnosis and treatment of chronic endometritis (CE) in women of reproductive age with the help of isolation of CE macro types during hysteroscopic examinations. Materials and methods. The study involved 620 women with a complicated obstetric history. Hysteroscopic and pathomorphological research (aspirates and biopsy samples from the cervical canal and uterine cavity) were performed on women. Results. During the study it was found out that the variety of endometrial architectonics and features of inflammatory changes made it possible to identify 3 macro types of chronic endometritis in patients. In almost half of the women, the mixed CE macro type was found (47%), and hyperplastic and hypoplastic macrotypes were less common (31% and 22%, respectively). Isolation of CE macrotypes was performed during endoscopic examination and was based on a number of macroscopic features (condition and color of the mucosa, vascular pattern, polyps, etc.). The comparison of the data with the findings of sonographic studies showed the need for a comprehensive examination of this group of women. Keywords: chronic endometritis, macro types, hysteroscopy, sonography.