Endometrial pathology and infertility.
OBJECTIVE
To call attention to endometrial pathologies, which in addition to causing menstrual problems, are a cause of infertility.


METHODS
Controlled clinical study.


METHODS
Specialized unit in the management of infertile patients.


METHODS
Fifteen infertile women between the ages of 26 and 39 years and suffering infertility from endometrial problems for a period of 4 to 18 years were included in the study. Six patients had primary infertility and nine others had secondary infertility.


METHODS
Once the endometrial pathology was diagnosed, treatment was initiated according to the type of problem: hysteroscopy, curettage, and hormonal replacement with or without corticoids or antiphymic drugs.


METHODS
Clinical studies, laboratory tests, hormonal serum levels, and endoscopy.


RESULTS
After initiating specific treatment for each of the pathologies, menstruation was re-established in 14 of 15 patients. Nine patients became pregnant (8 of 10 cases with bone, squamous cell, or muscular metaplasia).


CONCLUSIONS
Pathological changes of the endometrium are causes of infertility. These problems are not as rare as thought. They must be searched for carefully and diagnosed promptly. The majority carry a good prognosis when adequately treated.
Ruíz-Velasco
V
V
Universidad Nacional Autónoma de México, Mexico City, Mexico.
González Alfani
G
G
Pliego Sánchez
L
L
Alamillo Vera
M
M
D000328:Adult; D000568:Amenorrhea / Q000175:diagnosis / Q000473:pathology / Q000628:therapy; D015331:Cohort Studies; D016889:Endometrial Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000628:therapy; D004717:Endometrium / Q000000981:diagnostic imaging / Q000473:pathology*; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D008679:Metaplasia / Q000473:pathology; D009999:Ossification, Heterotopic / Q000175:diagnosis / Q000473:pathology / Q000628:therapy; D016896:Treatment Outcome; D014384:Tuberculosis, Female Genital / Q000175:diagnosis / Q000473:pathology / Q000628:therapy; D014463:Ultrasonography