The patient, born in 1971, visited the clinic due to the absence of pregnancy, as well as complaints of pain in the right inguinal area, increased pain during sexual intercourse, and a prolonged menstrual cycle.
From the history: she has been sexually active for 3 years without contraception, no pregnancy occurred, menstruation is delayed by 2-3 weeks.
On examination: The cervix appeared clean in the speculum; per vaginum, the uterus is of normal size, painless, firm, and mobile. The left adnexa are unremarkable, but those on the right are dense and painful. Discharge is moderate and mucous. Laboratory and instrumental examination showed: Hemoglobin (Hb) - 90 g/L; Leukocytes (L) - 6.0; Erythrocyte Sedimentation Rate (ESR) - 3 mm/h. Ultrasound showed the uterus measuring 60x45x57 mm, shifted to the right, with a homogeneous structure. The right ovary is 36x25 mm with microcystic changes, the left ovary not visualized.
The patient received treatment with anti-inflammatory and antibacterial devices, as well as devices normalizing blood circulation and dissolving pathological connective tissue - both general and local (on the ovaries) procedures. Daily procedures were conducted to stimulate immunity and regulate the vegetative nervous system.
By the 7th day of treatment, the pain disappeared; after the 15th session, the right adnexa were painless, no palpable strands, and the discharge was serous, scant. After a month of therapy, lab results showed: Hb - 110 g/L; L - 5.0 g/L; ESR - 5 mm/h. The ultrasound of the uterus indicated a 4-week pregnancy. The right ovary measured 26x28 mm, the left 30x26 mm.
From the history: she has been sexually active for 3 years without contraception, no pregnancy occurred, menstruation is delayed by 2-3 weeks.
On examination: The cervix appeared clean in the speculum; per vaginum, the uterus is of normal size, painless, firm, and mobile. The left adnexa are unremarkable, but those on the right are dense and painful. Discharge is moderate and mucous. Laboratory and instrumental examination showed: Hemoglobin (Hb) - 90 g/L; Leukocytes (L) - 6.0; Erythrocyte Sedimentation Rate (ESR) - 3 mm/h. Ultrasound showed the uterus measuring 60x45x57 mm, shifted to the right, with a homogeneous structure. The right ovary is 36x25 mm with microcystic changes, the left ovary not visualized.
The patient received treatment with anti-inflammatory and antibacterial devices, as well as devices normalizing blood circulation and dissolving pathological connective tissue - both general and local (on the ovaries) procedures. Daily procedures were conducted to stimulate immunity and regulate the vegetative nervous system.
By the 7th day of treatment, the pain disappeared; after the 15th session, the right adnexa were painless, no palpable strands, and the discharge was serous, scant. After a month of therapy, lab results showed: Hb - 110 g/L; L - 5.0 g/L; ESR - 5 mm/h. The ultrasound of the uterus indicated a 4-week pregnancy. The right ovary measured 26x28 mm, the left 30x26 mm.