The assessment of the prevalence of endocervicosis in the pathological background of the cervix in republic of Moldova

Abstract

Introduction: The background condition of the cervix at the present day makes up the basis of cervix pathology and is characterized by a progressive and long-lasting evolution, which ends in malignant views and deaths. In the Republic of Moldova, among background conditions, endocervicosis stands on the first place, which denotes a rate of advanced increase and with ranges in time, and which is often tracked down occasionally, because of a weak clinical view, insufficiency of medical staff, precarious social education, lack of economic resources and negligence. As a result of the progress of diagnosis methods, however the basic standard in tracking down endocervicosis in the Republic of Moldova still remains to be colposcopy, a fast, light, painless and cheap procedure, which, jointly with the cytological and histological studies, form the support of diagnosis in the genital pathology, which denotes the fact that patients, de facto, receive a final and certain diagnosis. Objective of study: Establishment of women’s share with endocervicosis during the year 2014, who were examined within the Consultative Department for Women of the Public Medical Sanitary Institution “Institute of Mother and Child”. Determination of risk factors and comorbidities involved in the outbreak and evolution of endocervicosis in the Republic of Moldova. Material and methods: There were analysed out-patient medical records of 418 patients aged from 21 to 57 years old who were diagnosed with endocervicosis, examined colposcopically during the year 2014 within the Consultative Department for Women of the Public Medical Sanitary Institution “Institute of Mother and Child”. In order to exclude other pathologies or presence of dysplasia or malignant modifications, additional tests were also performed.Conclusions: A major frequency of endocervicosis was found in women of reproductive age. As a risk factor in the RM, to our regret, the socioeconomic factor is also involved in the background pathology of the cervix and subsequently in the evolution toward malignity. Early diagnosis of endocervicosis in women is a challenge in reaching success in the treatment and prophylaxis of oncological pathologies. Thus, in this context, it is necessary to implement in ourrepublic programs of information and awareness of women with regard to performance of routine examinations.