Influence of alcohol abuse and / or HIV infection on morpho-functional condition of the uterine tube in women of reproductive age

Authors

DOI:

https://doi.org/10.15587/2519-4798.2022.252798

Keywords:

HIV, alcohol abuse, morphometry, fallopian tube

Abstract

The fallopian tubes are a key link in the relationship between the uterus and the ovary. The aim of our study was to determine the effect of alcohol abuse and / or HIV infection on the morpho-functional state of the fallopian tubes in women of reproductive age.

Material and methods. The study included sectional material, which was selected from 100 women of reproductive age (20 to 40 years), who were divided into four groups. The first group included section material from 25 women who had been laboratory confirmed for HIV. The second group included sectional material selected from 25 women suffering from chronic alcoholism. The third group consisted of sectional material from HIV-positive women who also showed signs of alcohol abuse. The fourth group includes sectional material selected from HIV-negative women.

Results. Gross pathological changes in the structure of the fallopian tube, due to both the impact of HIV infection and alcohol abuse was identified in each of the groups. Changes in morphometric parameters (length of the ampullary part, outer diameter of the tube at the junction of the isthmus in the ampullary part, the area of the lumen of the ampullary part) can cause severe complications of inflammation or lead to ectopic pregnancy. The study of the epithelial and muscular layer revealed destructive-sclerotic changes, which consist in reducing the height of the epithelium and increasing the proportion of connective tissue in the muscular layer of the tube.

Conclusions. According to the study, HIV and alcohol abuse are diseases that affect all elements of the fallopian tube. Thus, HIV infection and chronic alcohol abuse can exacerbate each other's negative effects on the female reproductive system and cause morphometric changes that can form a substrate for the development of inflammatory processes and lead to ectopic pregnancy

Author Biography

Marianna Lytvynenko, Odessa National Medical University

PhD, Associate Professor

Department of Normal and Pathological Clinical Anatomy

References

  1. Kajanová, M., Danihel, L., Polák, S., Miko, M., Urban, L., Bokor, T., Varga, I. (2012). The structural basis for transport through the Fallopian tube. Ceska gynekologie, 77 (6), 566–571.
  2. Briceag, I., Costache, A., Purcarea, V. L., Cergan, R., Dumitru, M., Briceag, I. (2015). Fallopian tubes--literature review of anatomy and etiology in female infertility. Journal of medicine and life, 8 (2), 129–131.
  3. Arustamyan, K., Totoyan, E., Karapetyan, A., Gasparyan, A. (2017). The state of fallopian tubes in women with urogenital chlamydia and infer-tility. Georgian medical news, 268-269 (7-8), 80–885.
  4. Simpson, W. L., Beitia, L. G., Mester, J. (2006). Hysterosalpingography: A Reemerging Study. RadioGraphics, 26 (2), 419–431. doi: http://doi.org/10.1148/rg.262055109
  5. Napolitano, R., Sansone, M., Floridia, M., Cappelli, C., Maruotti, G. M., Agangi, A. et. al. (2010). Prevalence and characteristics of symptomatic and asymptomatic tuboovarian masses in women with HIV: an ultrasonographic study. International Journal of STD & AIDS, 21 (7), 472–476. doi: http://doi.org/10.1258/ijsa.2009.009223
  6. Kreisel, K., Torrone, E., Bernstein, K., Hong, J., Gorwitz, R. (2017). Prevalence of Pelvic Inflammatory Disease in Sexually Experienced Women of Reproductive Age – United States, 2013–2014. MMWR. Morbidity and Mortality Weekly Report, 66 (3), 80–83. doi: http://doi.org/10.15585/mmwr.mm6603a3
  7. Sinclair, M., Bor, R., Evans, A., Glass, D., Levitt, D., Johnson, M. A. (2004). The sociodemographic profile, risk categories and prevalence of HIV infection among people attending a London same-day testing clinic, 2000–2001. International Journal of STD & AIDS, 15 (1), 33–37. doi: http://doi.org/10.1258/095646204322637236
  8. Yan, J., Ouyang, J., Isnard, S., Zhou, X., Harypursat, V., Routy, J.-P., Chen, Y. (2021). Alcohol Use and Abuse Conspires With HIV Infection to Aggravate Intestinal Dysbiosis and Increase Microbial Translocation in People Living With HIV: A Review. Frontiers in Immunology, 12. doi: http://doi.org/10.3389/fimmu.2021.741658
  9. Kerrigan, D., Donastorg, Y., Barrington, C., Perez, M., Gomez, H., Mbwambo, J. et. al. (2020). Assessing and Addressing Social Determinants of HIV among Female Sex Workers in the Dominican Republic and Tanzania through Community Empowerment-Based Responses. Current HIV/AIDS Reports, 17 (2), 88–96. doi: http://doi.org/10.1007/s11904-020-00485-3
  10. Hogan, J. W., Galai, N., Davis, W. W. (2021). Modeling the Impact of Social Determinants of Health on HIV. AIDS and Behavior, 25 (S2), 215–224. doi: http://doi.org/10.1007/s10461-021-03399-2
  11. Adesiyun, A. G., Ameh, C. A., Eka, A. (2008). Hysterosalpingographic Tubal Abnormalities and HIV Infection among Black Women with Tubal Infertility in Sub-Saharan Africa. Gynecologic and Obstetric Investigation, 66 (2), 119–122. doi: http://doi.org/10.1159/000128600
  12. Liu, G., Zhang, H., Zhu, W.-B., Peng, Y.-Q., Ding, R., Fan, M.-L. et. al. (2020). HIV prevalence among 338,432 infertile individuals in Hunan, China, 2012-2018: A cross-sectional study. PLOS ONE, 15 (9), e0238564. doi: http://doi.org/10.1371/journal.pone.0238564
  13. Lytvynenko, M., Bondarenko, A., Gargin, V. (2021). The effect of alcohol on ovarian state in HIV-infected women. Azerbaijan Medical Journal, 1, 61–68.
  14. Lytvynenko, M., Bocharova, T., Zhelezniakova, N., Narbutova, T., Gargin, V. (2017). Cervical transformation in alcohol abuse patients. Georgian medical news, 271, 12–17.
  15. Lytvynenko, M., Shkolnikov, V., Bocharova, T., Sychova, L., Gargin, V. (2017). Peculiarities of proliferative activity of cervical squamous cancer in HIV infection. Georgian medical news, 270, 10–15.
  16. Gargin, V., Radutny, R., Titova, G., Bibik, D., Kirichenko, A., Bazhenov, O. (2020). Application of the computer vision system for evaluation of pathomorphological images. 2020 IEEE 40th International Conference on Electronics and Nanotechnology (ELNANO), 469–473. doi: http://doi.org/10.1109/elnano50318.2020.9088898

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Published

2022-01-30

How to Cite

Lytvynenko, M. (2022). Influence of alcohol abuse and / or HIV infection on morpho-functional condition of the uterine tube in women of reproductive age. ScienceRise: Medical Science, (1 (46), 21–24. https://doi.org/10.15587/2519-4798.2022.252798

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Section

Medical Science