MEDICAL AND SOCIAL CHARACTERISTICS OF MODERN INFERTILE WOMEN ACCORDING TO THE REGISTRY OF INFERTILITY COUPLES IN THE TRANSBAIKAL REGION
Aim – to identify medical and social factors of infertility in women living in the Trans-Baikal Territory. Materials and methods. Retrospective comparative study. An analysis of the medical and social characteristics of patients with infertility was carried out according to the data of an electroni...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | Russian |
| Published: |
The Publishing House Medicine and Enlightenment
2024-11-01
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| Series: | Мать и дитя в Кузбассе |
| Subjects: | |
| Online Access: | https://mednauki.ru/index.php/MD/article/view/1139 |
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| Summary: | Aim – to identify medical and social factors of infertility in women living in the Trans-Baikal Territory.
Materials and methods. Retrospective comparative study. An analysis of the medical and social characteristics of patients with infertility was carried out according to the data of an electronic questionnaire, which has been developed based on materials from the World Health Organization [WHO-RHR-HRP-19.3]. 1st group included 103 women living in city; 2nd group – 85 women living in the village.
Results. The age of infertile patients living in the city was older than that of rural women: 36.0 (31.3; 39.0) vs 33.5 (29.8; 37.0) years (U = 3345.0, p = 0.032); menstrual cycle parameters differ only in the age of menarche, which was younger in city women: 13.0 (12.0; 14.0) vs 14.0 (13.0; 14.0) years (p = 0.041). Operations for tubal pregnancy were more often performed laparoscopically in the group of city women: 84.6 % vs 40.0 % (p = 0.044). No differences were found in frequency of such factors as regular taking medications, drinking alcohol, living near a source of toxic substances (landfill, mine, etc.). The proportion of smoking women was higher among rural residents: 19.4 % vs 34.1 % (p = 0.022). An equal number of comparison groups patients were previously examined for infertility, measured basal temperature, performed an ovulation test. But ultrasound monitoring of ovulation was performed more often in city residents: 32.0 % vs 14.1 % (p = 0.004).
Conclusion. Infertile patients are characterized by a long period (6 years) of examination and conservative treatment of infertility, have a complex of external negative factors (systematic medication, alcohol, tobacco smoking, exposure to toxic substances). Compliance with time parameters and volumes during examination and conservative treatment of infertility, elimination of adverse external influences can improve the result of treatment. |
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| ISSN: | 1991-010X 2542-0968 |