HEALTH OF WOMAN. 2018.2(128):90–93; doi 10.15574/HW.2018.128.90

Makarchuk O. M. , Ostrovskaya O. M. , VakaliuK L. M. , Rimarchuk M. I. , Okoloch Onieca Gibson
Ivano-Frankivsk national medical University

Reproductive capacity significantly depends on how the period of puberty development of the future woman spans.
The objective: to began to evaluate the reasons for the violation of the menstrual function and highlight the main factors in reducing the reproductive capacity in women with hypomenstrual syndrome in the puberty period.
Materials and methods. The medical and social audit was conducted by interviewing, questioning and studying medical documentation (clinical symptoms of extragenital pathology, duration of the disease, state of menstrual function, heredity, lifestyle and harmful habits) in 264 women with hypomenstrual syndrome to assess the probable factors of development of menstrual dysfunction .
Results. The antenatal period was accompanied by a high percentage of gestational complications in mothers: the threat of abortion, preeclampsia of various degrees of severity, perinatal infections, premature birth, the birth of small weight children, bad habits of parents, distress of the fetus in childbirth. The index of somatic diseases was high: more than two thirds were noted in the history of chronic diseases of the internal organs, in 24.2% – the comorbidity of gynecological pathology and extragenital diseases was revealed. The structure prevails in the clinic of premenstrual syndrome and algodismenorrhea. The inflammatory processes of the genitals have been detected in 46.2% of cases, which undoubtedly increases the proportion of patients with absolute or relative risk of infertility. Dysgormonal diseases of the mammary gland were noted in 16.7%, with gynecological pathology – twice as likely. The comparative analysis showed the most pronounced negative impact on the reproductive capacity and ovarian reserve of ovarian operations and hereditary predisposition to reproductive function.
Conclusion. The obtained results allow to classify the risk factors of reduced reproductive potential for women with hypomenstrual syndrome, which allows to optimize the formation of risk groups, to predict and monitor the reduction of the ovarian reserve and to develop preventive measures to improve the reproductive potential. The most important factors that reduce the reproductive potential are the complicated pregnancy period of their mothers (severe gestosis, complicated childbirth and perinatal infections), especially early on, ovarian surgery, hypothyroidism, and bad habits (smoking). Significant influence is exercised by psycho-emotional disorders and stress-induced factors.
Key words: hyponmenstrual syndrome, leading factors of violation of menstrual function, reproductive potential.

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