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0REPRODUCTIVE STATUS OF WOMEN OF ADVANCED MATERNAL AGE
Orenchuk I. V., postgraduate student at the Subdepartment of Obstetrics and Gynecology of the Department of Postgraduate Studies of Ivano-Frankivsk National Medical University ORCIDID: https://orcid.org/0000-0002-3693-5671
Boichuk O. H., MD, professor at the Subdepartment of Obstetrics and Gynecology ofIvano-Frankivsk National Medical University, ORCID ID: https://orcid.org/0000-0003-4439-3099
DOI: https://doi.org/10.31435/rsglobal_ws/30122021/7728
ABSTRACT
The purpose of the study: to study, evaluate and comparative analysis of the causes of reproductive health disorders, to identify socio-hygienic characteristics of women of late reproductive age with infertility. Materials and methods. The study was performed continuously, included 1297 women who underwent infertility treatment by in vitro fertilization from 2019 to 2021. at the state IVF center. Of these, the basic group - 530 women of late reproductive age (35-49 years), average age - 37.01 + 2.02 years. The comparison group included 767 women with infertility aged 2035 years, average age - 30 + 2.79 years. The medical status of patients was assessed according to a comprehensive objective examination. Social status -based on the results of the survey.
Results. We have found significant differences in the causes of infertility in women of advanced maternal age (from 35 to 49 years) in comparison with infertile women age below 35 years. The predominant causes of infertility in the basic group are the combined factor (42%), multiple female factors (20%) and reduced ovarian reserve (17%). A significantly smaller percentage of women presented the absolute tubal factor (6%) or no gynecological pathology but isolated male factor infertility (9%). The comparative analysis of the social status of the women from the basic and the reference group has found no fundamental differences. Conclusions. Significant differences in the causes of infertility in women of advanced maternal age, the frequency of labors, the assessment of the social situation of infertile women of advanced maternal age are the basis for the development of ways of optimization of the specialized medical assistance for infertile couples and the improvement of the efficiency of treatment.
Citation: Orenchuk I. V., Boichuk O. H. (2021) Reproductive Status of Women of Advanced Maternal Age. World Science. 11(72). doi: 10.31435/rsglobal_ws/30122021/7728
Copyright: © 2021 Orenchuk I. V., Boichuk O. H. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
Women's reproductive health is of crucial importance for the well-being of women
ARTICLE INFO
Received: 28 October 2021 Accepted: 17 December 2021 Published: 30 December 2021
KEYWORDS
women of advanced maternal age, infertility, medical and social characteristics.
.
Therefore, one should monitor women's health, detect gynecological and extragenital pathologies
The purpose of the study: to study, evaluate and comparative analysis of the causes of reproductive health disorders, to identify socio-hygienic characteristics of women of late reproductive age with infertility.
Materials and methods. The study was performed continuously, included 1297 women who underwent infertility treatment by in vitro fertilization from 2019 to 2021. at the state IVF center. The women were divided into two groups: the basic group of 530 women of advanced maternal age (from 35 to 49 years, average age 37.01 + 2.02 years, percentage of primary infertility
) and the reference group of 767 infertile women aged between 20 and 35 (average age 30 + 2.79 years, percentage of primary infertility
of infertility 5.2 + 3.35 years). The patients' medical status was assessed on the basis of the data of a complex objective examination: consultations with specialists, instrumental and laboratory examinations. The assessment of gynecological morbidity included the general morbidity level, the structure of morbidity, the remoteness or duration of a pathological process, the combination of pathologies and the peculiarities of women's chronic morbidity. The patients' social status was assessed on the basis of the results of questionnaires and interviewing of women.
The results of this study suggest that there are significant differences in causes of infertility in women of late reproductive age (35 - 49 years) compared with women of reproductive age with infertility up The predominant cause of infertility in the basic group is the combined factor - 42% (35% in the reference group) multiple female factors
(20%) (7% in the reference group) reduced ovarian reserve (17%)
(0% in the reference group) . A significantly smaller percentage of women of advanced
maternal age presented the absolute tubal factor (6%) (26% in the reference group)
or no gynecological pathology but isolated male factor infertility (9%) (21% in the reference group) . No significant differences between the groups have been found in such
causes of infertility as endometriosis, ovulatory dysfunction, infertility of uncertain genesis
less often than in primary infertility. Patients with secondary infertility who have children are 3.4
compared with infertile women who do not have children. Severe depression is found in every fourth
reproductive age with endometrial pathology are much less likely to be depressed and more likely to have such personality traits as sociability, extraversion and masculinity; patients with primary infertility are more prone to spontaneous aggression, shyness, emotional lability compared to secondary infertility; dysfunctional personality traits are least common in patients with secondary infertility; the personality profile of secondary infertile women who have children is close to the personality profile of fertile patients of late reproductive age with endometrial pathology.
world who are not planning a pregnancy at this stage of their lives are increasingly interested in the
Conclusions. The problem of infertility among women of late reproductive age remains
Special differences in the causes of infertility in women of advanced maternal age, the assessment of the social situation of infertile women of advanced maternal age are the basis for the development of ways of optimization of the specialized medical assistance for infertile couples and the improvement of the efficiency of treatment.
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