Сучасний стан репродуктивного здоров’я подружньої пари з урогенітальними інфекціями в анамнезі

Abstract

This article highlights the actual problem of reproductive health in a married couple with a history of urogenital infections. The main trigger for the development of inflammation of the uterine adnexas is microbial invasion. In recent years, there have been significant changes in the etiological structure of inflammatory diseases of the reproductive system: the incidence of inflammatory diseases caused by the agents of the «second generation» – chlamydia, ureaplasmas, mycoplasmas, viruses significantly increased. The untimely and inadequate treatment of acute inflammatory processes of the internal genital organs, as well as the lack of their prevention explains the high incidence of chronic salpingoophoritis. Recently, give considerable attention to the study of the prevalence and role of viruses in the structure of sexually transmitted diseases. Today, inflammatory diseases of the urogenital sphere in men and women are the leading among the problems that have to deal with urologists, andrologists, gynecologists, reproductologists. This pathology is most common among patients of reproductive and working age. It has a negative effect on sexual function, ability to conceive, family relationships, social adaptation and efficiency. Marriage infertility is a worldwide prevalent pathology that is a significant personal, medical, biological, social and demographic problem of today. According to the latest data from the European Society for Human Reproductology and Embryology (ESHRE), about 1 million married couples suffer from infertility in Ukraine, ie 15–17%. The overview of current research summarizes the theoretical and statistical data of recent years. The modern ideas about the etiopathogenesis of male and female infertility, namely the effect of transmitted urogenital infections on the occurrence of disorders in the female and male genitourinary systems are considered. Accent is placed on the analysis of the problem of complications regarding further planned pregnancy in a couple who has a history of urogenital infections. Key words: reproductive health, urogenital infections, infertility, pregnancy, mixed infections, married couple, sexually transmitted diseases (STDs).