Abstract
Protection of reproductive health of adolescents and youth, i.e., individuals aged 15 to 24 years, is a primary goal of a family planning service as according to WHO estimations (1995), the youth aged 15 to 24 years makes over 14% of the overall population in developed countries.Disorders of a menstrual cycle take a leading place among gynaecologic pathologies of adolescent girls. At the same time, according to WHO data, about 30% of schoolchildren suffer from iron deficiency anemia, which takes one of the first places in the structure of somatic pathologies. On the basis of maternity welfare centre No. 2, 2,456 girls aged 15 to 18 years were examined, and the frequency of occurrence and structure of disorders of a menstrual cycle was studied. In addition to standard methods of examination, all patients undertook USI of small pelvis organs; indicators of a hormonal status, complete blood test, transport fund, and iron stocks were investigated. The study included 285 girls, with various disorders of a menstrual cycle, who had no history of iron deficiency states and exacerbation of chronic diseases. The control group included 69 adolescent girls with a regular menstrual cycle. The most common type of disorder of a menstrual cycle in subjects examined was dysmenorrhea I. Iron deficiency anaemia was found in 5.3% of the subjects examined. The frequency of occurrence of moderate anaemia and latent deficiency of iron of 46.7% and 11.9%, respectively, attracts our attention. Well-timed diagnostics of the states mentioned in adolescent girls can prevent subsequent development of reproductive and somatic pathologies.
Highlights
The state of reproductive health of adolescent girls is one of vital issues
The material for study is based on 70 echograms obtained from girls with secondary amenorrhea and 64 echograms received from practically healthy girls of 17 to 23 years old
The greatest specific gravity in the structure of somatic pathology of adolescent patients with secondary amenorrhea is made by an adenoid disease (37.5%) and other diseases of ENT organs (30.2%), GIT diseases (28.5%), diseases of cardiovascular system (29.9%)
Summary
The state of reproductive health of adolescent girls is one of vital issues. Data of official statistics suggest that eight out every nine girl suffer from that or other gynaecologic disease, and the percentage of absolutely healthy girls have decreased from 28.6% to 6.3% during the past 10 years.As Uvarova (2005) wrote that currently, the state of reproductive health of adolescents is one of few most discussed subjects among specialists, and by wide public, and that stresses a special importance and urgency of the problem.According to various sources, a frequency of gynaecologic diseases in adolescent girls ranges from 7.1 to 64.3%.As Kokolina (2005) and Bogdanova (2000) wrote, the structure of gynaecologic morbidity in girls depends on age. The state of reproductive health of adolescent girls is one of vital issues. As Uvarova (2005) wrote that currently, the state of reproductive health of adolescents is one of few most discussed subjects among specialists, and by wide public, and that stresses a special importance and urgency of the problem. A frequency of gynaecologic diseases in adolescent girls ranges from 7.1 to 64.3%. As Kokolina (2005) and Bogdanova (2000) wrote, the structure of gynaecologic morbidity in girls depends on age. Inflammatory diseases of genitals occur mainly during a neutral period of childhood while menstrual function disorders are primary pathology of a pubertal period. Some authors claim that SA takes 4.2% in the structure of menstrual function disorders in girls during the pubertal period and according to other authors this figure equals 8.1%
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