Abstract
To date, the problem of reduced fertility is quite relevant. At the same time, it should be noted that the effectiveness of infertility treatment, even with the use of the latest techniques, tools and drugs does not exceed 35-40%. This can be explained by insufficient study of a number of causes that lead to impaired fertility.One of these little-known and poorly studied factors is pelvic venous plethora, in particular varicose veins of the ovaries. While anatomically similar disease in men - varicocele - is given great importance, in women, even the very existence of this pathology is controversial among some authors.All studies were conducted in compliance with the basic bioethical norms and requirements of the Declaration of Helsinki. 117 women of reproductive age (21 - 42 years) with infertility of functional genesis were examined.According to the results of the analysis, the clinical and anamnestic features of women with infertility and ovaric varicocele are increased proportion of patients with intellectual differentiation and psycho-emotional and physical stress, high frequency of infectious diseases with acyclic uterine bleeding, dysmenorrhea and premenstrual. Changes in the anatomical and functional state of the pelvic organs and venous system in women with infertility and ovarian varicocele have been established. It was found that the hormonal profile of women with infertility and ovarian varicocele is characterized by a decrease in estradiol and progesterone. A pathogenetically sound algorithm for the diagnosis and treatment of women with infertility and ovarian varicocele has been developed, which is based on clinical data and the results of instrumental methods of examination.
Highlights
The problem of reproductive health in Ukraine has become of great importance in the last decades
The incidence of infertility in the world ranges from 10-15 to 18-29% and there is a steady tendency to its rapid increase, which makes this pathology a national problem
The demographic consequences of infertility include a general decline in fertility
Summary
The problem of reproductive health in Ukraine has become of great importance in the last decades. The socio-economic crisis has led to a rapid rate of depopulation − a decrease in population. In terms of fertility rate, Ukraine is among the 8 countries with the lowest childbearing activity [6, 8]. The demographic consequences of infertility include a general decline in fertility. At a rate of infertile marriages of 15% and above, its impact on demographics far outweighs the overall impact of miscarriage and perinatal losses. It is difficult to overestimate the social significance of the problem of missing children in marriage. This is the instability of family relationships, the emergence of complex inferiority spouses, RS Global
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