Consilium MedicumConsilium Medicum2075-17532542-2170Consilium Medicum94877Review ArticleCauses of disorders and prospects for improving reproductive health in Russia. Clinical lectureBorisovV. Vvvb56@yandex.ruI.M.Sechenov First Moscow State Medical University, Ministry of Health of the Russian Federation15072017197707528122021Copyright © 2017, Consilium Medicum2017In the article in the form of a clinical lecture, the demographic problems of Russia in the last quarter of a century are analyzed in detail with the analysis of fertility, mortality, and population growth. The cause of these processes is in many respects the problems of infertility in a married couple, the leading factor is often the male factor. At the heart of the decline in male fertility, in addition to social and economic factors, there are unfavorable environmental conditions, occupational hazards, sexually transmitted diseases, early onset of sexual activity in adolescence in young men and women, casual and promiscuous sexual intercourse, alcohol, drugs, etc. A special place Paid attention to the role of emotional and oxidative stress, the deficit of antioxidants and microelements necessary for the normal function of the reproductive system. As an example, the successful use of Selzinc Plus, containing zinc, selenium, vitamins C, E, β-carotene in the required adequate dosage is considered. Ways of improving the prevention of violations of male reproductive function and overcoming male infertility are outlined.demographyfertilitymortalitymale infertilityspermogramantioxidantsSelzink Plusдемографиярождаемостьсмертностьмужское бесплодиеспермограммаантиоксидантыСелцинк Плюс