Vol 17, No 6 (2015)

Postmenopausal osteoporosis is a systemic metabolic bone disease. A key role in the early diagnosis of osteoporotic changes and timely prevention must play obstetrician-gynecologist outpatient care. At the same time, its actions should not be limited only to the assessment of fracture risk and focusing on the implementation of bone densitometry. Commitment to a comprehensive system diagnostics, affecting various aspects of bone metabolism disorders, will facilitate timely and reasonable prevention and correction of postmenopausal osteoporotic changes.

25 апреля в Калининграде состоялась научная конференция «Дни заместительной гормональной контрацепции в России-2015», организованная Международным обществом по менопаузе и Российской ассоциацией по менопаузе при поддержке компании «Эбботт». В работе конференции приняли участие ведущие российские и зарубежные эксперты в области менопаузальной гормонотерапии, которые обсудили наиболее часто встречающиеся и актуальные постменопаузальные проблемы, оценили результаты многочисленных анализов и реанализов нашумевшего американского исследования WHI, а также прокомментировали основные положения Международного консенсуса по менопаузальной гормональной терапии.

Vitamin-mineral complexes (VMC) in the II and III trimester of pregnancy and during the whole period of pregnancy provides in a blood plasma the physiological levels of micronutrients studied (B1, B12, B9, zinc). Receiving only VMC in the III trimester is sufficient to provide a blood plasma with physiological levels of vitamins C, B2, B6, A, E, and insufficient to provide a physiological level B1, B12, B9, zinc.One of the most difficult in terms of trace elements level correction is zinc. Receiving zinc composition Multi-tabs Perinatal at a dose corresponding to daily food requirement (15 mg), results in a significant increase in plasma concentrations 2-3 h after intake. To ensure the necessary physiological level, starting no later than in the II trimester a VMC containing zinc at a dose not exceeding the daily nutritional requirement.

The review presents the current state of dilatation of the renal ureteropelvic complex of mothers and fetus. Morphological and anatomical changes that occur with urinary tract of pregnant women are described here. Much attention is given to the degrees of renal collecting system dilatation of mothers and fetus, general tendency is demonstrated for increasing the diameter of the renal pelvis with mothers who have uncomplicated pregnancies, various indices of resistance in renal arteries in case of obstruction and nonobstruction pyeloctasia are demonstrated here. The significance of fetus renal scan during pregnancy was shown here, they also show pyeloectasia association with aneuploidy, in particular, with trisomy in 21 pair of chromosomes and renal disease confirmed in the postnatal period. The review reflects correlation of fetal pyeloectasia and expansion of pyelocaliceal of mothers, the importance of ultrasound screening is demonstrated here.

Obesity leads to a violation of women's reproductive health, accompanied by menstrual irregularities, infertility, hyperandrogenic conditions, and poses the female at high risk for endometrial cancer, as well as the ovarian and breast, complicated pregnancy and childbirth. At the base of disorders of the pituitary - gonadal axis in women with changes in obesity are the central regulatory mechanisms function if ovary, adrenal cortex and changes in the metabolism of sex steroids peripheral tissues. Weight loss helps to normalize cycle, in many patients, even without any further therapy, and to restore fertility.

The paper analyzes using of immunotherapy in sexually transmitted infections from the viewpoint of evidence-based medicine. Currently, human papilloma virus infection is the etiological agent of cervical cancer, which is the main leading cause of cancer death in women of reproductive age. Clinical studies suggest Isoprinosine (inosine pranobex) to be the most safe and effective drug in the complex treatment of these diseases. Standard treatment ensures elimination of human papilloma virus in nearly 98% of cases, significantly reducing the incidence of relapses, which is important in the prevention of cervix diseases and progression into cancer.

Presents data on the the prevalence and etiology of inflammatory diseases of internal genital organs of women. The shown are basic pathogenic mechanisms of development adhesive process in inflammatory diseases of the pelvic organs. There was a pathogenetic expediency and clinical efficacy of the treatment Longidaza patients with chronic inflammatory diseases of the genital organs.

Vulvovaginal infections (VVI) remain one of the most urgent problems of modern gynecology. The high prevalence of infectious lesions of the vagina, frequent relapses, the impact of the VVI on the function of the reproductive system, increasing the risk of gynecological disease and obstetric complications - all of this encourages the search for effective methods of correction and prevention of violations of cervicovaginal microecosystem. The most common causes of abnormal discharge from the genital tract in the world are considered to be bacterial vaginosis, vulvovaginal candidiasis and trichomoniasis. The review deals with the diagnosis and treatment of common VVI.