MENSTRUAL DYSFUNCTION: THE SITUATION IN THE WORLD AND IN UKRAINE – IN WOMEN OF REPRODUCTIVE AGE AND WITH ATYPICAL HYPERPROLIFERATIVE PATHOLOGY OF THE ENDOMETRIUM

Authors

  • N. Ye. Gorban O. Lukianova Institute of Pediatrics, Obstetrics and Gynecology of NAMS of Ukraine, Kyiv, Ukraine
  • I. B. Vovk O. Lukianova Institute of Pediatrics, Obstetrics and Gynecology of NAMS of Ukraine, Kyiv, Ukraine
  • N. H. Hoida P. Shupyk National Medical Academy of Postgraduate Education, Kyiv, Ukraine
  • O. V. Linchak O. Marzieiev Institute of Public Health of NAMS of Ukraine, Kyiv, Ukraine

DOI:

https://doi.org/10.11603/1681-2786.2019.3.10596

Keywords:

menstrual dysfunction, endometrial hyperproliferative pathology, uterine body polyp, endometrial hyperplasia

Abstract

Purpose: investigation of menstrual dysfunction (MD) features in Ukraine in 2010–2017 and in the patients examined at the clinic.

Materials and Methods. The materials of the statistical reports of the Ministry of Health of Ukraine and the State Statistics Service of Ukraine for the female population aged 18–49 were used. The peculiarities of menstrual function in 184 patients with non-atypical endometrial hyperproliferative pathology (NAEHP) were studied, divided into 3 groups: I (n = 60) – non-atypical endometrial hyperplasia (NAEH), II (n = 62) – uterine body polyps (UBP), III (n = 62) is a combination of NAEN + UBP.

Results. The frequency of MD among women in Ukraine in 2010–2017 was 15.96 %. The fluctuations of the values of the indicator from the lowest in the city of Sevastopol (2.92 %) and in the Luhansk region (5.90 %) are noted to the highest in Dnipropetrovsk region (26.16 %) and Kyiv (29.84 %). It was found that the higher the prevalence of MD, the higher the incidence of diseases of the genitourinary system (r=0.75) and some gynecological diseases – salpingitis (r=0.63) and endometriosis (r=0.42). The highest incidence of MD was found in group III (61.3 %) and group I (53.3 %), but only in a third (32.3 %) of patients in group II.

Conclusions. 1. The highest MD rates were found in women with NAEN and the combination of NAEN + UBP unlike patients with UBP only. 2. MD can be considered as a marker and indicator of poor functioning of the genitourinary system and the presence of a hyperproliferative process at the pre-hospital stage.

Author Biographies

N. Ye. Gorban, O. Lukianova Institute of Pediatrics, Obstetrics and Gynecology of NAMS of Ukraine, Kyiv, Ukraine

Gorban Natalia - PhD (Medicine), Senior Researcher at the Department of Family Planning, State Institution «Institute of Pediatrics, Obstetrics and Gynecology named after Academician OM Lukianova NAMS of Ukraine»

I. B. Vovk, O. Lukianova Institute of Pediatrics, Obstetrics and Gynecology of NAMS of Ukraine, Kyiv, Ukraine

Vovk Iraida - DM (Medicine), Professor, Head of the Department of Family Planning of the State Institution «Institute of Pediatrics, Obstetrics and Gynecology named after Academician OM Lukianova NAMS of Ukraine»

N. H. Hoida, P. Shupyk National Medical Academy of Postgraduate Education, Kyiv, Ukraine

Hoida Nina - DM (Medicine), Professor of the Department of Healthcare Management of the National Shupyk National Medical Academy of Postgraduate Education

O. V. Linchak, O. Marzieiev Institute of Public Health of NAMS of Ukraine, Kyiv, Ukraine

Lynchak Oksana - DM (Medicine), Leading Researcher of the Laboratory of Epidemiological Research and Medical Informatics, State Institution «O.M. Marzieiev Institute for Public Health of the NAMS of Ukraine»

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Published

2019-11-18

How to Cite

Gorban, N. Y., Vovk, I. B., Hoida, N. H. ., & Linchak, O. V. . (2019). MENSTRUAL DYSFUNCTION: THE SITUATION IN THE WORLD AND IN UKRAINE – IN WOMEN OF REPRODUCTIVE AGE AND WITH ATYPICAL HYPERPROLIFERATIVE PATHOLOGY OF THE ENDOMETRIUM. Bulletin of Social Hygiene and Health Protection Organization of Ukraine, (3), 77–83. https://doi.org/10.11603/1681-2786.2019.3.10596

Issue

No. 3 (2019)

Section

The science for health care practice

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