与乌克兰女性不孕症相关的因素:多中心研究结果
Aidyn G Salmanov1, Oleksandr M Yuzko2, Bohdan Yu Tofan3
1SHUPYK NATIONAL HEALTHCARE UNIVERSITY OF UKRAINE, KYIV, UKRAINE; INSTITUTE OF PEDIATRICS, OBSTETRICS AND GYNECOLOGY OF THE NATIONAL ACADEMY OF MEDICAL SCIENCES OF UKRAINE, KYIV, UKRAINE.
概括
女性不孕症影响乌克兰24.3%的妇女,二次不孕症更为常见. 关键的危险因素包括年龄,妇科病史和感染.
科学领域:
- 生殖医学 生殖医学
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 女性不孕症是一个重大的全球健康挑战.
- 了解其流行率和风险因素对于有针对性的干预至关重要.
研究的目的:
- 确定乌克兰目前女性不孕症的流行情况.
- 确定和描述乌克兰人口中不孕症相关的风险因素.
主要方法:
- 一项多中心前性队列研究,从2021年1月到2023年12月,涉及乌克兰各地的7618名参与者.
- 不孕症的定义遵循世界卫生组织的标准.
- 通过问卷收集的数据,将参与者分为不育和肥沃的组进行分析.
主要成果:
- 女性不育的总体患病率为24.3%,主要不育率为5.9%,次要不育率为18.4%.
- 确定的显著风险因素包括晚期的孕产妇年龄,初次性交的早期年龄,妇科手术史,婚姻状况,结婚年龄,卵巢储备 (DOR) 减少,不孕不育的家族史,宫炎,手术堕胎,子宫内膜炎,细菌性阴道炎和有氧性阴道炎.
结论:
- 乌克兰的女性不育率很高.
- 二次不孕症比初级不孕症更为普遍.
- 几种人口,生活方式和医疗因素与乌克兰女性不孕症有很强的联系.
相关概念视频
Infertility in Females
292
Female infertility is defined as the inability to conceive after a year of regular, unprotected intercourse and affects about 10–15% of couples worldwide. The primary cause of female infertility is ovulatory disorders, which hinder the release of eggs. These disorders can be classified as hypothalamic amenorrhea, polycystic ovarian syndrome (PCOS), premature ovarian failure, and hyperprolactinemic anovulation disorders.
Endometriosis, a condition characterized by abnormal growth of...
Endometriosis, a condition characterized by abnormal growth of...
292
Infertility in Males
260
Male infertility affects millions of couples worldwide, arising from various factors that impact different stages of the reproductive process. An endocrine imbalance resulting from conditions like hypogonadism, Klinefelter syndrome, or pituitary disorders can disrupt hormone levels and reduce sperm production. Testicular defects, such as tumors, cryptorchidism, atrophic testes, abnormal sperm morphology, and low sperm count or motility, may arise due to genetic factors, structural...
260
Oogenesis
63.7K
In human women, oogenesis produces one mature egg cell or ovum for every precursor cell that enters meiosis. This process differs in two unique ways from the equivalent procedure of spermatogenesis in males. First, meiotic divisions during oogenesis are asymmetric, meaning that a large oocyte (containing most of the cytoplasm) and minor polar body are produced as a result of meiosis I, and again following meiosis II. Since only oocytes will go on to form embryos if fertilized, this unequal...
63.7K
Spermatogenesis
102.4K
Spermatogenesis is the process by which haploid sperm cells are produced in the male testes. It starts with stem cells located close to the outer rim of seminiferous tubules. These spermatogonial stem cells divide asymmetrically to give rise to additional stem cells (meaning that these structures “self-renew”), as well as sperm progenitors, called spermatocytes. Importantly, this method of asymmetric mitotic division maintains a population of spermatogonial stem cells in the male...
102.4K
Disorders of the Female Reproductive System
352
The female reproductive system can be affected by several disorders, including Premenstrual Syndrome (PMS), Premenstrual Dysphoric Disorder (PMDD), endometriosis, and various forms of cancer. PMS and PMDD are cyclical conditions that cause physical and emotional distress, with symptoms that include edema, mood swings, and food cravings. PMDD is a more severe form of PMS characterized by increased symptom severity that peaks during the luteal phase and tends to improve or resolve shortly after...
352


