Structure of infertility in female militaries: descriptive study

INTRODUCTION. The demographic situation in Russia remains a key medical and social issue, the important aspect of which is the trend of increasing frequency of infertility. The growth in the number of female militaries dictates the need to study the structure of female infertility among them in the ranks of the Armed Forces of the Russian Federation.

OBJECTIVE. To reveal the structure of infertility in female militaries.

MATERIALS AND METHODS. The study was carried out in the period from 2020 to 2021 г. in the Obstetrics and Gynecology Clinic in the Kirov Military Medical Academy, involving 192 female militaries, aged 18–40. All patients were divided into 2 groups: the main group – patients with different forms of infertility (n = 54), control group – patients with no information on infertility (n = 138). The patients of the main group were divided into 3 subgroups, depending on forms of infertility: IA – tuboperitoneal infertility (n = 26), IБ – endocrine infertility (n = 17), IВ – unexplained infertility (n = 11). Gynecological history was collected from the patients of both study groups, clarifying the nature of menstrual, sexual and reproductive functions; there was analysis of microscopic examination data of genital organs, ultrasound examination of the pelvic organs with folliculometry as well as the study of hormonal profile, including determination of the levels of follicle-stimulating, luteinizing, anti-Mullerian hormone in the blood serum. Hormonal and ultrasound examinations were conducted on the 3^rd-5^th day of menstrual cycle.

RESULTS. The study found that infertility in marriage is diagnosed in 54 (28 %) out of 192 femalemilitaries, and tuboperitoneal form of infertility was in 49 % (26/54) of women, in 31 % (17/54) – endocrine form of infertility, the cause of infertility has not been established in 20 % (11/54) of women.

DISCUSSION. According to various authors, the tuboperitoneal factor is the main cause of female infertility in the world and particularly in Russia. The study result has found that this factor is the most common cause of infertility among female militaries (49 %), in 100 % of cases patients with tuboperitoneal infertility had pelvic inflammatory disease in the history, in 61,5 % – surgery of internal genital organs. Endocrine infertility is the second most common cause of female infertility. According to our data, the incidence of endocrine infertility among female militaries is 31 %. A high incidence of autoimmune thyroiditis (23,5 %) as well as the reduction of follicular ovarian reserve (64,7 %) are discovered in the group of patients with endocrine infertility.

CONCLUSION. Thus, as a result of the study, it has been determined that it is now possible to identify various direct and indirect causes of female infertility, and also predisposing factors of its development in women. This makes it relevant to further explore methods of treatment and prevention of infertility in military personnel.

marine medicine, female infertility, incidence, causes, female militaries

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