The aim is to study the review of the literature review on autoimmune thyroiditis and violations of the reproductive function in women of fertile age
Methods. In total, 100 cases of Ait in women of fertile age with various disorders of the menstrual function (MF) and the reproductive system (PC) were studied. The average age of women was ranging from 18 to 45 years (31.5 ± 0.4).
All 100 patients were performed by a study spectrum, including the study of endocrine status (anthropometric - height, weight, waist volume, thighs, body weight index), general crystal, biochemical, hormonal (TSH, LG, FSH, prolactin, estradiol, progesterone, free thyroxine, antibodies to TPO and other - in the laboratory of radioimmune hormonal studies of the RSNPMC Endocrinology of the Ministry of Health of Ruz. In addition, they performed an ultrasound study of the brief and genital organs, an ECG, as well as a study of the quality of life on the questionnaire of The World Health Organization Quality Of Life (WHOQOL -Qol).
Research results. Depending on the body mass index (BMI), the patients were distributed into 2 groups: 1 group - patients with ait with soblinic hypothyroidism -48 (48.0%) patients, 2 groups - patients with AIT with manifestic hypothyroidism - 52 (52.0%) patients.
In the structure of violations of MC in women, the 1st groups were allowed -24.6%, secondary amenorrhea -12.5%. These patients had a history of miscarriage (12.5%), stillbirth (14.6%). Violations of reproductive function were not observed.
In the structure of violations of the MC in women, 2 groups were an olnognosorya -59.6%, the metrrahny frequency is 21.2%, secondary amenorrhea -19.2%. For this category of patients, a high frequency of violations of the reproductive system (53.9%) is characterized, of which: primary infertility was observed in 40.4% of cases, secondary infertility - 13.5% of cases. These patients had a history of miscarriage (32.8%), stillbirth (39.8%), butorous prevention of the fetus (22.7%).
Conclusions. 1) The first stage in the treatment of menstrual disorders and infertility in women with ait should be the correction of excess body weight. 2) Most often, the violation of the MC and the reproductive function was observed in patients with ait and 1 degree of obesity than with ait and normal body weight.
Introduction; Worldwide, young women and men suffer a disproportionate share of reproductive health problems, such as unplanned pregnancies, sexually transmitted diseases, including HIV/AIDS, and other serious reproductive health problems. Youth Reproductive Health Service is a special gift from the youth age group, young people all over the world are in need of much better education and health care related to reproduction.
Methodology; This cross-sectional community based descriptive study was conducted in West Hararghe, Gumbi Bordade woreda Arba Bordade Health Center, with the main objectives of assessing youth reproductive health service preferences and utilization. Based on probability proportionate to the population size of kebele, the lottery method was used to identify the study population by interviewing 239 youth selected by systematic sampling using per-structured questionnaires
Result-. A total of 239 youth aged 15-24, 221 responded to the structured questionnaire, out of which 114 (51.6%) were male, with a male to female ratio of 1.14:1. Among the study participants, 140 (63.3%) were aged 15-19, and 38 (17.2%) were married. In the assessment of utilization and preference of the health institution, 96(43.4%) of the respondents preferred to be served in governmental health institution and 69 (31.2%) of the youth indicated the need to rearrange in the existing health institution having separate youth health institution, and 93(42.1%) of the them preferred to be served by young and of the same sex.
Conclusions: -A high figure of the youth not served in the existing health institution for their reproductive health needs, even those who used to be served, they claimed that the existing health institutions were inconvenient and unattractive. Almost half of the respondents preferred the need for rearrangement of youth reproductive health institutions separately, and also to be served by young and the same sex health providers. Family health service, sexual education, partner relation guidance, information and education on STD/HIV AIDS and to having an information center were preferred by almost by all respondents.