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  • COLLECTION OF SCIENTIFIC WORKS Association of Obstetricians-Gynecologists of Ukraine

    Articles in English


    EFFECTIVENESS OF ORAL PROBIOTICS TO RESTORE THE VAGINAL FLORA

    V.V.Konoplyanko¹, L.I.Vorobey¹², R.R.Tkachuk¹²

    ¹-Department of Obstetrics, Gynecology and Reproduction, Ukrainian State Institute of Reproduction, NMAPE named after P.L.Shupyk

    ²-Kyiv City Center of Reproductive and Perinatal Medicine

    Summary. The clinical study results of "Probiz Femina" effectiveness to restore vaginal flora after treatment of infectious vaginitis are presented in the article. The study involved 68 women who were administered the probiotic within 15 days. The efficiency of "Probiz Femina" to correct vaginal dysbiosis, effective and rapid treatment of different vaginitis and prevention of their recurrence were determined.

    Keywords: "Probiz Femina", Vaginal dysbiosis, Probiotics, Live lactic acid bacteria.



    VAGINAL ATROPHY IN POSTMENOPAUSAL WOMEN

    P.N. Veropotvelian, I.S.Tcehmistrenko, N.P. Veropotvelian, I.V.Gudgevskaia

    Summary. This article presents the state of estrogen deficiency syndrome of vaginal atrophy in postmenopausal women. A comparative study of numerous publications related to the pathogenesis, clinical features and treatment of this syndrome.

    Keywords: vaginal atrophy, postmenopausal vaginal dryness, dyspareunia, estrogen deficiency.



    PREVENTION OF MASSIVE BLEEDING AND DELIVERY IN PREGNANT WOMEN WITH PATHOLOGY OF PLACENTATION

    Golyanovskyi OV, Ivankova IN, Lezhnenko S.P.

    Summary. The article presents the relevance of modern diagnostic pathologists placentation using ultrasound Doppler and MRI to determine the level of the true placenta accreta. The proposed algorithm of actions in the case of pl. percreta with the implementation of the CS in the bottom of the uterus and IIAL, a hysterectomy without appendages and the use of argon- plasma coagulation of tissue to minimize intraoperative blood loss, the likelihood of post-operative complications.

    Keywords: pathology placentation, pl. increta/percreta, placenta previa, a massive obstetric haemorrhage, fetal growth retardation.



    RECOVERY OF REPRODUCTIVE FUNCTION IN PATIENTS WITH MISCARRIAGE IN OVARIAN HYPERANDROGENIZM

    Yarotskii N.E., Semeniuk L.M.

    Summary. This study is dedicated to the investigation of reproductive characteristics of women with PCOS and miscarriage on the background of obesity. It was established that reproductive disorders among women in this group due to oppression of folliculogenesis and dominance of androgens. We proved a direct connection link between obesity and menstrual irregularities. Pathogenetic therapy of functional disorders of the reproductive system with sources identification of androgens overproduction increased the effectiveness of different ovulation stimulation methods aimed at restoring the generative function and was effective in relief of metabolic components of this syndrome.

    Keywords: hyperandrogenism, skleropolikistoz, obesity, metabolic syndrome.



    MODERN ASPECTS OF PREVENTION BIRTH TRAUMA IN PREGNANT WOMEN WITH NONSPECIFIC COLPITES

    Boris E.N., Sumenko V.V.Onischik L.N., Sotnichenko A.V.

    Summary. The article presents the results of a comparative clinical trial studying the effectiveness of preventing birth trauma antiseptic as local therapy, which was attended by 95 pregnant women with nonspecific colpitis. Investigations were carried out in two stages: clinical and laboratory examination, followed by treatment. Patients who met the inclusion criteria were treated with antiseptic, and then comparing their effectiveness. Оktenisept drug demonstrated significantly greater efficacy and better tolerability in patients of the main group.

    Keywords: nonspecific colpites, birth trauma, antiseptic as local therapy, second trimester pregnant, oktenisept.



    DIFFERENTIAL APPROACH TO THE TREATMENT OF INFERTILITY IN WOMEN WITH ENDOMETRIOSIS

    Akimova I.K., Popova M.V.

    Summary. In the work includes the results of treatment of 30 patients with endometriosis who underwent in vitro fertilization. All patients after diagnosis of endometriosis was performed laparoscopic surgery. After operative laparoscopy and hysteroscopy planned to conduct in vitro fertilization with embryo transfer. Depending on the intended superovulation induction protocol, patients were divided into two groups of 15 people. 1 group appointed dienogest in a continuous mode at a dose of 2 mg per day for 4-6 months, after which performed the induction of superovulation in IVF with the long protocol of PE using diferellin 3,75 for pituitary desensitization and preparation of recombinant FSH - Gonal-F. Group 2 consisted of 15 patients. The use of dienogest as a conservative treatment after the surgical laparoscopy for endometriosis at the preparatory stage of IVF has a pronounced therapeutic effect without impairing the quality of life of patients.

    Keywords: barren marriage, fertility treatments, endometriosis.