| Abstrakt: |
Background. Experts observe that Russia’s war against Ukraine led to a significant decline in the demographic situation and caused a severe impact on the reproductive health of women. Objective of the review: to assess and predict the consequences of war-related stress on the reproductive health of women residing in various zones - war zones, adjacent areas, remote territories, and even abroad; managing menopausal disorders in women with premature menopause and perimenopause remotely becomes crucial due to the existing limitations of in-person gynecological consultations. Analysis of literary data. The findings indicate a detrimental influence of wartime stress on the reproductive health of women across different categories - those experiencing active combat in adjacent regions, in remote areas, and even overseas. There is an increase in the frequency of diseases of the female reproductive system, namely: menstrual cycle disorders, abnormal uterine bleeding, premature menopause, hyperandrogenism, severe climacteric disorders. Due to severe negative stressor consequences caused by the war in Ukraine, the number of younger women with premature ovarian failure syndrome has increased, as well as the number of perimenopausal women with severe manifestations of menopause. Taking into account the difficult social and domestic conditions of some Ukrainian women and the impossibility of seeing a doctor, it is important to prescribe initial therapy for stress-induced consequences of reproductive disorders. The drugs of choice in treatment are modern estrogen-progestagen preparations, the effectiveness and safety of which has been proven by numerous scientific studies. Patients who complain of manifestations of concomitant pathology should be referred to the relevant specialists. Conclusion: The impact of war-related stress on the female reproductive health system poses a considerable challenge for gynecologists and healthcare professionals in preventing and managing these issues. [ABSTRACT FROM AUTHOR] |
