The method of evaluation and prediction of formation of menstrual function of adolescent girls

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Abstract

Timely detection of risk groups at the onset of puberty and menstrual function is key to good physical, sexual, and mental health. Nowadays, many authors work at the problem of identifying risk factors that lead to the disruption of the formation of the reproductive system as well as creat predictive software and maps for the assessment of possible risks of the formation of this system in girls. The paper presents the possibility of predicting the formation of menstrual function in adolescent girls based on prognostic charts. The prognostic chart includes the following criteria: age, health, mother’s social position at the time of pregnancy and childbirth, place of birth and residence, and the transferred diseases of a girl with a group definition of health. Medical examination was performed in 432 girls aged 9-13 years and 11 months. It was revealed that more than half of the girls belong to a group with medium risk of all forms of menstrual dysfunction, requiring the attention of a gynecologist for adolescents. The main components of preventive observation and treatment consisted of gynecological examination, normalization of work and rest, nutrition, sanitation of foci of infection, sedative therapy, vitamin therapy, adaptogens, psychological training, physical therapy, and acupuncture. The chart can be used not only by gynecologists for children and adolescents but also by pediatricians, endocrinologists, and health workers in the school setting.

About the authors

Anna V. Mironova

St Petersburg State Pediatric Medical University

Author for correspondence.
Email: vladnyra@mail.ru

MD, PhD, Associate Professor, Department of Children Gynecology and Female Reproductology

Russian Federation, Saint Petersburg

Viktoria G. Balasanyan

St Petersburg State Pediatric Medical University

Email: v.g.balasanyan@mail.ru

MD, PhD, Dr Med Sci, Professor, Department of Children Gynecology and Female Reproductology

Saint Petersburg

References

  1. Аболонина О.В. Прогнозирование, диагностика и лечение нарушений формирования репродуктивной системы у девочек с задержкой полового развития: Автореф. дис. … канд. мед. наук. – М., 2006. [Abolonina OV. Prognosis, diagnosis and treatment of reproductive system disorders in girls with a delay in sexual development. [dissertation] Moscow; 2006. (In Russ.)]
  2. Забирова С.Д. Особенности становления репродуктивной системы девушек с избыточной массой тела: Автореф. дис. … канд. мед. наук. – М., 2012. [Zabirova SD. Features of the formation of the reproductive system of girls with excessive body weight. [dissertation] Moscow; 2012. (In Russ.)
  3. Елгина С.И. Репродуктивная система девочек на момент рождения и профилактика нарушений ее становления в постнатальном периоде: Дис. … д-ра мед. наук. – Омск, 2009. – 273 с. [Elgina SI. Reproductive system of girls at the time of birth and prevention of disorders of its formation in the postnatal period. [dissertation] Omsk; 2009. 273 p. (In Russ.)]
  4. Елгина С.И., Ушакова Г.А., Вайгауз А.М. Свидетельство об официальной регистрации программ для ЭВМ № 2007610979 «Репродуктивный прогноз детей» // Официальный бюллетень «Программы для ЭВМ. Базы данных и топологии интегральных схем». – 2007. – № 2 (59, Ч. 2). – С. 227. [Elgina SI, Ushakova GA, Vaygauz AM. Certificate of official registration of computer programs No. 2007610979 “Reproductive prognosis of children”. Ofitsial’nyy byulleten’ “Programmy dlya EVM. Bazy dannykh i topologii integral’nykh skhem”. 2007;(59, Part2):227. (In Russ.)]
  5. Костин И.Н. Резервы снижения репродуктивных потерь в Российской Федерации: Автореф. дисс. … д-ра мед. наук. – М., 2012. – 48 с. [Kostin I.N. Reserves for reducing reproductive losses in the Russian Federation: avtoref. [dissertation] Moscow; 2012. 48 p. (In Russ.)]
  6. Кохреидзе Н.А., Ануфриенко Э.Г., Боброва И.В., Миронова А.В. Интимная гигиена девочки-подростка: принципы, современные возможности и проблемы внедрения // Педиатр. – 2014. – Т. 5. – № 3. – С. 42–45. [Kokhreidze NA, Anufriyenko EG, Bobrova IV, Mironova AV. Intimate hygiene of an adolescent girl: principles, modern opportunities and problem of introduction. Pediatr. 2014;5(3):42-45. (In Russ.)]
  7. Кузгибекова А.Б., Култанов Б.Ж., Кусаинова А.С. Репродуктивное здоровье девочек-подростков // Международный журнал прикладных и фунда ментальных исследований. – 2012. – № 7. – С. 15–16. [Kuzgibekova AB, Kultanov BZh, Kusainova AS. Reproductive health of adolescent girls. Mezhdunarodnyy zhurnal prikladnykh i funda-mental’nykh issledovaniy. 2012;(7):15–16. (In Russ.)]
  8. Кузнецова И.В. Девочка-подросток как пациент. Эндокринная гинекология физиологического пубертата: оптимальный минимум коррекции. Информационный бюллетень. – М.: Редакция журнала StatusPraesens, 2014. – 20 с. [Kuznetsova IV. A teenage girl as a patient. Endocrine gynecology of physiological pubertal: the optimal correction minimum. Moscow: Redaktsiya zhurnala StatusPraesens; 2014. 20 p. (In Russ.)]
  9. Минздрав РФ, Департамент анализа, прогноза, развития здравоохранения и медицинской науки, ФГБУ «Центральный научно-исследовательский институт организации и информатизации здравоохранения Минздравсоцразвития Российской Федерации». Основные показатели здоровья матери и ребенка, деятельность службы охраны детства и родовспоможения в Российской Федерации. – М.: 2012. [Minzdrav RF, Departament analiza, prognoza, razvitiya zdravookhraneniya i meditsinskoy nauki, FGBU “Tsentral’nyy nauchno-issledovatel’skiy institut organizatsii i informatizatsii zdravookhraneniya Minzdravsotsrazvitiya Rossiyskoy Federatsii”. The main indicators of maternal and child health, the activities of the child welfare and obstetric service in the Russian Federation. Moscow; 2012. (In Russ.)]
  10. Миронова А.В., Баласанян В.Г., Журавлева К.Л. Роль врача-педиатра в половом воспитании девушек-подростков // Педиатр. –2015. – Т. 6. – № 1. – С. 76–80. [Mironova AV, Balasanyan VG, Zhuravleva KL. The role of the pediatrician in the sexual education of adolescent girls. Pediatr. 2015;6(1):76-80. (In Russ.)]
  11. Основные показатели деятельности службы охраны здоровья матери и ребенка в Российской Федерации / Под ред. Г.Т. Сухих, Л.В. Адамян. – М., 2010. – 158 с.
  12. The main indicators of the activities of the mother and child health service in the Russian Federation. Ed by G.T. Sukhikh, L.V. Adamyan. Moscow; 2010. 158 p. (In Russ.)]
  13. Уварова Е.В. Детская и подростковая гинекология: руководство для врачей. – М.: Литтерра, 2009. – 384 с. [Uvarova EV. Pediatric and adolescent gynecology: rukovodstvo dlya vrachey. Moscow: Litterra; 2009: 384 p. (In Russ.)]
  14. Women and health: today’s evidence, tomorrow’s agenda. World Health Organization; 2009:108.

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Copyright (c) 2017 Mironova A.V., Balasanyan V.G.

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