INFERTILITY PREVALENCE IN MAIN ETHNIC GROUPS OF URBAN AND RURAL POPULATIONS IN BURYAT REPUBLIC

Currently the infertility is one of the most important reproductive problems. In the previous epidemiological studies the infertility rate in the different regions of Eastern Siberia was shown as 12-21 %. This article shows the results of the epidemiological study of infertility in Buryat Republic. The questioning and medical examination was done in the random sampling of 1495 urban and 545 rural women of reproductive age. Some ethnic aspects of infertility were investigated too. It was estimated that in Russian population the number of fertile women is higher in rural regions compare to urban ones, in Buryats it doesn't depend on region. The rate of unknown fertility and primary infertility is significantly higher in rural women of both ethnic group. In Russians the frequency of secondary infertility is higher in urban region, but in Buryats it doesn't depend on region and is similar to the infertility rate in urban Russians

THYROID DISEASES AND FEMALE REPRODUCTIVE HEALTH IN MAJOR ETHNIC GROUPS IN EASTERN SIBERIA

The paper presents the results of a retrospective analysis of reproductive and thyroid status in 1339 women (aged 27-45years) living in Eastern Siberia. 134 Mongoloid (Buryat) women and 1205 Caucasians (Russian women): 81 % women of infertile couples, 19 % of healthy women (control group) were established. High rates of hypothyroidism (18 %) in women with hyperprolactinemia and thyroid autoimmunity (7.9 and 7.2 %) in women with uterine fibroids, endometriosis and infertility, living in the Irkutsk region, was found. This study confirms the role of thyroid dysfunction in reproductive disorders. The median TSH in women with infertility Caucasians (Russian women) significantly exceeded the performance of TSH in the control group, especially in women with uterine fibroids and endometriosis. The median of FT4, the biologically active part of total thyroxin, in infertile women were in the range of reference values, were significantly lower than median of FT4 in the control group. In women with infertility, living in the Republic of Buryatia, thyroid disease was found in 2 times less compared to a resident of the Irkutsk region (14.1 % and 35 %; P (χ2) 0,05), in the structure of the thyroid diseases, in certain hormones concentrations TSH and FT4 in Russian and Buryat women with infertility, which requires further study. Discriminant analysis found the significance of changes in thyroid hormone for infertility in different ethnic groups: for infertile and fertile Russian women, living in the Republic of Buryatia, informative signs are indicators of TSH; for infertile and fertile Buryat women FT4; for women Caucasians with infertility, uterine fibroids and endometriosis, living in the Irkutsk region T3 and T4

FEMALE GENITAL TUBERCULOSIS IN THE MAIN ETHNIC GROUPS IN BURYAT REPUBLIC

The article presents the results of analysis of statistical data and medical cases of women with urogenital tuberculosis, examined at the Republic's clinical TB dispensary in Ulan-Ude (Buryat Respublic) in the 2008-2012. It was shown that in accordance with hospital register the genital TB incidence and the rate of infertility associated with tuberculosis in Buryats and Russian patients are similar

HORMONE-DEPENDENT GYNECOLOGICAL DISEASES IN INFERTILE WOMEN FROM MAIN ETHNIC GROUPS OF BURYAT REPUBLIC

The article presents the results of examination of 156 women from infertile couples (88 Russians, 68 Buryats). The uterine factor of infertility was observed more often in Buryats due to higher rate of uterine fibroids in Buryat women with secondary infertility in comparison with Russian infertile women: 69,7 % and 21,8 %, respectively. No significant difference was shown in adenomyosis and endometrium hyperplasia frequency