Tubal infertility: sociomedical and psychological aspects of the problem


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Abstract

Fallopian tube obstruction accounts for 25-35% of all causes of infertility, which allows one to attribute this pathology to a very common one among the gynecological diseases. Modern medical literature abounds with works devoted to the clinical presentations of tubal infertility; however, the study presented by the authors considers this somatic pathology to be closely related to the psychological state of patients. For the first time, preventive measures of infertility are announced, which are based on a causal relationship between a woman’s lifestyle and the development of fallopian tube obstruction. The authors have been motivated to carry out this analysis by the fact that there is psychological stress on the female body due to prolonged treatment of this pathology and to a lower quality of life in infertile patients who consider childbirth to be a major social responsibility. The findings are designed to form a versatile view of the problem of fallopian tube obstruction as a result of a distorted worldview in some contemporary women, to initiate the development of necessary ideas about the importance of protecting the health of the reproductive system long before planning pregnancy, to outline the importance of the psychoemotional status of a woman in the diagnosis of her psychological profile. Conclusion. The above problems are extremely important for married couples to get ready to conceive.

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About the authors

Vladimur N. Nikolenko

I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia; M.V. Lomonosov Moscow State University

Email: vn.nikolenko@yandex.ru
Doctor of Medical Sciences, Professor, Head of the Department of Human Anatomy

Negoria A. Rizaeva

I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia

Email: rizaevan@yandex.ru
Candidate of Medical Sciences, Assistant Professor of the Department of Human Anatomy

Marine V. Oganesyan

I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia

Email: marine-oganesyan@mail.ru
Candidate of Medical Sciences, Assistant Professor of the Department of Human Anatomy

Valentina A. Kudryashova

I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia

Email: vukolova_67@mail.ru
Candidate of Medical Sciences, Assistant Professor of the Department of Human Anatomy

Maria S. Golyshkina

I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia

Email: ev_golyshkina@rambler.ru
student of International School “Medicine of Future” of Biomedical Park

Polina A. Pavlyuk

I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia

Email: pavlyuk0510@gmail.com
student of International School “Medicine of Future” of Biomedical Park

Ara L. Unanyan

I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia

Email: 9603526@mail.ru
Doctor of Medical Sciences, Professor, Professor of the Department of Obstetrics and Gynecology No. 1

Marina M. Gevorgyan

Engels Perinatal Center

Email: marineshka1993@mail.ru
obstetrician-gynecologist

Tatyana V. Priputnevich

Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: priput1@gmail.com
MD, PhD, Professor, Head of the Institute of Microbiology, Clinical Pharmacology and Epidemiology

References

  1. Briceag I., Costache A., Purcarea V.L., Cergan R., Dumitru M., Briceag I. et al. Fallopian tubes-literature review of anatomy and etiology in female infertility. J. Med. Life. 2015; 8(2): 129-31.
  2. El Kissi Y., Romdhane A.B., Hidar S., Bannour S., Ayoubi Idrissi K., Khairi H. et al. General psychopathology, anxiety, depression and self-esteem in couples undergoing infertility treatment: a comparative study between men and women. Eur. J. Obstet. Gynecol. Reprod. Biol. 2013; 167(2): 185-9. https://dx.doi. org/10.1016/j.ejogrb.2012.12.014.
  3. Salvatore P., Gariboldi S., Offidani A., Coppola F., Amore M., Maggini C. Psychopathology, personality, and marital relationship in patients undergoing in vitro fertilization procedures. Fertil. Steril. 2001; 75(6): 1119-25. https:// dx.doi.org/10.1016/s0015-0282(01)01775-7.
  4. Karaca A., Unsal G. Psychosocial problems and coping strategies among Turkish women with infertility. Asian Nurs. Res. (Korean Soc. Nurs. Sci.). 2015; 9(3): 243-50. https://dx.doi.org/10.1016/j.anr.2015.04.007.
  5. Galhardo A., Pinto-Gouveia J., Cunha M., Matos M. The impact of shame and self-judgment on psychopathology in infertile patients. Hum. Reprod. 2011; 26(9): 2408-14. https://dx.doi.org/10.1093/humrep/der209.
  6. Growe R.G., Luster M.I., Fail P.A., Lippes J. Quinacrine-induced occlusive fibrosis in the human fallopian tube is due to a unique inflammatory response and modification of repair mechanisms. J. Reprod. Immunol. 2013; 97(2): 15966. https://dx.doi.org/10.1016/j.jri.2012.12.003.
  7. Григорян Э.С., Цхай В.Б., Гребенникова Э.К., Брехова И.С., Костарева О.В., Домрачева М.Я. Трубно-перитонеальная форма бесплодия: этиология, факторы риска, современные методы лечения. Мать и дитя в Кузбассе. 2019; 2: 10-4.
  8. Калинина Н.С., Петров Ю.А. Использование вспомогательных репродуктивных технологий и малоинвазивной хирургии при лечении бесплодия воспалительного генеза. Главный врач Юга России. 2019; 5: 46-9.
  9. Goldberg J.M., Falcone T., Diamond M.P. Current controversies in tubal disease, endometriosis, and pelvic adhesion. Fertil. Steril. 2019; 112(3): 417-25. https:// dx.doi.org/10.1016/j.fertnstert.2019.06.021.
  10. Bharadwaj S., Philpott J.R., Barber M.D., Graff L.A., Shen B. Women's health issues after ileal pouch surgery. Inflamm. Bowel Dis. 2014; 20(12): 2470-82. https://dx.doi.org/10.1097/MIB.0000000000000171.
  11. Чарышкин А.Л., Яковлев С.А. Проблемы диагностики и лечения острого аппендицита. Ульяновский медико-биологический журнал. 2015; 1: 92-100.
  12. Тихомиров А.Л., Сарсания С.И., Тускаев К.С., Юдина Т.А. Профилактика рецидивов патологии эндометрия. Медицинский совет. 2019; 7: 21-6. https://dx.doi.org/10.21518/2079-701X-2019-7-21-26.
  13. Mikhaleva L.M., Davydov A.I., Patsap O.I., Mikhaylenko E.V., Nikolenko V.N., Neganova M.E. et al. Malignant transformation and associated biomarkers of ovarian endometriosis: a narrative review. Adv. Ther. 2020; 37(6): 2580-603. https://dx.doi.org/10.1007/s12325-020-01363-5.
  14. Акетаева А.С. Современный взгляд на анатомию и функцию маточных труб. Клиническая медицина Казахстана. 2016; 2: 14-21.
  15. Lenz J.D., Dillard J.P. Pathogenesis of Neisseria gonorrhoeae and the host defense in ascending infections of human fallopian tube. Front. Immunol. 2018: 9: 2710. https://dx.doi.org/10.3389/fimmu.2018.02710.
  16. Kardakis S., Barranca A., Vitelli A., Amore I., Trento F., Caccia G. Isolated fallopian tube torsion. Case Rep. Obstet. Gynecol. 2013; 2013: 479698. https:// dx.doi.org/10.1155/2013/479698.
  17. Адамян Л.В., Колтунов И.Е., Сибирская Е.В., Тарбая Н.О. Боли в животе у девочек-подростков. Акушерство и гинекология: новости, мнения, обучение. 2015; 3(4): 96-102. doi: 10.24411/2303-9698-2020-12009.
  18. Jokic R., Lovrenski J., Lovrenski A., Trajkovic V. Isolated fallopian tube torsion - a challenge for the timely diagnosis and treatment. Srp. Arh. Celok. Lek. 2015; 143(7-8): 471-5. https://dx.doi.org/10.2298/sarh1508471j.
  19. Ito F., Tatsumi H., Takahata A., Yamada S., Kusuki I., Kitawaki J. Isolated fallopian tube torsion diagnosed and treated with laparoscopic surgery: а case report. Gynecol. Minim. Invasive Ther. 2017; 6(2): 89-91. https:// dx.doi.org/10.1016/j.gmit.2016.06.006.
  20. Egbe T.O., Nana-Njamen T., Elong F., Tchounzou R., Simo A.G., Nzeuga G.P. et al. Risk factors of tubal infertility in a tertiary hospital in a low-resource setting: a case-control study. Fertil. Res. Pract. 2020; 6: 3. https://dx.doi.org/10.1186/ s40738-020-00073-4.
  21. Лызикова Ю.А. Клинические особенности трубно-перитонеального бесплодия. Проблемы здоровья и экологии. 2006; 4: 30-4.
  22. Hafner L.M. Pathogenesis of fallopian tube damage caused by Chlamydia trachomatis infections. Contraception. 2015; 92(2): 108-15. https://dx.doi. org/10.1016/j.contraception.2015.01.004.
  23. Hoenderboom B.M., van Bent hem B.H.B., van Bergen J.E.A.M., Dukers-Muijrers N., Gotz H.M., Hoebe C. et al. Relation between Qilamydia trachomatis infection and pelvic inflammatory disease, ectopic pregnancy and tubal factor infertility in a Dutch cohort of women previously tested for chlamydia in a chlamydia screening trial. Sex. Transm. Infect. 2019; 95(4): 300-6. https:// dx.doi.org/10.1136/sextrans-2018-053778.
  24. Башмакова М.А., Савичева А.М. Генитальные микоплазмы и микоплазменные инфекции. Трудный пациент. 2006; 4(2): 24-30.
  25. Халюкина Е.В., Соломатина А.С. Аборт как этико-социальная проблема современности. Бюллетень медицинских интернет-конференций. 2017; 7(1): 60.
  26. Официальный сайт Федеральной службы государственной статистики. http://www.gks.ru/
  27. Щелакова В.А., Негреева В.В., Салманов А.Б. Оценка демографической ситуации для обеспечения национальной безопасности России. Научный журнал НИУ ИТМО. Серия: Экономика и экологический менеджмент. 2019; 3: 77-92.
  28. Денисов Б.П., Сакевич В.И. Аборты в постсоветской России: есть ли основания для оптимизма? Демографическое обозрение. 2014; 1(1): 144-69.
  29. Бантьева М.Н. Состояние проблемы абортов в России в динамике за 2008-2015 гг. Акушерство, гинекология и репродукция. 2016; 3: 47-52.
  30. Литау Е.А. Проблема абортов в России. Сборник научных статей студентов ННГУ им. Н.И. Лобачевского. Н. Новгород: Издательство НИСОЦ; 2016; 10: 110-5.
  31. Радзинский В.Е., Костин И.Н. Аборты в России. Практическая медицина. 2009; 2: 29-33.
  32. Kim Y.S. Medical concerns of induced abortion and contraception. J. Korean Med. Sci. 2019; 34(17): e137. https://dx.doi.org/10.3346/jkms.2019.34.e137.
  33. Chae S., Desai S., Crowell M., Sedgh G. Reasons why women have induced abortions: a synthesis of findings from 14 countries. Contraception. 2017; 96(4): 233-4. https://dx.doi.org/10.1016/j.contraception.2017.06.014.
  34. Толмачев Д.А., Ямщикова Т.В., Нажмудинова З.Ш., Шамгунова И.И. Некоторые медико-социальные аспекты абортов среди женщин репродуктивного возраста. Наука, образование и культура. 2017; 9: 92-4
  35. Nio-Kobayashi J., Abidin H.B., Brown J.K., Iwanaga T., Horne A.W., Duncan W.C. Cigarette smoking alters sialylation in the Fallopian tube of women, with implications for the pathogenesis of ectopic pregnancy. Mol. Reprod. Dev. 2016; 83(12): 1083-91. https://dx.doi.org/10.1002/mrd.22747.
  36. De Angelis C., Nardone A., Garifalos F., Pivonello C., Sansone A., Conforti A. et al. Smoke, alcohol and drug addiction and female fertility. Reprod. Biol. Endocrinol. 2020; 18(1): 21. https://dx.doi.org/10.1186/s12958-020-0567-7.
  37. Gaskins A.J., Missmer S.A., Rich-Edwards J.W., Williams P.L., Souter I., Chavarro J.E. Demographic, lifestyle, and reproductive risk factors for ectopic pregnancy. Fertil. Steril. 2018; 110(7): 1328-37. https://dx.doi.org/10.1016/ j.fertnstert.2018.08.022.
  38. Османов Э.М., Пышкина А.С. Влияние алкоголя на репродуктивное здоровье женщин. Вестник Тамбовского университета. Серия: Естественные и технические науки. 2010; 15(1): 59-62.
  39. Гаврилова В.Е. Психологические предпосылки бесплодия у здоровых женщин, состоящих в браке. Вестник ЮУрГУ. Серия «Психология». 2018; 11(3): 103-9. [Gavrilova V.E. Psychological prerequisites of infertility in married healthy women. Bulletin of the South Ural State University. Ser. Psychology. 2018; 11(3): 103-9. (in Russian)]. https://dx.doi.ois/10.14529/psy180312.
  40. Наку Е.А., Ковас Ю.В., Бохан Т.Г., Терехина О.В., Видякина Т.А. Факторы негативных психоэмоциональных состояний женщин, проходящих лечение бесплодия по программе ЭКО. Сибирский психологический журнал. 2017; 63: 119-35.
  41. Haimovici F., Anderson J.L., Bates G.W., Racowsky C., Ginsburg E.S., Simovici D. et al. Stress, anxiety, and depression of both partners in infertile couples are associated with cytokine levels and adverse IVF outcome. Am. J. Reprod. Immunol. 2018; 79(4): e12832. https://dx.doi.org/10.1111/aji.12832.
  42. Rooney K.L., Domar A.D. The relationship between stress and infertility. Dialogues Clin. Neurosci. 2018; 20(1): 41-7. https://dx.doi.org/10.31887/ DCNS.2018.20.1/klrooney.
  43. Иванова А.Р. Медико-психологические особенности женщин и психокоррекция в комплексном лечении бесплодия. Мать и дитя в Кузбассе. 2010; 3: 13-7.
  44. Likhachov V.K., Shymanska Y.V., Savelieva Y.S., Vashchenko V.L., Dobrovolska L.M. Changes of psycho-emotional state in the infertile pregnant females due to the anamnesis and IVF. Wiad. Lek. 2019; 72(4): 562-7.
  45. Жанабекова А.К. Особенности ультразвукового исследования гинекологических заболеваний. Вестник Казахского Национального медицинского университета. 2014; 2-4: 98-100.
  46. Сердцов Д.А., Борисенко А.В., Смирнова С.Н., Жукова А.А. Сохранение репродуктивного здоровья мужчины и женщины в различные возрастные периоды. В. кн.: Семья в современном мире. Всероссийская научно-практическая конференция с международным участием. Курск: Курский государственный медицинский университет. 2017: 330-3.
  47. Jerman J., Onda T., Jones R.K. What are people looking for when they Google "self-abortion"? Contraception. 2018; 97(6): 510-4. https:// dx.doi.org/10.1016/j.contraception.2018.02.006.
  48. Щеглова Н.С., Алтаева Э.Г., Зиновьева О.Е., Шенкман Б.С., Казанцева Ю.В. Особенности поражения периферических нервов и скелетных мышц у женщин на фоне хронической алкогольной интоксикации. Медицинский совет. 2013; 4: 64-8.
  49. Лекарства, алкоголь и курение - реальность факторов риска. Акушерство и гинекология: новости, мнения, обучение. 2014; 3(5): 72-6.
  50. Broughton D.E., Moley K.H. Obesity and female infertility: potential mediators of obesity's impact. Fertil. Steril. 2017; 107(4): 840-7. https://dx.doi.org/10.1016/j. fertnstert.2017.01.017.
  51. Chen W., Jiao X., Zhang J., Wang L., Yu X. Vitamin D. deficiency and high serum IL-6 concentration as risk factors for tubal factor infertility in Chinese women. Nutrition. 2018; 49: 24-31. https://dx.doi.org/10.1016/j.nut.2017.11.016.
  52. Rossi B.V., Abusief M., Missmer S.A. Modifiable risk factors and infertility: what are the connections? Am. J. Lifestyle Med. 2014; 10(4): 220-31. https:// dx.doi.org/10.1177/1559827614558020.
  53. Valsamakis G., Chrousos G., Mastorakos G. Stress, female reproduction and pregnancy. Psychoneuroendocrinology. 2019; 100: 48-57. https:// dx.doi.org/10.1016/j.psyneuen.2018.09.031.
  54. Warner J.N., Frey K.A. The well-man visit: addressing a man's health to optimize pregnancy outcomes. J. Am. Board Fam. Med. 2013; 26(2): 196-202. https:// dx.doi.org/10.3122/jabfm.2013.02.120143.
  55. Shawe J., Patel D., Joy M., Howden B., Barrett G., Stephenson J. Preparation for fatherhood: a survey of men's preconception health knowledge and behavior in England. PLoS One. 2019; 14(3): e0213897. https://dx.doi.org/10.1371/ journal.pone.0213897.

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