Vol 48, No 4 (1999)

The absence of hot flushes in postmenopausal women is not a sign of well being. These women have unfavorable lipid's profile and lower BMD than women who have or had hot flushes in the past. Their metabolic parameters are like those with severe and frequently hot flushes. Thus, they need active physician's attention. The revealed differences in hormonal profile mean that not only low levels or decrease of E2 but alteration of adrenal and thyroid function play some role in the pathogenesis of hot flushes.

We screened serume levels of insulin and cortisol in 20 postmenopausal women. We performed these hormones determinations according to algorithm of their levels circaseptane oscillation. All examined patients did't complain on climacteric disorders and did't have any endocrinological diseases. We found out 5 types of hormone oscillations: when the concentrations of both hormones were at normal levels (5% cases); when insulin levels decreased from time to time (30% cases); when cortisol levels increased from time to time (35% cases); when during insulin levels' decreasing the cortisol levels has increased (25% cases); when both hormones levels increased from time to time.

To study the clinical features of affective disorders of the depressive spectrum, the authors examined 63 women who underwent surgery to remove their uterine appendages. Based on the evaluation of the severity of depressive and anxiety manifestations, the study substantiated the feasibility of treating post-ovariectomy syndrome with antidepressants against the background of hormone replacement therapy.

The efficiency and economical value of infectional surgical complications prophylaxis is considered. The risk factors included diabetes, obesity, pyelonephritis and complicated obstetrical anamnesis. The randomized trial has shown a high effectiveness of Cefepim usage administered intravenously 1.0 during CS and 8 hours later. As a standard we used Cefotaxime (2,0 gr. per day), ampicillin (4,0 qid) and gentamyein (0,24 tid). We estimated the surgical wound condition, body temperature, vaginal discharge. The effectiveness of Cefepim has made 98%. The normalization of parameters was seen up to 4-5 postoperative days.

In this article the necessity of strict scientifical reglamentation of conditions and peculiarities of military service in women for providing the preservation and improvement of their reproduction health status.

Bacterial vaginosis is a disease characterized by abundant vaginal discharge in which no known pathogenic agents, such as Trichomonas vaginalis, Neisseria gonorrhoeae and Candida fungi, are detected. Diagnosis is based on clinical examination and special laboratory methods.

In the review, the modern data on etiology, pathogenesis, clinics, diagnostics and treatment of bacterial vaginosis are presented. The probability of abortion complications with ВV existence is considered.

The material on 45 patients with nephroptosis and genital endometriosis is depicted. The diagnosis was done with the help of compliance analysis, USG, hysterogramm, laparoscopy, excretory urography. All patients were performed nephropexy, with further therapy of endometriosis. We have found the syndrome of cross-aggravation in these patients that had the influence on treatment tactics. 23 patients in 10 years need no surgical treatment for endometriosis; that can allow us recommend to start the management with nephropexy if there are the indications.

In this article the historical information on scientific and practical work of K.K.Scobansky is given.

For very many years, in St. Petersburg, Petrograd, then Leningrad, there functioned a scientific society of obstetricians and gynecologists, uniting in its ranks the most active specialists. The main activities of the society were regular scientific meetings with presentations on topical issues of obstetrics and gynecology. By the end of 80-s and the beginning of 90-s, i.e. in the period of serious social and economic problems, connected with changes of socio-political system in the country and disintegration of the USSR, the interest of doctors in the work of the Society decreased considerably and in 1991-1992 it had actually stopped its work.