Vol 50, No 4 (2001)

Developing of chronic salpingoophoritis, non-specific bacterial vaginitis and specific candidamytotic vaginitis ought to be associated with complicated obstetric anamnesis and presence of biovar Parvo ureaplasmas predominantly found in women’s genital tracts. The correlation may be seen between identifying biovar Parvo ureaplasmas in men and arising of torpid and chronic infectious urethritis, that may testify to its more intensive pathogenic effect comparing with biovar T- 9GO. Detection of biovar T-960 in urogenital system in men and women doesn’t exclude the possibility of inflammation, that implies adequate complex therapy identical to that in case of biovar Parvo.

A Doppler sonographic examination of blood flow in the left and right uterine arteries was carried out in women in the first trimester of pregnancy. Systolic- diastolic ratio (S/D) andpulsative index (PI) were assessed in 71 women with physiological course of pregnancy and in 49 women with threatened abortion. The investigation revealed clear connection of the uterine blood flow lateralization and corpus luteum localization. These interrelations are characterized differently in case of physiological pregnancy and threatened abortion. The new approach to the evaluation of uterine blood flow gives an ability ofpreclinical diagnostics of threatened abortion.

Low-intensive laser therapy was carried out on 550 women aged 18 to 33 with syndrome of polysystemic disorders at chronic genital inflammations.
Efficiency of frequency movement (301 patients) and stable regime (249 patients) of endovaginal low-intensive laser therapy has been studied by means of complex clinical, functional, instrumental, and laboratory examinations. Movement regime of laser application proved to stimulate sexual visceral reactions improving the state of female organism in case of syndrome of polysystemic disorders. Normalization of the sexualfunction as a result of movement regime in endovaginal laser therapy can be considered as pathogenic influence directed on normalizing and supporting physiological nervous-reflex connections of genital organs with other organs and systems of women’s organisms.

436 juvenile girls were examined. The results received indicate that dyshormonal dysplasia of mammary glands takes an important place in gynecologic morbidity of juvenile girls (11% of those who consulted a gynecologist). Diffuse forms that can be treated conservatively are mostly diagnosed. The main diagnostic methods in teenagers are palpation and MESUSS. Considering polyethiology of the disease, conservative therapy ought to be complex. To avoid carcinogenic effect of oral contraceptives, they may be used in case of non-complicated heredity, intact liver, and non-complicated course of perinatal period of the girl.

The aim of this study was to investigate the relation between ovarian blood flow, folliculogenesis and sex-steroid production during normal menstrual cycle and in women with ovarian failure. Ten healthy women and 40 patients with ovarian failure underwent hormonal assays (follicle-stimulating, luteinizing hormones, estradiol, progesterone, prolactine, testosterone) and ultrasound examination of the uterus and ovaries with color Doppler ultrasonography of the uterine and ovarian vessels on the 3 -5th, 11- 13th, 17- 19th and 21 -23rd days оf menstrual cycle. Intraovarian blood flow of the ovary carrying the predominant follicle in healthy women appeared more active than in conrdlateral ovary on the 3-5th days of the cycle. Inpatients with ovarian failure no difference was detected between the ovaries during the periods in question. Ovarian and uterine blood flow inpatients with the ovarian failure was less intensive comparingwith healthy women. Positive correlation between uterine blood flow and estradiol concentration in serum was revealed.

An effective physiotherapeutic method of abdominal decompression was offered with the aim of treating miscarriage and fetoplacental insufficiency in pregnants. 37 women with the pathology in question, who were in the II or III trimester of pregnancy, were examined. The results of the investigation show that abdominal decompression may become an alternative to orthodox methods of treatment and it may be widely applied in obstetrics.

Twenty women with surgical menopause aged40-50years received parenteral hormonal replacement therapy with estradiol (preparation Divigel) for the period of 12 months. Twenty healthy women formed the control group. The following indeces were estimated during the study: menopausal Kupperman’s index, and the leveloffollicle-stimulatinghormone and estradiol in blood serum. Kupperman’s index remarkably decreased in the course of treatment (p<0,05). Decrease of FSH level was associated with stable growth of estradiol level (p<0,05). The absence of manifested side effects and considerable change of body build index, the possibility of choosingthe minimal effective doze individually allow to apply HRT with Divigel more widely.

According to the Russian-Swedish project there was performed a comparison of methods used for Chlamydia trachomatis detection in cervical samples, obtained from 397women and urethral samples from 253 men. All specimens were examined by direct immunofluorescence (DIF), polymerase chain reaction (PCR) and cell culture (CC). In high-prevalence group (group I) chlamydiae were detected in 17,8% and 28,0% of cases in men and women, respectively. Ingroup II containing patients who were subjected to screening examination, chlamydiae were found in 5% of cases both in men and women. PCR was shown to be the most sensitive when cervical samples in group I and cervical and urethral samples in group II were investigated. When urethral samples in group I were tested, DIF proved to have the highest sensitivity. All the methods used were found to be high specific. The search for standards of genital chlamydial infection diagnosis is in progress.

Psycho-emotional disorders in postmenopausal women are caused by interaction of neuroendocrine changes, psychological and social factors. They include anxiety, depression, dissomnia,psychosexual and cognitive dysfunction. Hormonal replacement therapy is widely used in correction of psycho-emotional disturbances in postmenopausal women. Combination of estrogens and antidepressants appears to have good prospects.

The editorial board and editorial board of the Journal of Obstetrics and Women's Diseases congratulates Professor Gennady Aleksandrovich Savitsky, one of the brightest and most distinctive representatives of the St. Petersburg School of Obstetrics and Gynecologists, on his birthday. Most of the scientific and medical activities of Gennady Aleksandrovich take place within the walls of the N.N. D.O. Ott RAMS.

The investigation demonstrates the influence ofperoral combined contraceptives and preparations containing only progestagens on carbohydrate and lipid exchange and haemostatic system. The factors, which exert influence upon metabolic indices in women with type I insular diabetes, are estimated. The correlation between the intake of combined and containing only progestagens contraceptive preparations and the risk of tromboembolism is revealed. The indications and contraindications are defined for the prescription of peroral contraceptives in women with type I insular diabetes.

The reorganization of the Armed Forces, which has been realized for the last decade, touched over the sexual structure of defenders of our Motherland: one can witness an increasing tendency of employing women on military service.
Legal equality of sexes doesn’t allow to avoid the differences between the man and the woman, which are genetically conditioned. One of the actual problems of the Army today is the task of providing optimal conditions of military service for women. The realization of this task depends first of all on principal position of the commanders of all levels. This implies the necessity of hygienic education of the commanders under the management of hygienists with the aim of radical change of their attitude to military women.

The article gives account of the case offull-term abdominal pregnancy with comparatively favourable course that led to diagnostic mistakes and complications, but resulted in the birth of healthy child without any signs of asphyxia.

Speaking about the lesser preparation of women for mental work, we do not want to express by this a hint of their inability for this work. On the contrary, we may be more than anyone else, would like to see it, would like full scope for female development and are sure that under the changed circumstances, the female mind will eventually become as receptive and productive as the male brain. If now more was opened up for a woman, or even any kind of application of mental forces in civil life, for example, if she could be a doctor, teacher, etc., then it goes without saying that along with the request, and these forces. V. M. Florinsky (1866)

On November 11, 2001, at the age of 78, Doctor of Medical Sciences, Professor Viktor Pavlovich Baskakov, suddenly died. It is difficult to get used to the thought and hard to realize that there is no longer this life-loving person among us, a magnificent obstetrician-gynecologist, a prominent scientist and talented teacher.