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3.2.1. A gynecologic case rate of girls with an early sex debut

Data about a condition of genesial health are presented by results of the routine inspections, including data

The anamnesis of sexual development, estimation of physical and sexual development, gynecologic survey.

From 2596 questioned, routine inspections are spent at 1937 girls. It is taped, that from 1937 surveyed 213 had a gynecologic pathology or deviations from a normal current pubertata, that makes 10,9 %. From 213 teenagers, 117 girls had experience of a sexual life, 96 had no. At 213 girls 494 diseases are taped. In group of 96 girls not living by a sexual life 168 diseases are diagnosed, and in group living the sexual life at 117 teenagers fixes 326 diseases. Thus, prevalence of a gynecologic pathology among the girls, living a sexual life makes 44,9 %, in group of not having experience of a sexual life-15,5 %. The important fact, in our opinion, is low appealability of teenagers concerning gynecologic diseases to the expert. In our research of 213 girls of 1 group and 177 the second had a gynecologic pathology, but only 42 patients of 1 group (19,7 %) and 44 (24,8 %) 2 groups addressed in this occasion to the gynecologist. Thus, only 22,0 % of patients independently addressed for the help.

The structure of a gynecologic case rate in group of the surveyed is presented in table 3. At construction of structure of a gynecologic case rate at girls, calculation was spent proceeding from number of the fixed diseases.

Table 3.2. J. J

The disease name % The general number of diseases

168

Dysfunction of ovaries 38,3 64
Dysmenorrhea 42,9 72
Chronic salpingitis 5,9 10
Colpites 5,3 9
Delay of sexual development 5,3 9
The other 2,3 4

Structure of gynecologic diseases at girls till 18 years, not living sexual zhnznju (1 group)

Among disturbances of a menstrual cycle of 6,7 % proceeded with javlennjami GSPPS. At 96 surveyed patients 168 diseases are taped, thus on 1 patient 1,75 gynecologic diseases are necessary.

Table 3.2.1.2.

Structure of gynecologic diseases among girls having experience of a sexual life (2 group)

The disease name Obshche number disease 326 %
Dysfunction of ovaries 57 17,5
Algomenorrhea 49 15,0
Chronic salpingitis 48 IV
Oothecoma 5 1,5
Colpites 69 21,3
Erosion of a neck of a uterus 93 28,5
Delay of sexual development 2 0,6
The other 3 0,9

In the table data about a condition of genesial health of 117 girls having experience of a sexual life are presented. Important

To notice, that in this group of patients 326 gynecologic diseases are registered, i.e.

on each patient 2,78 diseases are necessary. Among the surveyed girls of 8,4 % had signs of diencephalic dysfunction. Дія carrying out of the comparative analysis of frequency of occurrence of a gynecologic pathology at girls living a sexual life and not having sexual contacts, from among gynecologic diseases are excluded erosions of a neck the uteruses diagnosed at survey of a neck of a uterus in mirrors that was not spent only to the girls, living by a sexual life (tab. 3.2.1.3 and fig. 3.2.1.1). The simulated indicators allow to compare structure of a gynecologic pathology at girls of two groups. Important otmstit, that frequency гинеколоіических diseases in group is various. So in 1 group the leading place is occupied with the diseases bound with hormonal disbalansom: a dysmenorrhea, (43 %), disturbances of a menstrual cycle (38 %). Inflammatory diseases of genitals make 11 %, and an inflammation mucous vaginas of 5,2 %, and an inflammation of internal genitals of 5,9 %. In group of the girls having sexual contacts, accent will shift towards augmentation of frequency of inflammatory changes of sexual system which make 50 % (colpites of 29,8 %, an inflammation of internal genitals of 20,6 %). The pathology bound with hormonal disbalansom makes approximately 45 %.

1 (AND »%

80 %

60 %

40 %

20 %

0 %

Li ZPR

C B\.ii.ni\npianoii LI Dysmenorrhea І ІІІ MTS

Fig. 3.2.!.l. Structure of a gynecologic case rate 1 її 2 groups surveyed

The simulated indicators of structure of a gynecologic case rate of girls - of teenagers according to routine inspections.

Table 3.2.1.3

Structure of gynecologic diseases among girls of 1 and 2 groups

The nosological form Not living a sexual LIFE

1 group

Living a sexual life

2 group

Disturbances of a menstrual cycle 38,3* 25*
Dysmenorrhea 42,9* 21,5*
Inflammation of internal genitals 5,9* 21,0*
Oothecoma - 2,73
Colpites 5,3* 30,3*
Delay of sexual development 5,3* 0,9*
The other 2,3 1,3

* Authentically differing shares are noted at < 0,05

RTakim by image, the unique factor distinguishing surveyed contemporaries - sexual activity, the early beginning of a sexual life enlarges frequency of a gynecologic pathology almost in 3 times and changes its structure towards appreciable prevalence of inflammatory processes of genitals.

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A source: DOLZHENKO IRINA SERGEEVNA. GENESIAL HEALTH of GIRLS TILL 18 YEARS (a condition, an estimation, system of measures on its conservation) the Dissertation on competition of a scientific degree of the doctor of medical sciences. Moscow -. 2004

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