Tubal infertility: sociomedical and psychological aspects of the problem

Nikolenko V.N., Rizaeva N.A., Oganesyan M.V., Kudryashova V.A., Golyshkina M.S., Pavlyuk P.A., Unanyan A.L., Gevorgyan M.M., Priputnevich T.V.

1) I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia, Moscow, Russia; 2) Faculty of Fundamental Medicine, M.V. Lomonosov Moscow State University, Moscow, Russia; 3) Engels Perinatal Center, Engels, Russia; 4) Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia, Moscow, Russia
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.

Keywords

abortions
fallopian tube anatomy
fallopian tube obstruction
infertility
IVF
infertility prevention
infertile women’s psychology

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Received 14.09.2020

Accepted 24.10.2020

About the Authors

Vladimur N. Nikolenko, Doctor of Medical Sciences, Professor, Head of the Department of Human Anatomy, First Moscow State Medical University (Sechenov University). Tel.: +7(495)629-76-12. E-mail: vn.nikolenko@yandex.ru. ORCID: 0000-0001-9532-9957. 11/10 Mokhovaya str., Moscow, 125009, Russia.
Negoria A. Rizaeva, Candidate of Medical Sciences, Assistant Professor of the Department of Human Anatomy, First Moscow State Medical University (Sechenov University). Tel.: +7(916)521-26-75. E-mail: rizaevan@yandex.ru. ORCID: 0000-0003-4033-1202. 11/10 Mokhovaya str., Moscow, 125009, Russia.
Marine V. Oganesyan, Candidate of Medical Sciences, Assistant Professor of the Department of Human Anatomy, First Moscow State Medical University
(Sechenov University). Tel.: +7(916)159-13-65. E-mail: marine-oganesyan@mail.ru. ORCID: 0000-0001-6432-5179. 11/10 Mokhovaya str., Moscow, 125009, Russia.
Valentina A. Kudryashova, Candidate of Medical Sciences, Assistant Professor of the Department of Human Anatomy, First Moscow State Medical University
(Sechenov University). Tel.: +7(915)348-40-67. E-mail: vukolova_67@mail.ru. 11/10 Mokhovaya str., Moscow, 125009, Russia.
Maria S. Golyshkina, student of International School “Medicine of Future” of Biomedical Park, First Moscow State Medical University (Sechenov University).
Tel.: +7(920)245-14-48. E-mail: ev_golyshkina@rambler.ru. 8-2 Trubetskaya str., Moscow, 119991, Russia.
Polina A. Pavlyuk, student of International School “Medicine of Future” of Biomedical Park, First Moscow State Medical University (Sechenov University).
Tel.: +7(916)843-09-83. E-mail: pavlyuk0510@gmail.com. 8-2 Trubetskaya str., Moscow, 119991, Russia.
Ara L. Unanyan, Doctor of Medical Sciences, Professor, Professor of the Department of Obstetrics and Gynecology No. 1, First Moscow State Medical University
(Sechenov University). Tel.: +7(903)960-35-26. E-mail: 9603526@mail.ru. ORCID: 0000-0002-2283-2356. 8-2 Trubetskaya str., Moscow, 119991, Russia.
Marina M. Gevorgyan, obstetrician-gynecologist, State autonomous health care institution “Engels Perinatal Center”.
E-mail: marineshka1993@mail.ru. 8 Vesennya str., Saratov region, Engels, 413116, Russia.
Tatyana V. Priputnevich, MD, PhD, Professor, Head of the Institute of Microbiology, Clinical Pharmacology and Epidemiology, V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Healthcare of Russian Federation. Е-mail: priput1@gmail.com. ORCID: 0000-0002-4126-9730.
4 Ac. Oparina str., Moscow, 117997, Russia.

For citation: Nikolenko V.N., Rizaeva N.A., Oganesyan M.V., Kudryashova V.A., Golyshkina M.S., Pavlyuk P.A., Unanyan A.L., Gevorgyan M.M., Priputnevich T.V. Tubal infertility: sociomedical and psychological aspects of the problem.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2020; 11: 213-224 (in Russian).
https://dx.doi.org/10.18565/aig.2020.11.213-224

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