As women fertility is obviously decreasing at present, a number of people who, being at the reproductive age, suffer from various diseases is only growing and it is truly a vital issue. Chronic endometritis which is a problem in contemporary gynecology and reproductive performance studies may cause menstrual function disorders, anemia, and chronic pelvis pains syndrome. Our research goal was to assess risks of somatic pathology evolvement and life quality of women suffering from chronic endometritis. The focus group was made up of 42 patients at their fertile age who suffered from chronic endometritis (n=42); the reference group consisted of practically healthy females at the same age (n=33) who applied to a gynecologist in order to make a choice on a contraceptive. We detected that women with chronic endometritis had somatic pathologies much more frequently that women from the reference group; such pathologies included chronic gastritis, functional disorders in the bowels, gall-bladder diseases, urinary system diseases, and chronic rhinopharyngitis (relative risks varied from 1.25 to 4.62; p<0.05). High somatic pathology parameters indicate there is a decrease in immunologic protection and non-specific reactivity to pathologic changes in molecular mechanisms involving tissue and cellular homeostasis disorders. Patients form the focus group had lower life quality, weaker endurance and greater fatigue, lower emotional and social activity. When doctors of all specialities treat patients with chronic endometritis they are advised to apply healthrestoring treatment at any stage when a patient applies for medical assistance (and not only when she is getting ready for a pregnancy). We highlight the necessity to create individual sets of pharmaceuticals, physiotherapy and balneal techniques, and diet therapy for basic metabolic processes recovery, antioxidant processes recovery, immunologic protection and non-specific reactivity improvement. It is also necessary to treat not only gynecological pathology, but also a concomitant somatic one.

Aim. To study the puerperal complications in women with disturbance of fat metabolism associated with hypovitaminosis D3. Materials and methods. One hundred and two puerperal women were examined after giving birth to a child at the City Perinatal Center. Results. The number of puerperal complications in the group of women with obesity and hypovitaminosis D occurred twice as more often than in women with normal body mass. From all complications, there prevailed lactostasis and hypogalactia. Only in the group of puerperas with high body mass index and low vitamin D content combined, there were detected subinvolution and puerperal endometriosis. Conclusions. Patients with obesity and low vitamin D3 content need more thorough preparation to delivery and lactation at The Mothers School when they are observed during pregnancy. Personnel of maternity hospital and patients relatives ought to take an active part in puerperal care and promote early activation of puerpera with obesity to reduce possible complications.

We examined 226 women of reproductive age who permanently resided in Perm. Our research goal was to examine certain risk factors and assess their effects on overweight and obesity in women of reproductive age.All the patients were divided into 2 groups; the reference one was made up of 123 women with normal body weight; the test one included 103 women with overweight and obesity. We determined body mass index (BMI) of each woman; obesity type (in case BMI was higher than 25 kg/m 2 , namely android or gynoid one; physical activity; nutrition stereotypes; smoking status (more than 5 cigarettes a day daily for not less than 1 months); sleeping disorders; research season; concomitant gastrointestinal diseases and liver diseases. We calculated relative risk of obesity and BMI predictors.The research revealed a significant correlation between overweight and obesity and elevated risks of unhealthy nutrition stereotypes (RR=3.3); low physical activity (RR=2.6); age exceeding 35 (RR=2.1); smoking (RR=1.8); gastrointestinal diseases and liver diseases (RR=1.5); sleeping disorders (RR=1.5). Women from the test group had improper eating habits and nutrition behavior as opposed to their counterparts from the reference group. Each second patient who suffered from android obesity was also a smoker. Winter season didn't turn out to be a predictor of fat metabolism disorders.Therefore, having analyzed pre-obesity and obesity risk, we recommend efficient activities performed in public healthcare and personal adherence to healthy lifestyle as it will allow reducing body weight of fertile Russian women. Doctors of any specialty should share the responsibility for preserving health of future parents and generations.

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