Annotation. A review of the scientific literature related to the problem of the potential effect of the covid-19 pandemic on women's reproductive health is presented. To date, there are various hypotheses of pathogenesis and ways of detecting changes in a woman's reproductive health, which we will consider. In the context of the COVID-19 pandemic, it is likely that menstrual disturbances are a possible consequence of changes in mental health or a direct effect of the virus on the cells of the reproductive system. For example, research findings suggest that women who have experienced COVID-19 have experienced menstrual changes, including changes in the duration, frequency, regularity, and volume of menstruation (increased bleeding and blood clotting), increased dysmenorrhea, and worsening of premenstrual syndrome (PMS). However, the data available today are not reliable enough to draw firm conclusions on this topic. The purpose of our work is to study the potential impact of the COVID-19 pandemic on women's reproductive health. We conducted a systematic literature review and analysis based on PubMed, ScienceDirect, UpToDate, Web of science, and Scopus databases. When searching for information on the prevalence and prevention of reproductive dysfunction in women who have contracted a coronavirus infection, various combinations of the following keywords were used: “Reproductive health”, “COVID-19”, “pandemic”, “menstrual cycle”, “hormones”. When processing the search results, the most recent publications (for the last 5 years) or the latest publications on this issue (regardless of the age) were chosen. The problem of the potential negative impact of the COVID-19 pandemic on women's reproductive health in the practice of gynecologists around the world is becoming more relevant every year, because the study of the consequences of administrative restrictions in the public health system, violations from the mental system, direct and secondary effects is becoming more relevant virus on the reproductive system. Various menstrual changes (duration, frequency, regularity and volume of menstruation), which can cause a negative socio-psychological impact on women. High-quality work of gynecologists, starting with early detection of disorders, diagnostic and treatment tactics can improve a woman’s condition or reveal secondary causes of such changes.
Annotation. A review of the scientific literature on the problem of diagnosis and modern methods of treatment of cervical pregnancy is presented. Ectopic pregnancy (ectopic pregnancy) is a condition in which the implantation and development of a fertilized egg takes place outside the uterine cavity and is one of the threatening conditions for life and reproductive health of women. Cases of cervical pregnancy occur with a frequency between 1:8 600 and 1:12 400 cases of the total number of all pregnancies and less than 1% of the number of ectopic pregnancies. Suspicion of a diagnosis of “cervical pregnancy” is an indication for immediate hospitalization of the woman in a gynecological hospital, a thorough examination and selection of treatment, because this pathology can provoke massive bleeding in the first trimester of pregnancy. In the practice of obstetrician-gynecologist for a long time there was one method of treatment of this pathology – extirpation of the uterus. To date, there are conservative and surgical treatments, that we will cover in this article. We conducted a systematic review and analysis of relevant literature sources, which have been published in the vast majority over the past 10 years (2012-2022), on modern methods of diagnosis and treatment of cervical pregnancy. The search was conducted in search databases PubMed, Google Scholar, Cochrane Library, Web of Science. The following search terms were used in the work: “cervical pregnancy”, “ectopic pregnancy”. It was found that the problem of treatment of cervical pregnancy remains relevant today, because there is no clear opinion on the best method of treatment. The decision to use one or another method is left to the attending physician, who must adequately assess the patient's condition, obstetric situation and possible options for prescribing appropriate treatment, the available methods were justified.
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