Uterine bleedings and quality of woman's life

Authors

  • Ю. Г. Антипкін SI “O.M. Lukyanova Institute of Pediatrics, Obstetrics and Gynecology of the NAMS of Ukraine”, Ukraine
  • Ю. П. Вдовиченко P.L. Shupik NMAPE; Ukrainian Association of Perinatal Medicine, Ukraine https://orcid.org/0000-0001-5768-0973
  • А. Грациоттін Center for Gynecology and Medical Sexology of H. San Raffaele Hospital in Milan, Italy, Ukraine
  • В. В. Камінський P.L. Shupyk NMAPE; Association of Obstetricians and Gynecologists of Ukraine, Ukraine https://orcid.org/0000-0002-5369-5817
  • Т. Ф. Татарчук SI “O.M. Lukyanova Institute of Pediatrics, Obstetrics and Gynecology of the NAMS of Ukraine”; Ukrainian Association of Endocrine Gynecology, Ukraine https://orcid.org/0000-0002-5498-4143
  • О. В. Булавенко Vinnytsia, Ukraine
  • О. В. Грищенко Kharkiv, Ukraine
  • З. М. Дубоссарська Dnipro, Ukraine
  • Ю. О. Дубоссарська Dnipro, Ukraine
  • Н. Я. Жилка Kyiv, Ukraine
  • Г. В. Зайченко Kyiv, Ukraine
  • В. П. Квашенко Kyiv, Ukraine
  • Н. В. Косей Kyiv, Ukraine
  • О. М. Макарчук Ivano-Frankivsk, Ukraine
  • Н. Ю. Педаченко Kyiv, Ukraine
  • В. І. Пирогова Lviv, Ukraine
  • Н. М. Рожковська Odesa, Ukraine

DOI:

https://doi.org/10.18370/2309-4117.2019.47.8-12

Keywords:

resolution of Advisory Board, abnormal uterine bleeding, menstrual symptoms, combined oral contraceptives, hormonal free interval

Abstract

On March 12, 2019, an Advisory Board on impact of uterine bleedings on the quality of life of a woman was held in Kyiv, with participation of leading Ukrainian and European experts.

According to opinion of international experts (guidelines of the UK National Institute for Health and Care Excellence and the International Federation of Gynecology and Obstetrics from 2018), the choice of patient management tactics is not determined by measuring blood loss, but by the patient’s well-being (distress, decrease of work ability, sexual activity and quality of life).

Menstrual inflammation is phisiological and menstrual symptoms are usually mild/minor or absent when three criteria are fulfilled: resolving (normal cytoarchitecture of the tissue is reconstructed, endometrium first); limited in time; adequate and sufficient by intensity to finalize the reconstruction to the histological and functional characteristics of the different tissues involved. At the same time, if local and systemic inflammation associated with menstruation is excessive by intensity and duration, it can cause different pathological symptoms. Severe menstrual symptoms are clinically correlated with local and systemic inflammation, which is not resolving (menstruation is excessive in duration and intensity). Therefore, reducing menstrual inflammation is important to reduce the frequency and intensity of menstrual symptoms and improve the quality of life of women of reproductive age.

Women need appropriate stable levels of estrogen and progesterone to optimize their physical and mental health. During combined oral contraceptives selection for healthy women it is reasonable to give preference to contraceptives with short hormonal free interval (24+4, 26+2) compared to the traditional regimen (21+7), since the reduction of this interval provides a more stable level of estradiol, reduces the risk of casual ovulation in case of missed pill, increases contraceptive efficacy in comparison with the traditional regimen and reduce the incidence of hormone-withdrawal associated symptoms.

Author Biographies

Ю. Г. Антипкін, SI “O.M. Lukyanova Institute of Pediatrics, Obstetrics and Gynecology of the NAMS of Ukraine”

MD, professor, academician of the NAMS of Ukraine, academician-secretary of the Clinical Medicine Department of the NAMS of Ukraine, director

Ю. П. Вдовиченко, P.L. Shupik NMAPE; Ukrainian Association of Perinatal Medicine

MD, professor, corresponding member of the NAMS of Ukraine, first vice rector;

president

А. Грациоттін, Center for Gynecology and Medical Sexology of H. San Raffaele Hospital in Milan, Italy

MD, professor, director

В. В. Камінський, P.L. Shupyk NMAPE; Association of Obstetricians and Gynecologists of Ukraine

MD, professor, corresponding member of the NAMS of Ukraine, head of the Obstetrics, Gynecology and Reproductology Department;

chief specialist in Obstetrics and Gynecology at the Ministry of Health of Ukraine;

executive director

Т. Ф. Татарчук, SI “O.M. Lukyanova Institute of Pediatrics, Obstetrics and Gynecology of the NAMS of Ukraine”; Ukrainian Association of Endocrine Gynecology

MD, professor, corresponding member of the NAMS of Ukraine, deputy director for research work, head of the Endocrine Gynecology Department;

president

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Published

2019-06-11

How to Cite

Антипкін, Ю. Г., Вдовиченко, Ю. П., Грациоттін, А., Камінський, В. В., Татарчук, Т. Ф., Булавенко, О. В., Грищенко, О. В., Дубоссарська, З. М., Дубоссарська, Ю. О., Жилка, Н. Я., Зайченко, Г. В., Квашенко, В. П., Косей, Н. В., Макарчук, О. М., Педаченко, Н. Ю., Пирогова, В. І., & Рожковська, Н. М. (2019). Uterine bleedings and quality of woman’s life. REPRODUCTIVE ENDOCRINOLOGY, (47), 8–12. https://doi.org/10.18370/2309-4117.2019.47.8-12

Issue

No. 47 (2019)

Section

Health care

License

Copyright (c) 2019 Ю. Г. Антипкін, Ю. П. Вдовиченко, А. Грациоттін, В. В. Камінський, Т. Ф. Татарчук, О. В. Булавенко, О. В. Грищенко, З. М. Дубоссарська, Ю. О. Дубоссарська, Н. Я. Жилка, Г. В. Зайченко, В. П. Квашенко, Н. В. Косей, О. М. Макарчук, Н. Ю. Педаченко, В. І. Пирогова, Н. М. Рожковська

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