Modern gynecology. A multi-vector approach to diagnostics and treatment

Abstract

Vitamin D is a fat-soluble vitamin that plays an important role in maintaining health. The female body is especially sensitive to its level due to hormonal changes throughout life - during menstruation, pregnancy, breastfeeding and menopause. The main functions of vitamin D are supporting the skeletal system (helps with the absorption of calcium and phosphorus, prevents osteoporosis), regulating immunity (reduces the risk of autoimmune diseases), hormonal balance (participates in the regulation of estrogen), reproductive health (contributes to normal ovarian function), mood and psycho-emotional state (low levels of vitamin D are associated with depression and chronic fatigue). Its deficiency is often unnoticed, but can cause serious disorders and diseases, so regular monitoring of vitamin D levels and, if necessary, its correction is an important part of the prevention of female reproductive pathology.

COCs are one of the most effective methods of hormonal contraception used to prevent unwanted pregnancy, and also have a number of additional health benefits. The mechanism of action of COCs is ovulation suppression; they also change the cervical mucus, which prevents the penetration of sperm, and affect the endometrium, making it difficult for the egg cell implantation. The advantages of COCs include high effectiveness in preventing pregnancy (the Pearl index reaches 0.05–0.3); regulation of the menstrual cycle; reduction of pain and bleeding during menstruation; reduction of the risk of ovarian and endometrial cancer, ovarian cysts, acne, endometriosis; the ability to control symptoms of premenstrual syndrome and hormonal imbalance.

Today, doctors have a wide selection of modern vitamin D and COC preparations in arsenal. An important factor in their choice for many women is financial availability. That's why Ukrainian drugs become a reliable alternative to imported analogues without compromising on quality, as they combine high quality, confirmed by clinical studies; modern formulas that meet international recommendations, and an affordable price, which makes their choice more possible for a wide range of patients.