The research of medical and social factors of the risk of reproductive health of men by family doctor.

OBJECTIVE

Introduction

One of the important modern problems in the practice of a family doctor is the protection of reproductive health. Reproductive problems in marriage, including male infertility, are important components of demographic processes, therefore, attempts to resolve them are not only medical, but also social significance. Of all the physiological systems of man, for which the patterns of adaptation mechanisms are shown, the most "vulnerable" is the reproductive system, whose functioning depends on the set of exo- and endogenous influences. Unlike specific genital pathology, reproduction is more relevant to social processes, which is of great importance for the evaluation of reproductive risk. The aim of this research was to investigate the medical and social risk factors of reproductive health of men, the study of seminal fluid in males with malnutrition, to establish the relationship between reproductive health disorders of men and their medical and social characteristics, taking into account altered parameters of sperm and individual forecasting of the development of this pathology.

PATIENTS AND

METHODS

Materials and methods: The study involved 388 men, of which 275 men in the main group had a reproductive disorder, the rest - 113 healthy men constituted a control group. All patients were subject to interview, clinical examination. A sperm analysis was conducted to determine the morphology of the sperm. Multi-factor regression analysis was used to construct models that describe the relationship between indicators characterizing the state of health and reproductive function of men with their medical, social characteristics and altered parameters of sperm.

CONCLUSION

Conclusions

In order to comprehensively evaluate the reproductive health of men, the medical, social characteristics and spermatological data should be included in the calculation of male reproductive health integral indicators. In the practice of a family doctor it is expedient to use prognostic models of reproductive health disorders for men not only with diagnostic but also for preventive purposes.