Reproductive health

Reproductive health of young people is a serious medical and social problem
a large percentage of deviations in physical, sexual and psychosexual development
increase in the prevalence of chronic diseases
growth of gynecological and venereal diseases
high incidence of pregnancy and childbirth at a young age
low levels of reproductive education
risky sexual and reproductive behavior

The average age of sexual debut is 16 years

University students constitute a group at high risk of abortion and sexually transmitted infections
change in familiar surroundings
high concentration of persons of the opposite sex
sexual debut match with the beginning of training in high school
lack of control sexual behavior
a long period of training
minimum of knowledge about contraception
minimum knowledge about the risk of infection with sexually transmitted and HIV
low income

Specialty of sexual and reproductive behavior of young
Not married
Have multiple sexual partners or frequently change their
Committed to the myth
As a rule, financially and socially dependent
Irregular and incorrect use contraception
Characterized by a high prevalence of bad habits

Medical and social aspects of teen pregnancy
The rate of pregnancy among sexually active girls aged 15-19 is 9.1%
in 81.4% of its outcome is abortion
10.2% of all abortions performed in adolescents
One in ten pregnant younger than 20 years already has a history of abortion or childbirth
12.1% of maternal deaths occur in adolescence

According to WHO
210 million pregnancies a year
more than 40% - unplanned, including occur in the use of contraception
Every year the world produces about 45 million abortions
while 500,000 women die from complications related to unplanned pregnancy
World Health Organization, Department of reproductive Health and Research. Annual Technical Report 2000. WHO/RHR/01.11. Geneva: WHO, 2001

Complications after abortion
early
late
remote
Cervical injury
perforation of the
uterus
bleeding
inflammatory
processes genitals
failure cervix
Hematometra
placental polyp
endometriosis
disorders of menstruation
infertility
ectopic pregnancy
miscarriage
Increased risk of cancer breast
endocrine disorders
hysteromyoma

Any contraception is better than abortion

Teens and young adults need contraception? (N = 1167)
Use contraception - less than half (48.9%) of them every second - wrong!
94.5% believe that pregnancy should be planned and desired
77.9% said to be optimal for the birth of the first child age 20-25 years

Methods of contraception recommended in adolescents and young people
spermicides
condoms
According to the testimony - Emergency Contraception
Oral contraceptives (pills)
The vaginal ring
transdermal patch

effectiveness
safety
acceptability
Criteria for the use of modern hormonal contraceptives

High risk factors in the application of hormonal contraception
Cardiovascular disease, including a history and family
liver disease
hypertension
diabetes mellitus
obesity
Heavy smoking (more than 10 cigarettes per day)

after abortion
after an inflammatory diseases of the genital organs
Contraceptives can help ...

Emergency
contraception
Escapel pill
After unprotected or inadequately protected intercourse
In order to prevent unwanted pregnancies
The relevance of the method will be high as long as there is a need for humanity in sex.

STI - it
S-sexual
T– transmitted
I- infection

What is included in a group of STIs?
Syphilis
Gonorrhea
chlamydia
genital herpes
Anogenital warts (caused by human papillomavirus)
trichomoniasis
pubic lice

STI – a threat to reproductive health
Cause inflammatory diseases of the genital organs, violate disabled or even lead to disability
Can lead to infertility and impotence

STI – a threat to reproductive health
Increase the risk of HIV infection and viral hepatitis B and C

STI – a threat to reproductive health
Able to induce inflammatory diseases of vital organs and systems (nervous, cardiovascular, etc.).

STI – a threat to reproductive health
Increase the risk of cancer and other genital organs and body systems
Contribute to impaired fertility

STI – a threat to reproductive health
Dangerous to the fetus (intrauterine infection and death in early pregnancy)
Hazard to the fetus (malformations, developmental delay, low birth weight)
Dangerous for the newborn (intrauterine pneumonia, sepsis, and others. Diseases that the unborn child may die in the first hours / days of life)

How to prevent STIs?
Protected sex
Compliance with the rules obschegigienicheskih
Use of personal hygiene and prevention
If you suspect a poisoning - SVOEREMENNOE visits to doctors and Early Diagnosis
Syphilis - conducting preventive treatment
Vaccination against human papillomavirus infection

Individual STI and urinary infections
condom
Miramistin
spermicides
betadine

Where can I go for help?
Skin and venereal clinic
Student clinic
Clinic in the community
The Department of Dermatology and
Venereology
Department of Obstetrics and Gynecology
medical Centers