The objective: the developing of a system of preventive measures and principles of pregravid preparation for women with somatoform disorders and violation of autonomic homeostasis (VAH), in which observed changes in reproductive health (CRH) in the shape of states after undergoing artificial abortion, infertility and uterine fibroids. Patients and methods. Conducted clinical and epidemiological studies in the population of women of fertile age (WFA) allowed identifying for further examination of women with CRH in the form of state after undergoing artificial abortion, infertility and uterine fibroids in women with VAH. Further women were examined, in particular the conducted clinical and instrumental methods of research; determined the state of autonomic homeostasis and psycho emotional health of the biotopes of the organism, immunity; analyzed the hormonal regulation of the menstrual cycle; performed genetic studies and determined the morphofunctional state of reproductive system. Results. The most frequent complications during pregnancy in women who had CRH in history in the form of abortions, infertility and uterine fibroids and in the background of the PAF, there was a threat of interruption of pregnancy (often in I and II trimester – 56%) and preterm delivery (21%). The study of the catamnesis of further reproductive health found that in the case of well-conducted therapeutic measures in women undergoing artificial abortion, had infertility and uterine leiomyoma in the background of VAH, restore reproductive function, and in 82% of cases occurred a pregnancy. Conclusion. The the provided study of reproductive health, and state of various organs and systems of fertile aged women with somatoform disorders and violations of the autonomic homeostasis allowed to develop preventive measures for these women and pregravid preparation with the inclusion to the therapy Magnesium and vitamins (Magne-В6®). Key words: somatoform disorders, violation of autonomic homeostasis, changes in reproductive health, prevention and treatment, women of fertile age, Magne-В6®.
Authors:   Shupyk National Medical Academy of Postgraduate Education, Kуiv, Ukraine, Nigutsa I.P. 
Published: December 2020

The objective: rising of efficiency of restoration of genesial function at women with hysteromyoma on the basis of scientific justification and introduction of an advanced technique of conservative myomectomy with use of modern endoscopic technologies. Patients and methods. 125 women of genesial age who planned pregnancy were surveyed and operated by abdominal access, and also on the laparoscopy standard and improved by us. Results. The laparoscopic myomectomy improved by us is an effective method of treatment of hysteromyoma at patients of genesial age and can independently be used for restoration of fecundity or as the first stage before auxiliary genesial technologies. Conclusion. The received results of researches testify that the advanced laparoscopic myomectomy is completely effective at women of genesial age who plan pregnancy, especially in the presence of subserous, the subserous-intramurale and even the intramurale of knots of the larger sizes з the central body height and deformation of cavity of the uterus. Key words: hysteromyoma, conservative myomectomy, genesial function.