From protection of reproductive health of young generation to healthy population and high quality of life

Nino Chikhladze, Tbilisi State University
Maka Jorbenadze, Tbilisi State University
Nato Pitskhelauri, Tbilisi State University

Most adolescents go the pubertal period without significant problems, but some need a special help. One of the main directions of protection of adolescent reproductive health is early diagnosis and timely treatment of reproductive disorders. We have studied several medical-demographic official indices of reproductive health, statistical dates of gynecological departments and we have focused on the clinical-epidemiological investigation of reproductive system of adolescent girls (700 adolescent girls aged 10-16 in Tbilisi). According to pubertal phases adolescent girls were divided into three groups: pre-puberty, I phase of puberty and II phase of puberty. In all investigated groups height, weight, body mass index, weight/femur circumference was determined. Age of menarche, menstrual function, acne, hirsutism, intensity of hypothalamic stigma was estimated in all groups as well. Beside the analysis of the results we can make the conclusion and recommendations. Protection of reproductive health of adolescent remains one of the actual problems in Georgia; here doesn’t exist such program, which could make early revealing to reproductive disease among adolescent girls. Results of investigation exposed the cases of endocrine-reproductive disorders among adolescent girls: in many cases adolescent girls haven’t visited Medical doctors. These are connected with economic situation and lack of information about physiological variations and reproductive disorders in pubertal period. This indicates about the importance of periodical clinical-epidemiological examination of adolescent girls, while young population receives necessary information about reproductive health and diseases. Protection of Reproductive health for adolescent and young generation assists to preserve population health and high quality of life. We hope the investigation and its results will contribute the protection of adolescent reproductive health and insertion of this problem in the Health Policy agenda in Georgia also in countries with the similar tendencies.