ORGANIZATION OF GYNECOLOGICAL CARE FOR WOMEN IN THE MILITARY

In modern society, including in the army, the role of women is growing. Women successfully master military professions and serve on an equal basis with men. However, the conditions of service – including physical strain, stress, and the peculiarities of field life – negatively impact their health, particularly affecting the reproductive system. Therefore, it is important to pay attention to maintaining women's health in the army, which is also relevant from the point of view of demographic policy.

The purpose of the study. To determine the prevalence of gynecological morbidity among female military personnel.

Materials and methods: The study was based on medical records of female servicemembers who underwent inpatient gynecological treatment at the Military Hospital in Almaty between 2021 and 2023. The structure and frequency of gynecological diseases were analyzed according to service length: less than 5 years and 5 years or more.

Results. From 2021 to 2023, the most common reproductive system disorders were pelvic inflammatory diseases, uterine fibroids, ovarian cysts, and genital prolapse. The proportion of prolapse increased from 20.3 % to 33.1 %, while uterine fibroids remained stable at around 30 %. Inflammatory diseases decreased from 31.9 % to 27.4 %. Gynecological diseases were more frequent among women with over 5 years of military service than among those with shorter service durations.

Conclusion. Prolonged exposure to adverse military service factors increases the risk of gynecological diseases among female service members. Preventive measures and early detection of pelvic inflammatory diseases, breast pathologies, and genital prolapse are necessary. Our findings indicate the need to expand diagnostic measures within routine medical examinations to prevent these conditions.

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