REPRODUCTIVE HEALTH OF THE RUSSIAN POPULATION AS A KEY FACTOR OF DEMOGRAPHIC DYNAMICS; [РЕПРОДУКТИВНОЕ ЗДОРОВЬЕ НАСЕЛЕНИЯ РОССИИ КАК КЛЮЧЕВОЙ ФАКТОР ДЕМОГРАФИЧЕСКОЙ ДИНАМИКИ]

Introduction. The trends in birth and death rates over the last 25 years determine the negative demographic picture in the Russian Federation. The key factor influencing the birth rate increase is the reproductive health of the population. The low level is largely due not only to socio-economic factors, but also due to medical and biological factors. Aim. In order to preserve men and women reproductive health, it is extremely important to improve ways of preventive diagnosis of diseases and conditions that can lead to infertility, as well as to expand the methods of treatment in case when infertility is already identified. Material and methods. The analytical research of Russian and foreign publications to find mentioned problem solutions was conducted. Results and discussion. A large number of federal programs have been adopted and successfully carried out in recent decades because of the disappointing indicators of natural growth and also for overcoming the country’s birth rate crisis. These measures have led to some rise in statistical indicators but not enough to solve the problem. Large number of both social and medical factors affecting the reproductive health of the population and leading to infertility. In vitro fertilization procedures bring a significant meaning in this fight against infertility. But the matter is that nowadays clinicians and researchers from all over the world do not have an unambiguous attitude to this method. The reason is the large number of both positive and negative effects of the in vitro fertilization procedure, as well as the lack of information and study in this area. The question of raising the birth rate in Russia and preserving the reproductive health of its citizens remains open. Conclusion. One of the possible ways to solve this problem could be the creation of reproductive health centers that provide the population with narrow-profile diagnostics and qualified assistance from specialists, as well as implementing programs for the prevention of reproductive disorders in men and women. Lack of highly specialized doctors in this sphere is also the reason of inadequate diagnosis and treatment of infertility, it is necessary to expand programs for their education and training. It is also important to ensure access of relevant theoretical sources of information about the evidence-based medicine principles in reproduction - clinical recommendations, manuals for doctors. © 2022 Authors. All rights reserved.