Male infertility in the Russian Federation: statistical data for 2000-2018
Contacts: Shaderkina Viktoriya Anatolyevna, viktoriashade@uroweb.ru Introduction. Infertility is a global problem affecting about 15% ofcouples (approximately 48.5 million) worldwide. According to statistical data, the male factorcause infertility in 50% ofcases totally. The etiology of male infertility is diverse,can be eithercongenital or acquired. Factors having a negative impact on male fertility: obesity, smoking and exposure to heat are described. The importance of evaluating sperm analysis for the diagnosis and prediction of further treatment was emphasized. Materials and methods. Information on infertility rates in the male population of the Russian Federation for 2000-2018 wascollected and summarized. based on data from official statistics of the Ministry of Health «The incidence of the population of Russia. Statistical materials». Results and discussion. It has been shown that the total number of men with infertility during 2000-2018 increased from 22348 to 47886 people (+ 114%), an increase of 82% in patients with primary male infertility was noted. In all Federal Districts (FD) except the Far East Federal District, the incidence of this sisease has been increased. The incidence of male infertility per 100 000 men differs significantly amog the regions of the Russian Federation, the highest numbers are noted in the North Caucasus and Ural Federal District, where they exceed the average numbers by 3 times. In the Far Eastern Federal District, the incidence of male infertility is almost 3 times less than the national average. A detailed description of the incidence rate in each federal district of Russia is given. In 2018, only 47886 men suffering from infertility were registered in the Russian Federation, which is approximately 0,1% of the male population ofchildbearing age and does notcorrespond to world published data. Therefore, in order to obtain reliable information about the incidence rate, the reorganization of the andrological service in the center and regions, the creation of «male outpatientcabinet» and the organization of strict reporting on the incidence rate are necessary not only in state medical institutions, but in the private sector as well. Conclusions. An increase of the male infertility incidence, a significant variation in the incidence rates not only among the FD, but also in the regions inside FD has been demonstrated. The reorganization of the state andrological service and the correct reporting system on the incidence of state and private medical organizations are required.