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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">akusherstvo</journal-id><journal-title-group><journal-title xml:lang="en">Obstetrics, Gynecology and Reproduction</journal-title><trans-title-group xml:lang="ru"><trans-title>Акушерство, Гинекология и Репродукция</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2313-7347</issn><issn pub-type="epub">2500-3194</issn><publisher><publisher-name>IRBIS LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.17749/2313-7347/ob.gyn.rep.2024.564</article-id><article-id custom-type="elpub" pub-id-type="custom">akusherstvo-2254</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEW ARTICLES</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>НАУЧНЫЕ ОБЗОРЫ</subject></subj-group></article-categories><title-group><article-title>The influence of environmental factors on woman's reproductive health</article-title><trans-title-group xml:lang="ru"><trans-title>Влияние факторов окружающей среды на репродуктивное здоровье женщины</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0000-7292-2694</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Жирнов</surname><given-names>И. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Zhirnov</surname><given-names>I. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Жирнов Игорь Александрович</p><p>620028 Екатеринбург, ул. Репина, д. 3</p></bio><bio xml:lang="en"><p>Igor A. Zhirnov</p><p>3 Repina Str., Ekaterinburg 620028</p></bio><email xlink:type="simple">zhirnovigor33@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6745-219X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Назмиева</surname><given-names>К. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Nazmieva</surname><given-names>K. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Назмиева Ксения Александровна</p><p>450008, Уфа, ул. Ленина, д. 3</p></bio><bio xml:lang="en"><p>Ksenia A. Nazmieva, MD</p><p>3 Lenin Str., Ufa 450008</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0004-6181-7070</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Хабибуллина</surname><given-names>А. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Khabibullina</surname><given-names>A. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Хабибуллина Айгуль Ильнуровна</p><p>450008, Уфа, ул. Ленина, д. 3</p></bio><bio xml:lang="en"><p>Aigul I. Khabibullina</p><p>3 Lenin Str., Ufa 450008</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0003-5249-5244</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ильясова</surname><given-names>Л. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Ilyasova</surname><given-names>L. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ильясова Лейсан Альфритовна</p><p>450008, Уфа, ул. Ленина, д. 3</p></bio><bio xml:lang="en"><p>Leysan A. Ilyasova</p><p>3 Lenin Str., Ufa 450008</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0009-4575-2525</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Саидмурсалова</surname><given-names>Н. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Saidmursalova</surname><given-names>N. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Саидмурсалова Нилуфар Сайфуллоевна</p><p>450008, Уфа, ул. Ленина, д. 3</p></bio><bio xml:lang="en"><p>Nilufar S. Saidmursalova</p><p>3 Lenin Str., Ufa 450008</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0001-9325-4637</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Демишева</surname><given-names>Р. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Demisheva</surname><given-names>R. R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Демишева Раяна Рамзановна</p><p>364024 Грозный, ул. А. Шерипова, д. 32</p></bio><bio xml:lang="en"><p>Rayana R. Demisheva</p><p>32 A. Sheripova Str., Grozny 364024</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0007-4489-6223</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Алихаджиева</surname><given-names>П. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Alikhadzhieva</surname><given-names>P. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Алихаджиева Петимат Ерагиевна</p><p>364024 Грозный, ул. А. Шерипова, д. 32</p></bio><bio xml:lang="en"><p>Petimat Е. Alikhadzhieva</p><p>32 A. Sheripova Str., Grozny 364024</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0003-6925-0702</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Солтагереева</surname><given-names>А. Х.</given-names></name><name name-style="western" xml:lang="en"><surname>Soltagereeva</surname><given-names>A. Kh.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Солтагереева Аяна Хусайновна</p><p>364024 Грозный, ул. А. Шерипова, д. 32</p></bio><bio xml:lang="en"><p>Ayana Kh. Saltagereeva</p><p>32 A. Sheripova Str., Grozny 364024</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0008-0780-6476</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Головня</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Golovnya</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Головня Алина Андреевна</p><p>450008, Уфа, ул. Ленина, д. 3</p></bio><bio xml:lang="en"><p>Alina A. Golovnya</p><p>3 Lenin Str., Ufa 450008</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0005-9684-3882</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кахрамонова</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kakhramonova</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кахрамонова Анна Владимировна</p><p>450008, Уфа, ул. Ленина, д. 3</p></bio><bio xml:lang="en"><p>Anna V. Kakhramonova</p><p>3 Lenin Str., Ufa 450008</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0004-2172-2499</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Джалилов</surname><given-names>И. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Dzhalilov</surname><given-names>I. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Джалилов Икромджон Мухамаджонович</p><p>450008, Уфа, ул. Ленина, д. 3</p></bio><bio xml:lang="en"><p>Ikromjon M. Dzhalilov</p><p>3 Lenin Str., Ufa 450008</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0007-3997-1209</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Галимова</surname><given-names>У. У.</given-names></name><name name-style="western" xml:lang="en"><surname>Galimova</surname><given-names>U. U.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Галимова Умакусум Учаровна</p><p>410012 Саратов, ул. Большая Казачья, д. 112</p></bio><bio xml:lang="en"><p>Umakusum U. Galimova</p><p>112 Bolshaya Kazachya Str., Saratov 410012</p></bio><xref ref-type="aff" rid="aff-4"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБОУ ВО «Уральский государственный медицинский университет» Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Ural State Medical University, Health Ministry of Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБОУ ВО «Башкирский государственный медицинский университет» Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Bashkir State Medical University, Health Ministry of Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ФГБОУ ВО «Чеченский государственный университет имени А.А. Кадырова»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Kadyrov Chechen State University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>ФГБОУ ВО «Саратовский государственный медицинский университет имени В.И. Разумовского» Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Razumovsky Saratov State Medical University, Health Ministry of Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>22</day><month>11</month><year>2024</year></pub-date><volume>18</volume><issue>6</issue><fpage>858</fpage><lpage>873</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Zhirnov I.A., Nazmieva K.A., Khabibullina A.I., Ilyasova L.A., Saidmursalova N.S., Demisheva R.R., Alikhadzhieva P.E., Soltagereeva A.K., Golovnya A.A., Kakhramonova A.V., Dzhalilov I.M., Galimova U.U., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Жирнов И.А., Назмиева К.А., Хабибуллина А.И., Ильясова Л.А., Саидмурсалова Н.С., Демишева Р.Р., Алихаджиева П.Е., Солтагереева А.Х., Головня А.А., Кахрамонова А.В., Джалилов И.М., Галимова У.У.</copyright-holder><copyright-holder xml:lang="en">Zhirnov I.A., Nazmieva K.A., Khabibullina A.I., Ilyasova L.A., Saidmursalova N.S., Demisheva R.R., Alikhadzhieva P.E., Soltagereeva A.K., Golovnya A.A., Kakhramonova A.V., Dzhalilov I.M., Galimova U.U.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.gynecology.su/jour/article/view/2254">https://www.gynecology.su/jour/article/view/2254</self-uri><abstract><sec><title>Introduction</title><p>Introduction. The environment undoubtedly affects the physiological processes in human body, which may be both beneficial and harmful. From 2011 to 2021, the incidence of female infertility in Russia increased by 30 % reaching 789.1 cases per 100,000 women in 2021.</p></sec><sec><title>Aim</title><p>Aim: to assess an impact of environmental factors including endocrine disrupting chemicals (EDC) on women's reproductive health by assessing available publications.</p></sec><sec><title>Materials and Methods</title><p>Materials and Methods. Available studies were searched through the scientific literature databases until April 2024 by revealing 5,732 articles in the PubMed/MEDLINE database, 6,587 in Google Scholar and 2,350 in eLibrary. The publications were selected in accordance with PRISMA recommendations. The current review included 90 publications.</p></sec><sec><title>Results</title><p>Results. Fertility experimental and epidemiological studies showed that environmental factors such as climate, temperature, seasonality, radiation, air pollution, diet and energy balance, working environment, bad habits (e.g. smoking), EDC (plasticizers, heavy metals, parabens, pesticides, industrial chemicals and their by-products, medicines, perfluorochemicals, antibacterial agents) may be associated with impaired female reproductive function.</p></sec><sec><title>Conclusion</title><p>Conclusion. Environmental factors, including EDC, have a significant impact on women's reproductive health and can negatively affect fertility. The main findings of current research confirm a need to raise awareness of the risks associated with exposure to chemicals on women's body.</p></sec></abstract><trans-abstract xml:lang="ru"><sec><title>Введение</title><p>Введение. Окружающая среда, несомненно, влияет на физиологические процессы в организме человека, и это влияние может быть как благоприятным, так и вредным. С 2011 по 2021 гг. в России количество случаев женского бесплодия увеличилось на треть, и в 2021 г. этот показатель достиг 789,1 случая на 100 тыс. женщин.</p></sec><sec><title>Цель</title><p>Цель: оценить влияние факторов окружающей среды, в том числе химических веществ, нарушающих работу эндокринной системы (англ. endocrine disrupting chemicals, EDC) на репродуктивное здоровье женщин на основании анализа данных литературы.</p></sec><sec><title>Материалы и методы</title><p>Материалы и методы. Поиск исследований проводили по базам данных научной литературы до апреля 2024 г. В результате поиска было обнаружено 5732 статей в базе данных PubMed/MEDLINE, 6587 в Googl eScholar и 2350 в eLibrary. Публикации отбирали в соответствии с рекомендациями PRISMA. В обзор было включено 90 публикаций.</p></sec><sec><title>Результаты</title><p>Результаты. Экспериментальные и эпидемиологические исследования, посвященные изучению фертильности, показали, что такие факторы окружающей среды, как климат, температура, сезонность, радиация, загрязнение воздуха, характер питания и энергетический баланс, рабочая среда, вредные привычки (например, курение), EDC (пластификаторы, тяжелые металлы, парабены, пестициды, промышленные химикаты и их побочные продукты, лекарства, перфторохимикаты, антибактериальные средства) могут быть связаны с нарушением репродуктивной функции женщин.</p></sec><sec><title>Заключение</title><p>Заключение. Факторы окружающей среды, включая EDC, имеют значительное влияние на репродуктивное здоровье женщин и могут негативно сказываться на фертильности. Основные выводы текущих исследований подтверждают необходимость повышения осведомленности о рисках, связанных с воздействием химических веществ на организм.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>бесплодие</kwd><kwd>вспомогательные репродуктивные технологии</kwd><kwd>факторы окружающей среды</kwd><kwd>химические вещества</kwd><kwd>нарушающие работу эндокринной системы</kwd><kwd>EDC</kwd><kwd>эктракорпоральное оплодотворение</kwd><kwd>токсичность</kwd></kwd-group><kwd-group xml:lang="en"><kwd>infertility</kwd><kwd>assisted reproductive technologies</kwd><kwd>environmental factors</kwd><kwd>endocrine disrupting chemicals</kwd><kwd>EDC</kwd><kwd>in vitro fertilization</kwd><kwd>toxicity</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Ди Ренцо Д.К. Нутриенты и токсичные вещества окружающей среды: влияние на функцию плаценты и развитие плода. 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