Dynamics of infertility and genital tuberculosis incidence in women of reproductive age in the Chuvash Republic in 2010—2022

Tuberculosis is a serious public health problem worldwide. Any tissue and organ can become infected, in particular the female genital organs, which leads to a serious problem — infertility. Estimation of the prevalence of tuberculosis of the female genital organs can provide important information for making decisions on treatment. The aim of the study is to analyze statistical indicators of infertility and extrapulmonary genital tuberculosis among women of reproductive age in the Chuvash Republic for the period from 2010 to 2022. Material and methods. A comparative analysis of data from the Republican Medical Information System of the Ministry of Health of the Chuvash Republic (form No. 12) was carried out among women living in the Chuvash Republic on the incidence of female infertility (ICD 10 — N97) and chronic inflammatory diseases of the uterus (ICD 10 — N71.1) for 2010—2022. Results. It has been established that annually during the observed period, the incidence rates of female infertility go in parallel with the quantitative indicators of the incidence of chronic inflammatory diseases of the uterus. Per 100 thousand of the population of the Chuvash Republic from 2013 to 2020, there was a stable decrease in the number of newly registered cases of active tuberculosis among the population of the Chuvash Republic (in 2020, this indicator was 37.5% less than that for 2013). In 2021, the territorial incidence rate of tuberculosis was 27.9 cases per 100 thousand of the population (in 2020 it was 29.2). The incidence rate of the permanent population of the Chuvash Republic was 27.9 cases per 100 thousand of the population (in 2020 it was 27.7). Conclusions. Tuberculosis of the female genital organs remains one of the main causes of infertility in women. The obtained results of the study are necessary for improving preventive measures regarding this socially significant disease in order to minimize its impact on women’s health and their reproductive functions.