The medic-patient ethical relations in the consulting process of the modern female patients in gynecological matters in connection with nervous system dysfunction

Abstract

Introduction: The health of the modern female organism directly depends on ladies' relation towards their own sexual health, participation and influence of the gynecologist on sexual health, and stress reactions in general. Purpose and Objectives: Detection of the ethical components of gynecologist's therapeutic tactics for young female patients with the detected dysfunctions of the nervous system. Identifying the level of contraception, and planned consultation with the gynecologist. Detection of the ethical principles and values, which are necessary for medical assistance. Elimination of the problems, created by non-compliance with professional duties. Definition of specificity of medical impact of the neurological problems, with the help of ethical assistance. Materials and methods: Published scientific studies, materials of the sociological survey (questionnaire and interviews). Statistical, analytical and bioethical methods are used simultaneously with anonymous questionnaires of a group of girls; online forums study, and also gynecologists’ data obtained with the help of interview. Results: Disadvantages of ethical education, lack of awareness of the female population about contraceptive methods and need for regular gynecological examinations; lack of caution and discipline in choosing sexual partners, detrimental effects of stress on the body- that’s why we have a large number of unwanted pregnancies and, as a consequence, a large number of abortions as well as sexually transmitted infections. A survey that had been conducted on the group of students (aged 22 to 27 years) had indicated that 63% complained about the failure of the menstrual cycle on the background of the transferred stressful situations. The major part of girls became sexually active women aged 18-19 years, 60% of them are sexually active; 46.43% of girls use contraception, the rest 53.57% don't use any contraception. Girls have obtain the information about contraception by the following ways: 2.77% in medical college; 13.88% at school; 13.88% from the Internet; 16,66% from parents; 25% from friends; 27,77% from a doctor. 51,51%, answered positively on a question if they had ever obtained gynecological consultation regarding contraception, 48,42% answered negatively.90% of the respondents are having regular routine gynecological check-ups, 82.14% have a regular sexual partner. This and other data suggests that on the one hand, there are certain shortcomings in awareness and ethical upbringing of girls 22-27 years old, on the other hand, this situation may be exaggerated by the presence in this group different kinds of the nervous system dysfunctions. Conclusion: There is a need for better incorporation of the ethical component in the gynecological consultation of young people with neurological disorders, for the purpose of informing the young people with the help of gynecologist’s consultation, for establishing of appropriate reference materials and clinical protocols for the corresponding training of doctors.