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Purpose: The purpose of the work is to analyze the effectiveness of the influence of the developed physical rehabilitation program for women after gynecological surgery, based on the results of the endocrine profile of the main ovarian hormones that have the most pronounced biological effect. Material and methods: 21 women aged 25-34 years were examined after gynecological surgery for ovarian cysts - oophorectomy. They were divided into the control group (n=9) and the main group (n=12). Patients of the main group were engaged in a developed physical rehabilitation program, including shallow breathing with elements of muscle relaxation and auto-training and dosed walking in combination with therapeutic massage to prevent exacerbation or worsening of concomitant diseases. A comparative assessment of changes in the secretion of sex hormones was carried out in dynamics, where indicators of their level after radical treatment in this situation acquire the significance of a test for biological recovery. Results: Analysis of the content of estradiol in the blood shows that in women of both groups during the first and second months after surgery, the remaining ovary functions in an economical mode of the anovulatory menstrual cycle without significant differences between samples within and between groups (p > 0,3). At the third menstrual cycle, only in the main group a clear increase in estradiol appeared (the difference with the first sample is significant, p < 0.05). A faster normalization of the endocrine profile in women of the main group is also confirmed by the data obtained from determining progesterone levels. Its minimum values were recorded during the first two cycles in both groups. The third cycle in women of the main group already reveals progesterone levels in the second phase, corresponding to physiological indicators (р < 0,01). Conclusions. Significantly better differences were revealed between women of the main and control groups according to the results of the endocrine parameters studied, which confirms the effectiveness of the proposed physical rehabilitation program in contrast to the standard system of rehabilitation treatment.
Honcharuk et al. (Tue,) studied this question.