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REPRODUCTIVE DISSONANCE AS A BASIS OF GENDER APPROACHIN SPORTS MEDICINE

G. P. KASYMOVA KAZAKH NATIONAL MEDICAL UNIVERSITY NAMED AFTER S. D. ASFENDIYAROV, KAZAKHSTAN, ALMATY

<br><b>Objective:</b> to study indicators of reproductive health of young female athletes and to develop a medical based approach for preservation of their
fertility and potentials of sexual reproduction. Materials and methods: the research was conducted in Almaty (Republic of Kazakhstan) and had two
stages: (1) in 1998, and (2) in 2013. Each stage had two survey groups: (1) young female athletes from the School of the Olympic reserve and sports
colleges (n=722 in 1998, and n=735 in 2013), and the control group – sedentary girls of the same age (n=128 in 1998, and n=122 in 2013). To study
specifics of training 74 coaches in 1998 and 72 in 2013 were also surveyed. <br><b>Results:</b> the intensive sports trainings which usually begin in prepubertal and
pubertal periods, slow down the process of maturing of the female reproductive system and that can result is a delay of sexual development and damages
of menstrual function. Inadequate physical loads during training sessions, which increase with age and qualification of a female athlete, damage the
ovarian and menstrual cycles and increase the risk of development of a gynecologic pathology. <br><b>Conclusions:</b> it is crucial for both coaches and doctors
to consider physiological features of a female organism, and its biological rhythms in sports training and health management of young female athletes.
Monitoring of health of young female athletes, and timely medical and rehabilitation interventions, including treatment of inflammatory diseases of
the reproductive system, and also close cooperation of sports coaches and sports physicians, will allow to increase efficiency of training, and to keep the
potential of sexual reproduction.

Keywords: 
reproductive health; gender approach; sexual development; training process.