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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="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">verezdo</journal-id><journal-title-group><journal-title xml:lang="ru">Вестник репродуктивного здоровья</journal-title><trans-title-group xml:lang="en"><trans-title>Bulletin of Reproductive Health</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2075-6569</issn><issn pub-type="epub">2310-421X</issn><publisher><publisher-name>Endocrinology Research Centre (Moscow)</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.14341/brh12782</article-id><article-id custom-type="elpub" pub-id-type="custom">verezdo-12782</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="ru"><subject>КЛИНИЧЕСКИЕ РЕКОМЕНДАЦИИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL GUIDELINES</subject></subj-group></article-categories><title-group><article-title>Клинические рекомендации РОАГ «Менопауза и климактерическое состояние у женщины. Версия 2025 года»</article-title><trans-title-group xml:lang="en"><trans-title>Сlinical recommendations of RSOG "Menopause and climacteric period among females. Version of year 2025"</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3253-4512</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Адамян</surname><given-names>Л. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Adamyan</surname><given-names>L. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Адамян Лейла Владимировна, академик РАН, профессор, д.м.н.</p></bio><bio xml:lang="en"><p>Leila V. Adamyan, MD, PhD, Professor, academicianof RAS</p></bio><email xlink:type="simple">aleila@inbox.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/0000-0001-8425-0020</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Андреева</surname><given-names>Е. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Andreeva</surname><given-names>E. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Андреева Елена Николаевна, д.м.н., профессор</p><p>117292, Москва, ул. Дм. Ульянова, д. 11</p><p> </p></bio><bio xml:lang="en"><p>Elena N. Andreeva, MD, PhD, professor</p></bio><email xlink:type="simple">prof.andreeva@endocrincentr.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4581-6295</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Аполихина</surname><given-names>И. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Apolikhina</surname><given-names>I. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Аполихина Инна Анатольевна, д.м.н., профессор</p></bio><bio xml:lang="en"><p>Inna A. Apolikhina, MD, PhD, professor</p></bio><email xlink:type="simple">apolikhina@inbox.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7014-6492</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Артымук</surname><given-names>Н. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Artymuk</surname><given-names>N. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Артымук Наталья Владимировна, д.м.н., профессор</p></bio><bio xml:lang="en"><p>Natalya V. Artymuk, MD, PhD, Professor</p></bio><email xlink:type="simple">artymuk@gmail.com</email><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6396-4948</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ашрафян</surname><given-names>Л. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Ashrafyan</surname><given-names>L. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ашрафян Лев Андреевич, академик РАН, профессор, д.м.н.</p></bio><bio xml:lang="en"><p>Lev A. Ashrfyan, MD, PhD, Professor, academician of RAS</p></bio><email xlink:type="simple">levaa2004@yahoo.com</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2364-6838</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Балан</surname><given-names>В. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Balan</surname><given-names>V. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Балан Вера Ефимовна, д.м.н., профессор</p></bio><bio xml:lang="en"><p>Vera E. Balan, MD, PhD, Professor</p></bio><email xlink:type="simple">balanmed@gmail.com</email><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6629-051X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ермакова</surname><given-names>Е. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Ermakova</surname><given-names>E. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ермакова Елена Ивановна, к.м.н.</p></bio><bio xml:lang="en"><p>Elena I. Ermakova, PhD</p></bio><email xlink:type="simple">e_ermakova@oparina4.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6252-860X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кузнецов</surname><given-names>С. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Kuznetsov</surname><given-names>S. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кузнецов Сергей Юрьевич, к.м.н.</p></bio><bio xml:lang="en"><p>Sergei Yu. Kuznetsov, MD, PhD</p></bio><email xlink:type="simple">kuznetsov.s@list.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0096-7126</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Родионов</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Rodionov</surname><given-names>V. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Родионов Валерий Витальевич, д.м.н.</p></bio><bio xml:lang="en"><p>Valery V. Rodionov, MD, PhD</p></bio><email xlink:type="simple">dr.valery.rodionov@gmail.com</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0627-3902</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сметник</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Smetnik</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Сметник Антонина Александровна, к.м.н.</p></bio><bio xml:lang="en"><p>Antonina A. Smetnik, MD, PhD</p></bio><email xlink:type="simple">asmetnik@gmail.com</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2654-1334</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Филиппов</surname><given-names>О. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Filippov</surname><given-names>O. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Филиппов Олег Семенович, д.м.н., профессор </p></bio><bio xml:lang="en"><p>Oleg S. Filippov, MD, PhD, Professor</p></bio><email xlink:type="simple">filippovolsem@yandex.ru</email><xref ref-type="aff" rid="aff-6"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9065-5689</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Чернуха</surname><given-names>Г. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Chernukha</surname><given-names>G. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Чернуха Галина Евгеньевна, д.м.н., профессор</p></bio><bio xml:lang="en"><p>Galina E. Chernukha, MD, Doctor of Sciences, Professor</p></bio><email xlink:type="simple">c-galina1@yandex.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2864-066X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Юренева</surname><given-names>С. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Yureneva</surname><given-names>S. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Юренева Светлана Владимировна, д.м.н. </p></bio><bio xml:lang="en"><p>Svetlana V. Yureneva, MD, PhD</p></bio><email xlink:type="simple">syureneva@gmail.com</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7430-1207</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Якушевская</surname><given-names>О. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Yakushevskaya</surname><given-names>O. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Якушевская Оксана Владимировна, к.м.н. </p></bio><bio xml:lang="en"><p>Oksana V. Yakushevskaya, MD, PhD</p></bio><email xlink:type="simple">aluckyone777@gmail.com</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6551-4147</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ярмолинская</surname><given-names>М. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Yarmolinskaya</surname><given-names>M. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ярмолинская Мария Игоревна, д.м.н., профессор РАН</p></bio><bio xml:lang="en"><p>Maria I. Yarmolinskaya, MD, PhD, Professor of RAS</p></bio><email xlink:type="simple">m.yarmolinskaya@gmail.com</email><xref ref-type="aff" rid="aff-7"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБУ «НМИЦ АГП им. В.И. Кулакова» Минздрава России; &#13;
ФГБОУ ВО «Российский университет медицины» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>National Medical Research Center of Obstetrics, Gynecology and Perinatology; Russian University of Medicine</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБОУ ВО «Российский университет медицины» Минздрава России; ГНЦ РФ ФГБУ «Национальный медицинский исследовательский центр эндокринологии им. академика И.И. Дедова» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Russian University of Medicine; Endocrinology Research Centre</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ФГБУ «НМИЦ АГП им. В.И. Кулакова» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>National Medical Research Center of Obstetrics, Gynecology and Perinatology</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>ФГБОУ ВО «Кемеровский государственный медицинский университет» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Kemerovo State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-5"><aff xml:lang="ru"><institution>ГБУЗ МО «Московский областной научно-исследовательский институт акушерства и гинекологии»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Moscow Regional Research Institute of Obstetrics and Gynecology</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-6"><aff xml:lang="ru"><institution>Министерство здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Russian Ministry of Health</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-7"><aff xml:lang="ru"><institution>ФГБНУ «НИИ АГиР им. Д.О. Отта»; ФГБОУ ВО «Северо-Западный государственный медицинский университет им. И.И. Мечникова» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Research Institute of Obstetrics, Gynecology, and Reproductology named after D.O. Ott; North-Western State Medical University named after I.I. Mechnikov</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>11</day><month>01</month><year>2026</year></pub-date><volume>4</volume><issue>4</issue><fpage>21</fpage><lpage>37</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Адамян Л.В., Андреева Е.Н., Аполихина И.А., Артымук Н.В., Ашрафян Л.А., Балан В.Е., Ермакова Е.И., Кузнецов С.Ю., Родионов В.В., Сметник А.А., Филиппов О.С., Чернуха Г.Е., Юренева С.В., Якушевская О.В., Ярмолинская М.И., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Адамян Л.В., Андреева Е.Н., Аполихина И.А., Артымук Н.В., Ашрафян Л.А., Балан В.Е., Ермакова Е.И., Кузнецов С.Ю., Родионов В.В., Сметник А.А., Филиппов О.С., Чернуха Г.Е., Юренева С.В., Якушевская О.В., Ярмолинская М.И.</copyright-holder><copyright-holder xml:lang="en">Adamyan L.V., Andreeva E.N., Apolikhina I.A., Artymuk N.V., Ashrafyan L.A., Balan V.E., Ermakova E.I., Kuznetsov S.Y., Rodionov V.V., Smetnik A.A., Filippov O.S., Chernukha G.E., Yureneva S.V., Yakushevskaya O.V., Yarmolinskaya M.I.</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.vrz-endojournals.ru/jour/article/view/12782">https://www.vrz-endojournals.ru/jour/article/view/12782</self-uri><abstract><p>В настоящей статье вашему вниманию предлагается наиболее актуальная, утвержденная 2025 г. версия клинических рекомендаций «Менопауза и климактерическое состояние у женщины». Менопауза у женщин при отсутствии своевременной инициации заместительной терапии половыми стероидами снижет шансы на достижение активного долголетия и здорового старения. Настоящий документ составлен при активном участии Российского общества акушеров-гинекологов (РОАГ). Проведение следующего пересмотра планируется не позднее 2027 г. Документ одобрен научно-практическим советом Минздрава России.</p></abstract><trans-abstract xml:lang="en"><p>The present article contains the most actual version of Russian national clinical recommendations (Version of year 2025) "Menopause and climacteric period among females" In case of ignoring timely sex steroid replacement therapy menopause can decrease chances for achieving healthy longevity and ageing. This document has been provided by members of Russian Society of Obstetricicians and Gynaecologists (RSOG). The next revision is planned for year 2027 or earlier. The document has been approved by scientific practical council of the Russian Ministry of Health.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>менопаузальный</kwd><kwd>климактерический</kwd><kwd>половые стероиды</kwd><kwd>старение</kwd><kwd>эстрогены</kwd><kwd>гестагены</kwd><kwd>клинические рекомендации</kwd></kwd-group><kwd-group xml:lang="en"><kwd>menopausal</kwd><kwd>climacteric</kwd><kwd>sex steroids</kwd><kwd>ageing</kwd><kwd>estrogens</kwd><kwd>gestagens</kwd><kwd>clinical recommentations</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
