Abstract
<jats:p>The article presents results of comprehensive analysis of gynecological morbidity of girls-adolescents 15–17 years old in St. Petersburg in 2019–2024. It is established, on the basis of preventive examinations data, that average level of pathological affect made up to 105.04‰ and had pronounced trend to decreasing (β=−4.07; p=0.048). The comparative historical analysis demonstrated improvement of reproductive health indicators by 1.9 times as compared to basic data for 1996–1997. The characteristic of structure of gynecological morbidity of modern girls-adolescents in megalopolis is predominance of menstrual disorders (90.7% of newly diagnosed cases). At that, low medical activity of girls-adolescents continues that is proved by high percentage of newly diagnosed diseases detected only during preventive examinations (29.0%) and as well as significant prevalence of general morbidity over primary one. It is established that in St. Petersburg indicators of morbidity are 2.3–2.6 times higher than the National average indicators that is related to better accessibility of medical care and more efficient system of preventive examinations in the megalopolis. The analysis of the impact of the COVID-19 pandemic on gynecological morbidity of girls-adolescents revealed significant decreasing of appealability in 2020 and subsequent incomplete reestablishment of indicators that testifies structural changes in pattern of medical activity of girls-adolescents. The study confirms efficiency of the system of protection of reproductive health of girls-adolescents in St. Petersburg but at the same time indicates at necessity to further enhance medical activity of girls-adolescents and to develop target preventive programs.</jats:p>