Russia's New Health Rules Push Women Toward Fertility and Family Planning

New health guidelines in Russia are targeting women's reproductive and psychological well-being. The measures aim to improve fertility rates and support family planning through early medical intervention. Doctors will now refer women to specialists based on specific health and lifestyle factors.

Under the updated recommendations, women with acne or alopecia will be sent to a dermatovenereologist. Those struggling with obesity or suspected endocrine issues must consult an endocrinologist. Early treatment of infections and chronic conditions that could affect fertility is also being stressed.

Women who indicate no desire for children—answering '0' to questions about family planning—will be offered a consultation with a medical psychologist. The goal is to encourage a more positive outlook on childbearing. However, no official figures exist yet on how many women have been referred under these new rules in 2023 or 2024, nor on the most frequent reasons for such referrals. For women without diagnosed gynaecological problems but with risk factors, doctors must provide advice on reducing potential health threats. Timely detection of sexually transmitted infections remains a priority, alongside managing conditions that could harm reproductive function. The guidelines align with broader demographic targets. Russia expects its total fertility rate to climb to 1.6 by 2030 and 1.8 by 2036. The number of large families is likewise projected to grow, reaching at least 2.4 million by 2030 and 2.725 million by 2036.

The updated health measures focus on prevention, early treatment, and psychological support to boost fertility rates. While specific referral data is not yet available, the guidelines reflect a long-term strategy to increase family sizes. Officials anticipate gradual improvements in reproductive health and demographic trends over the next decade.