MENSTRUAL DYSFUNCTION IN ADOLESCENT GIRLS ASSOCIATED WITH METABOLIC SYNDROME (LITERATURE REVIEW)
(LITERATURE REVIEW)
DOI:
https://doi.org/10.11603/24116-4944.2021.2.12887Keywords:
metabolic syndrome, obesity, menstrual disorders, reproductive health of adolescentsAbstract
The aim of the study – to determine the frequency and structure of gynecological morbidity and menstrual disorders in adolescent girls associated with metabolic syndrome. The role of adipose tissue in the regulation of the menstrual cycle as one of the hormone-producing organs has been proven. Disorders in the hypothalamic-pituitary-ovarian complex against the background of the metabolic syndrome manifest as symptoms of dysfunction of the reproductive system. In addition, there is a correlation between body mass index and the severity of menstrual dysfunction.
Conclusions. Gynecological morbidity in adolescent girls with metabolic syndrome is characterized by an increase in the frequency of menstrual irregularities in 21–33 % of cases, manifested as dysmenorrhea, abnormal uterine bleeding, luteal phase insufficiency, anovulation, infertility, oligomenorrhea – 60 %, amenorrhea in 28.3 %, uterine bleeding – in 48.3 %. These girls develop proliferative processes in the endometrium against the background of chronic anovulation. However, early detection and correction of metabolic and menstrual disorders can have a significant impact on the prognosis and consequences of the metabolic syndrome for the health of girls.
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