COVID-19-related premature ovarian insufficiency: case report and literature review.

IF 2.9 4区医学 Q1 OBSTETRICS & GYNECOLOGY

Climacteric Pub Date : 2023-12-01 Epub Date: 2023-08-30 DOI:10.1080/13697137.2023.2246878

K Pankiewicz, E Chotkowska, B Nowakowska, M Gos, T Issat

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引用次数: 0

Abstract

Objective: The aim of this study is to present the case report of a 36-year-old woman developing premature ovarian insufficiency (POI) after COVID-19 and review the literature referring to the possible impact of SARS-CoV-2 infection on female reproduction.

Methods: A 36-year-old nulligravida with normal menstrual cycles, non-smoker, with a normal body mass index and no pelvic surgery or oncological treatment in her medical history presented to the Infertility Center of the Institute of Mother and Child in Warsaw after a year of unsuccessful attempts to get pregnant. During diagnostic process she was affected by COVID-19 with a mild manifestation and thereafter she presented amenorrhea with intense hot flushes. Further diagnostic confirmed the diagnosis of POI.

Results: There is a strong molecular basis for a possible effect of SARS-CoV-2 infection on the female reproductive system; however, the results of available research are conflicting. All of these aspects are discussed in detail.

Conclusions: SARS-CoV-2 infection may cause serious complications that cast a long shadow on a patient's future life and health. Further research is needed to assess the real impact of SARS-CoV-2 infection on female reproductive health, as well as potential preventive and therapeutic strategies for women affected with COVID-19.

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covid -19相关性卵巢早衰病例报告及文献复习

目的:报告1例36岁女性感染新冠肺炎后发生卵巢功能不全(POI)的病例，并对SARS-CoV-2感染对女性生殖可能产生的影响进行文献复习。方法:一名36岁无孕妇女，月经周期正常，不吸烟，体重指数正常，病史中无盆腔手术或肿瘤治疗，经一年未成功怀孕后，于华沙妇幼研究所不孕不育中心就诊。在诊断过程中，她感染了COVID-19，表现轻微，随后出现了闭经和强烈的潮热。进一步诊断证实POI的诊断。结果:SARS-CoV-2感染可能对女性生殖系统产生影响，存在较强的分子基础;然而，现有的研究结果是相互矛盾的。对这些方面进行了详细的讨论。结论:SARS-CoV-2感染可能导致严重并发症，给患者未来的生活和健康蒙上了很长的阴影。需要进一步研究评估SARS-CoV-2感染对女性生殖健康的实际影响，以及对感染COVID-19的女性的潜在预防和治疗策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Climacteric 医学-妇产科学

CiteScore

1.70

自引率

7.10%

发文量

审稿时长

1 months

期刊介绍： Climacteric is the official journal of the International Menopause Society (IMS). As an international peer-reviewed journal it publishes original research and reviews of all aspects of aging in women. Climacteric was founded by the IMS in 1998 and today has become a leading journal in the publication of peer-reviewed papers on the menopause, climacteric and mid-life health. Topics covered include endocrine changes, symptoms attributed to the menopause and their treatment, hormone replacement and alternative therapies, lifestyles, and the counselling and education of peri- and postmenopausal women. Climacteric, published bimonthly, also features regular invited reviews, editorials and commentaries on recent developments. The editorial review board of Climacteric includes leading scientific and clinical experts in the field of midlife medicine and research and is headed by its Editor-in-Chief, Professor Rod Baber of Australia. He and his team of Associate Editors act independently to set a clear editorial policy, co-ordinate peer review, and ensure a rapid response to submitted papers.