Changes of vitamin E level in adolescent girls with uterine hypoplasia against the background of hypomenstrual syndrome during follow-up study

D. Kashkalda, S. Levenets
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Abstract

Objective — to assess changes of vitamin E level in adolescent girls with uterine hypoplasia against the background of hypomenstrual syndrome (HMS) during follow-up study. Materials and methods. We examined 40 adolescent girls, aged 14–18 years, with HMS against the background of uterine hypoplasia, particularly those with oligomenorrhea (OM) and secondary amenorrhea (SA), vitamin E level in whose blood serum we had determined before and after the 2 weeks of treatment. Patients were subjected to background therapy and ultraphonophoresis (UP) of vitamin E. Results and discussion. In the process of follow-up study we identified a correction of tocopherol level in blood serum of patients with HMS: increase in frequency of normal indices and decrease in that of low ones. Moreover, during background therapy this is observed mostly in girls with OM, while during treatment with UP of vitamin E it is evident mostly in those with SA. With background therapy positive dynamics of change in tocopherol level are more frequently registered in girls with ineffective treatment, while in case of using UP of vitamin E they are more often registered in patients with effective treatment. Conclusions. Using non-hormonal methods in treatment of adolescent girls with HMS against the background of uterine hypoplasia leads to positive dynamics of change in concentration of vitamin E, which in turn contributes to emergence of menstruations in every third girl in case of background therapy and in 61% of them in case of UP of vitamin E.
青春期少女子宫发育不全伴月经不足综合征随访研究中维生素E水平的变化
目的:评价青春期少女子宫发育不全伴低月经综合征(HMS)随访期间维生素E水平的变化。材料和方法。我们检查了40名年龄在14-18岁的青春期女孩,她们患有HMS,子宫发育不全,特别是那些有少月经(OM)和继发性闭经(SA)的人,我们在治疗前和治疗后2周测定了她们的血清维生素E水平。对患者进行背景治疗和维生素e的超荧光电泳(UP)。在随访研究过程中,我们发现了HMS患者血清中生育酚水平的纠正:正常指标频率增加,低指标频率减少。此外,在背景治疗期间,这种情况主要发生在患有OM的女孩身上,而在服用维生素E治疗期间,这种情况主要发生在患有SA的女孩身上。在背景治疗中,生育酚水平的积极变化更常发生在治疗无效的女孩身上,而在使用维生素E的情况下,生育酚水平的积极变化更常发生在治疗有效的患者身上。结论。在子宫发育不全的背景下,使用非激素方法治疗患有HMS的青春期女孩,导致维生素E浓度的积极变化,这反过来又有助于在背景治疗中三分之一的女孩出现月经,在维生素E的情况下,61%的女孩出现月经。
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