The state of hormonal balance in puberty girls with menstrual function disorders on the background of obesity

A. Borshulyak, O. Andriets, Y. Tsysar, A. Andriets
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Abstract

Menstrual disorders in puberty girls against the background of hormonal imbalance occupy a significant place in the structure of gynecological pathology since in the future, they can lead to stable and irreversible changes in the formation of the reproductive system.The purpose of the work - to study the state of hormonal balance in puberty girls against the background of obesity.Material and methods. 79 adolescent girls with impaired menstrual function on the background of obesity were examined and treated. All subjects were also given a comprehensive examination to determine the level of hormones in the blood serum.Results. It was found that obese adolescent girls have a clear difference in the severity of hyperandrogenic disorders of carbohydrate metabolism and insulin resistance.Conclusion. A clear relationship between the formation of menstrual function and the state of gonadotropic function of the pituitary gland is established. Changes in the hormonal profile of puberty girls were found against the background of obesity, namely hyperleptinemia and leptin resistance, which were corrected by non-drug and drug therapy.
肥胖背景下月经功能障碍青春期女生的激素平衡状况
以激素失衡为背景的青春期女孩月经失调在妇科病理结构中占有重要地位,因为在未来,它们会导致生殖系统形成的稳定和不可逆的变化。这项工作的目的是研究青春期女孩在肥胖背景下的荷尔蒙平衡状态。材料和方法。对79例以肥胖为背景的月经功能受损的青春期少女进行了检查和治疗。所有受试者还接受了全面的检查,以确定血清中的激素水平。肥胖少女在糖代谢高雄激素性障碍的严重程度和胰岛素抵抗方面存在明显差异。月经功能的形成与垂体促性腺功能状态之间存在明确的关系。青春期女孩的激素谱变化是在肥胖的背景下发现的,即高瘦素血症和瘦素抵抗,这通过非药物和药物治疗得到纠正。
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