乙醇消费对子宫内膜异位症病程的影响。

Monika Kopec, Paula Szlendak, Jan Kotarski, Marek Gogacz
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引用次数: 0

摘要

由于生活节奏和责任的日益加快,压力已经成为日常生活中不可分割的一部分。每年,媒体上的许多社会运动都提出了酒精消费增加的问题。子宫内膜异位症是一种慢性的、不可治愈的、雌激素依赖的炎症性妇科疾病,描述为子宫腔外子宫内膜组织异位的存在。一些研究表明,酒精可能会加重这种疾病的症状。该研究的目的是提出一个全面的审查,涉及乙醇在子宫内膜异位症的过程中的作用。材料和方法:对PubMed数据库2000年至2024年间的文献进行了回顾,使用以下关键词:“子宫内膜异位症”、“酒精”、“乙醇”。搜索包括用英语发表的文章。没有全文访问和副本的出版物被拒绝。筛选247条记录,其中15条符合资格标准,12条纳入本文。结果:酒精可能影响雌激素的产生(通过增加芳香化酶的活性和与黄体生成素的相互作用),促进促炎途径和氧化应激。它也被认为是一种自我管理疗法,用于治疗疼痛、焦虑和自卑。依赖酒精的患者更容易出现不孕、流产、无排卵和卵巢病变。结论:虽然没有明确的证据表明乙醇对子宫内膜异位症的病程有不利影响,但这种物质可能会破坏酒精依赖妇女的生命。它可能会导致更严重的子宫内膜异位症,影响生活的许多方面。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The influence of ethanol consumption on a course of endometriosis.

Objectives: Due to the increasingly faster pace of life and responsibilities, stress has become an integral part of daily life. Every year, numerous social campaigns in the media raise the issue of increasing alcohol consumption. Endometriosis is a chronic, causally incurable, estrogen-dependent and inflammatory gynecological disorder, described as presence of ectopic endometrial tissue outside the uterine cavity. Some studies suggest that alcohol may aggravate the symptoms of the disease. The aim of the study is to present a comprehensive review reffering to the role of ethanol in the course of endometriosis.

Material and methods: A review of the literature available in the PubMed database between 2000 and 2024 was conducted, using the following keywords: "endometriosis", "alcohol", "ethanol". The search included articles published in English. Publications without full text access and duplicates were rejected. 247 records were screened of which 15 met the eligilibity criteria, and 12 were included in this article.

Results: Alcohol may affect estrogen production (by increasing the activity of aromatase and interacting with luteinizing hormone), promotes pro-inflammatory pathways and oxidative stress. It is also perceived as a form of self-management therapy resulting from pain, anxiety, and low self-esteem. Patients who are alcohol-dependent more often experience infertility, miscarriages, anovulation and ovarian pathologies.

Conclusions: Although there is no clear evidence suggesting the adverse effect of ethanol on the course of endometriosis, the substance may be life-destroying in alcohol-dependent women. It may cause more severe course of endometriosis affecting many ascpectcts of life.

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