Features of climacteric syndrome in women with endometriosis
Keywords:climacteric syndrome, endometriosis, menopause
Share of patients with endometriosis among women of perimenopausal age is about 50% thus the problem of climacteric syndrome (СS) is extremely actual. The processes of maladaptation of neurocircular regulation are observed at reproductive age especially in this category of women. Considering the above-mentioned, research of the CS`s run of the disease; against the background of endometriosis and the choice of the correct tactics of the management of such patients becomes extremally crucial. The article deals with issues of identification of the frequency of CS in patients with endometriosis and features of development of the disease.
The exanimated group of patients consisted of 1055 women of late reproductive and perimenopausal women (from 39 to 55 years), 520 of them had diagnosis endometriosis (control group) and 535 without endometriosis
(comparison group). At the next stage were examined 323 women: 170 with endometriosis and 153 without this pathology, which were divided into groups depending on the presence or absence of CS’s symptoms. Also were searched four electronic databases.
During the analysis of groups of patients were studied, it was found that the incidence of CS in group of women with endometriosis was significantly higher (p <0.05) than in the comparison group, with manifestations of the CS earlier than in women of the general population. Were found the following risk factors for the development of a climacteric syndrome against the backdrop of endometriosis: psychical and intellectual overload, the presence of chronic stressful situations, adverse environmental conditions of living and harmful factors of labor, menstrual disorders in reproductive age, especially abnormal uterine bleeding, premenstrual syndrome, three or more abortions, the absence of birth in the history, the presence of postoperative surgical interventions in reproductive age, as well as significant somatic burdened anamnesis.
Given the results of the study, it can be argued that the CS is the psycho-emotional and vegetative crisis which in combination with severe premorbid background – endometriosis, significantly increases the impact on the general condition of both physical and mental health, including social activity and quality of life than the development of an independent disease. This determines the relevance of the study of the possibilities of using therapeutic and preventive measures not only for the safe correction of menopausal disorders, but also to relief the severity of the symptoms of endometriosis.
- Zaporozhan, V.M., Tatarchuk, T.F., Kaminskyi, V.V. “National Consensus on the Management of Patients with Endometriosis.” Reproductive endocrinology 4.24 (2015): 7–12.
- Zakharenko, N.F., Manolyak, I.P., Kovalenko, N.V., Kovbasiy, V.P. “Features of the manifestation of climacteric syndrome in women with endometriosis and possible ways of its correction.” Science journal of the MOH of Ukraine 2 (2014): 71–8.
- Zakharenko, N.F., Kovalenko, N.V., Tatarchuk, T.F. “Features of treatment of climacteric syndrome in women with endometriosis.” Reproductive endocrinology 3.29 (2016): 60–4.
- Zakharenko, N.F., Kovalenko, N.V. “Non-hormonal correction of manifestations of climacteric syndrome in women with endometriosis.” Health of Ukraine: medical newspaper 20.393 (2016): 50–2.
- “Clinical case of endometriosis in a postmenopausal woman.” Fundamental and clinical medicine (2017). DOI: 10.23946/2500-0764-2017-2-3-88-92
- Ishan-Khodjaeva, F.R. “Influence of clinic and laboratory characteristics on the psychoemotional status of women with endometriosis and infertility.” Journal of Obstetrics and Women’s Diseases 67.1 (2018): 20–5. DOI: 10.17816/JOWD67120-25
- Pokoradi, A.J., Iversen, L., Hannaford, P.C. “Factors associated with age of onset and type of menopause in a cohort of UK women.” Am J Obstet Gynecol 205.1 (2011): 34.e1–13. DOI: 10.1016/j.ajog.2011.02.059
- Blümel, J.E., Fica, J., Chedraui, P., et al. “Sedentary Lifestyle in Middle-aged Women Is Associated With Severe Menopausal Symptoms and Obesity. What is the connection between a sedentary lifestyle and the risk for severe menopausal symptoms and obesity?” Menopause 23.5 (2016): 488–93.
- Haas, D., Wurm, P., Schimetta, W., et al. Endometriosis Patients in the Postmenopausal Period: Pre- and Postmenopausal Factors Influencing Postmenopausal Health. Hindawi Publishing Corporation BioMed Research International (2014): 7 p. Article ID 746705.
- Gemmell, L.C., Webster, K.E., Kirtley, S., et al. “The management of menopause in women with a history of endometriosis: a systematic review.” Hum Reprod Update 23.4 (2017): 481–500.
- Haas, D., Chvatal, R., Reichert, B., et al. “Endometriosis: a premenopausal disease? Age pattern in 42,079 patients with endometriosis.” Arch Gynecol Obstet 286.3 (2012): 667–70.
- Ottolina, J., Bartiromo, L., Viganò, P., et al. “Does endometriosis influence the age of menopause?” Minerva Ginecol 70.2 (2018): 171–7.
- Park, Y.K., Cha, N.H., Sok, S.R. “Relationships between menopausal syndrome and sleeping of middle-aged women.” Journal of Physical Therapy Science 27.8 (2015): 2537–40.
- Stepaniak, U., Szafraniec, K., Kubinova, R., et al. “Age at natural menopause in three Central and Eastern European urban populations.” The HAPIEE study 75.1 (2013): 87–93.
- Yasui, T., Hayashi, K., Mizunuma, H., et al. “Association of endometriosis-related infertility with age at menopause.” Maturitas 69.3 (2011): 279–83.
How to Cite
Copyright (c) 2018 Н. В. Коваленко
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.