Hormonal homeostasis in women with infertility and functional disorders of hepatobiliary system

Authors

DOI:

https://doi.org/10.18370/2309-4117.2016.31.8-11

Keywords:

infertility, hepatobiliary system, steroid hormones, colpocytology

Abstract

Hormonal disorders are not related only with reproductive pathology, but also affect the function of many organs and systems. The most frequently disorders is liver metabolic dysfunction. The pathologic basis for this is hypothalamic-pituitary-ovarian-liver metabolic system. For example, in women with infertility is often identified liver and biliary tract diseases, leading to the estrogen metabolism disorders, on the other – an excess in the blood of some sex steroids adversely affect the various liver functions.

The close relationship of the liver function and the level of female sex hormones, the combination of their disorders, as well as use in the treatment of infertility hormone therapy that adversely affects the function of the liver, explains the need to examine the state of hormonal homeostasis in women with infertility and the hepatobiliary system diseases.

Studied 120 women with infertility, among them 60 women with functional disorders of the hepatobiliary system (the first group), 60 women with no evidence of such disorder included in the second group. Luteinizing hormone, follicle stimulating hormone, prolactin, free testosterone, estradiol and progesterone in the serum were determined by radioimmunological method during menstrual cycle. Hormonal colpocytologic study conducted by the usual method (Pap-smear in A.V. Rudenko modification on the 7th, 14th and 21st day of the menstrual cycle).

Imbalance of gonadotropin hormones, pointing to progesterone deficiency, hyperestrogenemia, hyperandrogenemia and hyperprolactinemia symptoms were identified in the study of hormonal status on the level of hormones in the blood serum in women with infertility and hepatobiliary system diseases. Hormonal changes confirmed by colpocytologic study of vaginal secretions. Anovulatory menstrual cycle on hyperestrogenia type was diagnosed in 56.7% women with infertility and hepatobiliary pathology versus 41.7% of women without functional disorders of hepatobiliary system (p < 0,05).

These results are the theoretical basis for inclusion drugs that improve the liver function in the complex therapy of women with infertility and hepatobiliary pathology.

Author Biographies

В. В. Камінський, National Medical Academy of Postgraduate Education named after P.L. Shupyk; Obstetrics and Gynecology at the Ministry of Health of Ukraine; Kyiv City Center for Reproductive and Perinatal Medicine

MD, professor, corresponding member of the NAMS of Ukraine, head of the Obstetrics, Gynecology and Reproductology Department; chief specialist; director

В. В. Суменко, NMAPE named after P.L. Shupyk

PhD, head of laboratory of the Ukrainian State Institute of Reproduction 

Т. В. Коломійченко, NMAPE named after P.L. Shupyk

PhD, senior researcher at Obstetrics, Gynecology and Reproductology Department 

О. Г. Бойчук, NMAPE named after P.L. Shupyk

PhD, applicant at Obstetrics, Gynecology and Reproductology Department

References

  1. Rudakova, E.B., Besman, I.V. “Assisted reproductive technologies. Problems of pregnancy loss.” Аttending doctor 3 (2010): 46–8.
  2. Kantemirova, Z.R., Torchinov, A.M., Zhigulina, T.A., et al. “Steroid hormones, uterine fibroids and abnormal liver function: pathogenesis and prospects for the treatment.” Аttending doctor 10 (2003): 18–20.
  3. Nazarenko, T.A., Korneeva, I.E., Sokolova, M.Y., Aksenenko, A.A. “Abnormal liver function in a patient with ovarian hyperstimulation syndrome.” Reproduction problems 3 (2009): 70–3.
  4. Dubossarskaya, Y.A. “Pathologies of the hepatobiliary system in gynecologist practice.” Medical aspects of woman health 3.30 (2010): 12–19.
  5. Vikhlyaeva, E.M. Guide endocrine gynecology. 3-rd ed., add. Moscow. Medical information agency (2006): 784 p.
  6. Petukhov, V.A., Torchinov, A.M., Alekseeva, E.A., et al. “Morfofunctional disorders of the hepatobiliary system for uterine fibroids: possible therapeutic approaches.” Farmateka 2 (2004): 80–86.
  7. Della, T.S., Rando, G., Meda, C., et al. “Amino Acid-Dependent Activation of Liver Estrogen Receptor Alpha Integrates Metabolic and Reproductive Functions via IGF-1.” Cell Metabolism 13.2 (2011): 205–14.
  8. Maschi, M., Matrorani, A. “Steroids sessuali e fimzione hepatica.” Minerva ginecologica 26.9 (1974): 526–32.

Published

2016-10-21

How to Cite

Камінський, В. В., Суменко, В. В., Коломійченко, Т. В., & Бойчук, О. Г. (2016). Hormonal homeostasis in women with infertility and functional disorders of hepatobiliary system. REPRODUCTIVE ENDOCRINOLOGY, (31), 8–11. https://doi.org/10.18370/2309-4117.2016.31.8-11

Issue

Section

Reproductology

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