What is female hypogonadism? How is the treatment of female hypogonadism? Answers to these questions you will find in the article.
Content
What is hypogonadism
Primary hypergronadotropic hypogonadism is
Reducing the ovarian function due to their innate underdevelopment or
Damage in the period of newborn. At the same time, female sex hormones,
generated by the ovaries is absent and the body is trying to
Compensate the production of hormones of pituitary glands, stimulating ovaries -
Gonadotropinov. Thus in the blood a large number of gonadotropins
- luteinizing and follicularity hormones (therefore
called hypergronadotropic) and low concentration of female genital
Hormones - Estrogen.
The causes of primary hypergrofadotropic hypogonadism are varied:
- Congenital genetic anomaly (Sherezhevsky-Turner syndrome)
- Congenital underdevelopment of ovarian
- Effect of infection (tuberculosis, syphilis, epidemic vapotitis or pig)
- Impact of ionizing radiation
- Autoimmune diseases
- Removal of ovarian about any disease.
Damaged or underdeveloped ovaries can not
Synthesize enough female sex hormones -
Estrogen. The lack of estrogen causes underdevelopment or atrophy
Milk glands and female genital organs. If this state
congenital or emerged in early childhood, secondary female
Sexual signs (dairy glands, female type,
The deposition of fatty tissue for women's type) do not develop. W
Patients whose ovarian defeat appeared in early children's
Aged usually scarce sober on the pubic, dairy glands
underdeveloped, as well as uterus, ovaries, vagina.
One of the main symptoms of female hypogonadism - Amenorrhea
(lack of menstruation). Taz is narrow, buttocks flat. If the disease
It originated in the adolescent period, those genitals are preserved,
who managed to develop, but menstruation disappear, female fabrics
genital organs are thinned and exposed to atrophic processes.
The diagnosis is helped by a sharp decrease in the number of female sex
Hormones (estrogens), increasing the content of gonadotropins
(luteinizing and follicle-stimulating pituitary hormones). At
Ultrasound examination detected reduced in size
uterus, reduced ovaries. With X-ray study find
Osteoporosis (bone resolution) or growth retardation and development
Bone.
How is the treatment of female hypogonadism
Treatment of primary hypergronadotropic hypogonadism
Medicate. Replacement therapy is prescribed by female sex
hormones (ethinyl estradiol). With the occurrence of menstrual-like
Reactions, Combined oral contraceptives containing
Estrogens and Gestagens (Silest, Diana-35, Trvisilar, Triciston).
At the age of 40 years old, Klimontorm is appointed, Kliten, TrisExaven.
Replacement therapy by sex hormones is contraindicated at
diseases of the kidneys, liver, female genital tumors and
Diseases of peripheral veins (thrombophlebitis).