The causes of abnormal uterine bleeding in women with chronic psychogenic stress
Abnormal uterine bleeding (AUB) is a common pathology in women of reproductive age. Chronic psychogenic stress significantly impacts the parameters of the menstrual cycle and can result in its disorders and AUB. The aim of the study was to determine the main etiological causes of AUB in women of...
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| Format: | Article |
| Language: | English |
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Zaporozhye State Medical University
2023-03-01
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| Series: | Zaporožskij Medicinskij Žurnal |
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| Online Access: | http://zmj.zsmu.edu.ua/article/view/265556/269886 |
| _version_ | 1811158097871241216 |
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| author | K. V. Fedosiuk L. V. Pakharenko K. V. Chaika V. M. Zhurakivskyi O. M. Lasytchuk O. M. Kusa |
| author_facet | K. V. Fedosiuk L. V. Pakharenko K. V. Chaika V. M. Zhurakivskyi O. M. Lasytchuk O. M. Kusa |
| author_sort | K. V. Fedosiuk |
| collection | DOAJ |
| description | Abnormal uterine bleeding (AUB) is a common pathology in women of reproductive age. Chronic psychogenic stress significantly impacts the parameters of the menstrual cycle and can result in its disorders and AUB.
The aim of the study was to determine the main etiological causes of AUB in women of reproductive age with chronic psychogenic stress.
Materials and methods. We studied the causes of AUB using PALM-COEIN classification in 100 women of reproductive age with chronic psychogenic stress (group I) and 50 patients without chronic psychogenic stress (group II). 30 practically healthy women without AUB and chronic psychogenic stress were the control group.
Results. The most often disorders of menstrual cycle in women in group I were intermenstrual bleeding (IMB) – 38.00 %, prolonged menstrual bleeding – 31.00 %, heavy menstrual bleeding (HMB) – 29.00 %, in group II– HMB (36.00 %), prolonged menstrual bleeding – 34.00 % and IMB – 30.00 %. The most often reasons of AUB in group I were ovulatory dysfunction – 36.00 %, leiomyoma – 24.00 % and adenomyosis – 18.00 %, in group II – leiomyoma – 38.00 %, polyps – 26.00 % and adenomyosis – 20.00 %. In patients of reproductive age, the rate of structural causes for AUB predominated over functional factors but the organic reasons occurred more often in persons without stress factor (80.33 %, P = 0.01) than those in individuals with chronic psychogenic stress (60.71 %). But the frequency of ovulatory dysfunction was 2.57 times more (χ2 = 6.85, P = 0.009) in persons with chronic psychogenic stress compared to the patients without chronic psychogenic stress (14.00 %).
Conclusions. In patients of reproductive age, the structural causes predominate over non-structural factors in the development of abnormal uterine bleeding. But in women with chronic psychogenic stress, ovulatory dysfunction is the most common reason of AUB. |
| first_indexed | 2024-04-10T05:17:29Z |
| format | Article |
| id | doaj.art-db41bf37082e48f79054f84f948c7f40 |
| institution | Directory Open Access Journal |
| issn | 2306-4145 2310-1210 |
| language | English |
| last_indexed | 2024-04-10T05:17:29Z |
| publishDate | 2023-03-01 |
| publisher | Zaporozhye State Medical University |
| record_format | Article |
| series | Zaporožskij Medicinskij Žurnal |
| spelling | doaj.art-db41bf37082e48f79054f84f948c7f402023-03-08T16:33:13ZengZaporozhye State Medical UniversityZaporožskij Medicinskij Žurnal2306-41452310-12102023-03-01251303410.14739/2310-1210.2023.1.265556The causes of abnormal uterine bleeding in women with chronic psychogenic stressK. V. Fedosiuk0https://orcid.org/0000-0002-6159-862XL. V. Pakharenko1https://orcid.org/0000-0003-4774-8326K. V. Chaika2https://orcid.org/0000-0003-3518-1780V. M. Zhurakivskyi3https://orcid.org/0000-0002-8628-5507O. M. Lasytchuk4https://orcid.org/0000-0002-0557-1350O. M. Kusa5https://orcid.org/0000-0002-8881-3756Shupyk Healthcare National Medical University of Ukraine, KyivIvano-Frankivsk National Medical University, UkraineShupyk Healthcare National Medical University of Ukraine, KyivIvano-Frankivsk National Medical University, UkraineIvano-Frankivsk National Medical University, UkraineIvano-Frankivsk National Medical University, UkraineAbnormal uterine bleeding (AUB) is a common pathology in women of reproductive age. Chronic psychogenic stress significantly impacts the parameters of the menstrual cycle and can result in its disorders and AUB. The aim of the study was to determine the main etiological causes of AUB in women of reproductive age with chronic psychogenic stress. Materials and methods. We studied the causes of AUB using PALM-COEIN classification in 100 women of reproductive age with chronic psychogenic stress (group I) and 50 patients without chronic psychogenic stress (group II). 30 practically healthy women without AUB and chronic psychogenic stress were the control group. Results. The most often disorders of menstrual cycle in women in group I were intermenstrual bleeding (IMB) – 38.00 %, prolonged menstrual bleeding – 31.00 %, heavy menstrual bleeding (HMB) – 29.00 %, in group II– HMB (36.00 %), prolonged menstrual bleeding – 34.00 % and IMB – 30.00 %. The most often reasons of AUB in group I were ovulatory dysfunction – 36.00 %, leiomyoma – 24.00 % and adenomyosis – 18.00 %, in group II – leiomyoma – 38.00 %, polyps – 26.00 % and adenomyosis – 20.00 %. In patients of reproductive age, the rate of structural causes for AUB predominated over functional factors but the organic reasons occurred more often in persons without stress factor (80.33 %, P = 0.01) than those in individuals with chronic psychogenic stress (60.71 %). But the frequency of ovulatory dysfunction was 2.57 times more (χ2 = 6.85, P = 0.009) in persons with chronic psychogenic stress compared to the patients without chronic psychogenic stress (14.00 %). Conclusions. In patients of reproductive age, the structural causes predominate over non-structural factors in the development of abnormal uterine bleeding. But in women with chronic psychogenic stress, ovulatory dysfunction is the most common reason of AUB.http://zmj.zsmu.edu.ua/article/view/265556/269886metrorrhagiachronic psychogenic stressreproductive ageetiology |
| spellingShingle | K. V. Fedosiuk L. V. Pakharenko K. V. Chaika V. M. Zhurakivskyi O. M. Lasytchuk O. M. Kusa The causes of abnormal uterine bleeding in women with chronic psychogenic stress Zaporožskij Medicinskij Žurnal metrorrhagia chronic psychogenic stress reproductive age etiology |
| title | The causes of abnormal uterine bleeding in women with chronic psychogenic stress |
| title_full | The causes of abnormal uterine bleeding in women with chronic psychogenic stress |
| title_fullStr | The causes of abnormal uterine bleeding in women with chronic psychogenic stress |
| title_full_unstemmed | The causes of abnormal uterine bleeding in women with chronic psychogenic stress |
| title_short | The causes of abnormal uterine bleeding in women with chronic psychogenic stress |
| title_sort | causes of abnormal uterine bleeding in women with chronic psychogenic stress |
| topic | metrorrhagia chronic psychogenic stress reproductive age etiology |
| url | http://zmj.zsmu.edu.ua/article/view/265556/269886 |
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