MUDr. Dana Maňasková

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nemoci-sympt/GYNEKOLOGIE/estrogenni-deficience

Hypoestrogenism přičiny

  • Commonly found in women who are postmenopausal
  • Premature ovarian failure
  • Suffering from amenorrhea
  • Associated with hyperprolactinemia [1]
  • Use of gonadotropin-releasing hormone (GnRH) analogues
    • Treatment of endometriosis [1]
  • Linked to scoliosis and young women with type 1 diabetes mellitus [1]

Hypogonadotropic hypogonadism

  • Due to hyperandrogenism
  • Lactation
  • Certain medications
    • Androgens/anabolic steroids
    • Progestogens
    • Prolactin releasers
    • GnRH analogues
  • Pituitary gland/hypothalamus damage
  • Isolated hypogonadotropic hypogonadism
    • Kallmann syndrome
    • CHARGE syndrome
    • GnRH insensitivity

Hypergonadotropic hypogonadism

  • Due to menopause
  • Premature ovarian failure
  • Certain medications
    • Aromatase inhibitors
    • CYP17A1 inhibitors
  • Gonadotropin insensitivity
  • Inborn errors of steroid metabolism
    • Aromatase deficiency
    • 17?-hydroxylase deficiency
    • 17,20-lyase deficiency
    • 3ß-hydroxysteroid dehydrogenase deficiency
    • cholesterol side-chain cleavage enzyme
    • Steroidogenic acute regulatory protein deficiency

Symptomy

  • Hot flashes
  • Headaches
  • Lowered libido
  • Breast atrophy
  • Reduced bone density
    • Secondary osteoporosis
  • Atrophic changes
    • PH change in the vagina
    • Dyspareunia
    • Limited genital arousal
      • Changes in the four layers of the vaginal wall
  • One of the major risk factors for developing uncomplicated urinary tract infections (UTIs)
    • In postmenopausal women who do not take hormone replacement therapy [1]
Literatura:
[1] en.wikipedia.org/wiki/Hypoestrogenism
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Poslední aktualizace: 1. 8. 2022 0:24:44
© Dana Maňasková, metabalance.cz
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