Current principles of therapy for functional hypothalamic amenorrhea

Chernukha, Chernukha G.E.; Gusev, Gusev D.V.; Tabeeva, Tabeeva G.I.; Prilutskaya, Prilutskaya V.Yu.

doi:10.18565/aig.2018.6.11-17

Cited by 2 publications

(1 citation statement)

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“…В российских и зарубежных рекомендациях по ведению пациенток с ФГА рекомендована психотерапия, в частности, когнитивно-поведенческая терапия (КПТ), направленная на улучшение способности справляться с психологическими стрессорами в будущем [ 1 ][ 2 ]. В среднем терапия занимает не менее 6 мес и не только способствует восстановлению овуляторной функции, но и снижает уровень кортизола — маркера гиперактивации гипоталамо-гипофизарно-надпочечниковой оси при ФГА [ 40 ]. КПТ может восстановить менструальный цикл, но если пациентка столкнется повторно со значимым стрессовым фактором, может случиться рецидив.…”

Section: функциональная гипоталамическая аменореяunclassified

Endocrine and psychosomatic disorders in patients with amenorrhea

Absatarova,

Andreeva,

Evseeva

et al. 2024

Probl Endokrinol (Mosk)

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The article presents data on the relationship of pathogenetic mechanisms for the development of menstrual disorders of functional and organic origin in connection with mental disturbances from the point of view of the psychosomatic concept. According to the latter, functional disorders of the menstrual cycle are considered as psychosomatic, in which gynecological pathology develops as a result of psychopathological illness. A striking example of such a disorder is functional hypothalamic amenorrhea. At the same time, endocrinopathies, such as polycystic ovary syndrome and premature ovarian insufficiency, can also be considered in the paradigm of psychosomatic illnesses of ovarian function due to the high prevalence of anxiety and depressive disorders in this cohort of patients. This review highlights the importance of interdisciplinary collaboration between a gynecologist and a psychiatrist for the most effective reproductive rehabilitation of patients with amenorrhea. Literature search was carried out in national (eLibrary, CyberLeninka.ru) and international (PubMed, Cochrane Library) databases in Russian and English. The priority was free access to the full text of articles. The choice of sources was prioritized for the period from 2018 to 2023.However, taking into account the insufficient knowledge of the chosen topic, the choice of sources dates back to 1985.

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Section: функциональная гипоталамическая аменореяunclassified