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Objective. To determine whether inorganic menstrual dysfunction (MD) is associated with magnesium, iron and vitamin D deficiency in women of reproductive age. Materials and methods. The study group I consisted of 50 women with MD: dysmenorrhea (16 women), oligomenorrhea (12 women), functional hypothalamic amenorrhea (3 patients) and acyclic abnormal uterine bleeding (19 women), the comparison group II was composed of 30 patients with normal menstrual function. The methods of study included history taking using a questionnaire to detect the signs of magnesium deficiency, physical examination, echography of pelvic organs, full blood count, blood tests to determine the concentration of magnesium, vitamin D and ferritin as well as consulting a therapeutist. Results. Magnesium deficiency was registered significantly more often in patients with MD (93.0 3.6 %, 73.0 8.1 %, respectively; p 0.05). The most typical signs of magnesium deficiency were the central symptoms: headache (58.0 7.1 %, 22.0 7.6 %; p 0.001), irritability (53.0 7.1 %, 26.0 8.0 %; p 0.01), dyssomnia (45.0 7.0 %, 17.0 6.9 %; p 0.01), dizziness (42.5 7.0 %, 22.0 7.6 %; p 0.05), a decrease in libido (34.0 6.7 %, 13.0 6.1 %; p 0.05), as well as trophic disturbances including hair loss (38.0 6.9 %, 13.0 6.9 %; p 0.01). Similar findings were obtained when we studied the iron supply: the frequency of latent iron deficiency (according to ferritin concentration) was 77.0 5.9 and 35.7 8.4 % respectively; p 0.001. Deficiency or insufficient supply of 25(ОH)D was registered significantly more often in women with MD in comparison with healthy women (45.0 7.0 %, 20.0 7.3 %; p 0.05). Conclusions. In summary, determination of the level of micronutrients and adequate compensation of their deficiency can be important factors in physiological correction of endocrine imbalance leading to functional disorders in the reproductive system and a decrease in fertility.
Objective. To determine whether inorganic menstrual dysfunction (MD) is associated with magnesium, iron and vitamin D deficiency in women of reproductive age. Materials and methods. The study group I consisted of 50 women with MD: dysmenorrhea (16 women), oligomenorrhea (12 women), functional hypothalamic amenorrhea (3 patients) and acyclic abnormal uterine bleeding (19 women), the comparison group II was composed of 30 patients with normal menstrual function. The methods of study included history taking using a questionnaire to detect the signs of magnesium deficiency, physical examination, echography of pelvic organs, full blood count, blood tests to determine the concentration of magnesium, vitamin D and ferritin as well as consulting a therapeutist. Results. Magnesium deficiency was registered significantly more often in patients with MD (93.0 3.6 %, 73.0 8.1 %, respectively; p 0.05). The most typical signs of magnesium deficiency were the central symptoms: headache (58.0 7.1 %, 22.0 7.6 %; p 0.001), irritability (53.0 7.1 %, 26.0 8.0 %; p 0.01), dyssomnia (45.0 7.0 %, 17.0 6.9 %; p 0.01), dizziness (42.5 7.0 %, 22.0 7.6 %; p 0.05), a decrease in libido (34.0 6.7 %, 13.0 6.1 %; p 0.05), as well as trophic disturbances including hair loss (38.0 6.9 %, 13.0 6.9 %; p 0.01). Similar findings were obtained when we studied the iron supply: the frequency of latent iron deficiency (according to ferritin concentration) was 77.0 5.9 and 35.7 8.4 % respectively; p 0.001. Deficiency or insufficient supply of 25(ОH)D was registered significantly more often in women with MD in comparison with healthy women (45.0 7.0 %, 20.0 7.3 %; p 0.05). Conclusions. In summary, determination of the level of micronutrients and adequate compensation of their deficiency can be important factors in physiological correction of endocrine imbalance leading to functional disorders in the reproductive system and a decrease in fertility.
Aim. To study of serum magnesium in women with a history of adverse pregnancy outcomes.Materials and Methods. 74 women of child-bearing age, subject to voluntary informed consent, participated in a prospective cohort study. The main group (n = 31) included non-pregnant women who had a history of unfavorable gestation outcomes: premature birth, spontaneous miscarriage, habitual miscarriage, undeveloped pregnancy. The comparison group (n = 43) consisted of non-pregnant women with a history of two or more urgent deliveries. In all women, in preparation for pregnancy, the content of serum magnesium was determined by colorimetric method with xylidine blue.Results. 77.6% of women with a burdened obstetric history of miscarriage (the main group) had various menstrual cycle disorders (FIGO, 2018). When analyzing the levels of magnesium in the blood serum of the examined women, it turned out that the obtained indicators in women of both groups corresponded to the established reference range of normal values of serum magnesium levels. At the same time, in the women of the main group, the average magnesium content in the blood serum was significantly lower and was closer to the lower limit of the range of normal values, and in the comparison group – in the middle of the range of normal values: 0.719 (0.672-0.767) mmol/l and 0.844 (0.778-0.922) mmol/l, respectively, p<0.001.The optimal threshold value of the serum magnesium index in the study was 0.796 mmol/l with the sensitivity and specificity of the proposed prognostic model of 80.6% and 81.4%, respectively.Conclusion. Determination of the level of magnesium in the blood serum of women at the stage of pre-pregnancy counseling is of particular importance. Despite the fact that all the examined women had serum magnesium levels within the range of its normal values, significantly lower serum magnesium levels were found in women with adverse pregnancy outcomes in the anamnesis, which necessitates prescribing magnesium-containing medications to such patients at the stage of pregnancy planning. For the prevention of miscarriage within the framework of preconception preparation with serum magnesium values ≤0.796 mmol/l, the intake of organic magnesium salts is recommended.
Introduction. Orthilia secunda (L.) House, Sedum quadrifidum Pall., Rhodiola heterodonta (Hook. f. & Thomson) Boriss. are actively used in folk medicine for the treatment of gynecological pathologies, however, the raw materials of these species are registered as dietary supplements, since there are no data from complex phytochemical analysis and standardization criteria. Since macro- and microelements are of great importance for the therapy and prevention of gynecological diseases, the determination of the elemental composition of medicinal plant raw materials is an important stage in a comprehensive phytochemical research of these plants with the purpose of introducing them into official medicine.Aim. Analysis of the macro- and microelement composition of the rhizomes and roots of Sedum quadrifidum, Rhodiola heterodonta in comparison with Sedum roseum and analysis of the mineral composition of the herb Orthilia secunda from three harvesting sites.Materials and methods. For research purposes, the grass of Orthilia secunda (L.) House was harvested in three phytocenotic zones – the southern part of Kazakhstan (July 2018), the Tyumen region (harvesting July-August 2019) and the Perm region (July 2019). Rhizomes and roots of Sedum rosea were harvested in the SPCPU in the village Lembolovo, Leningrad region (2019). Medicinal plant raw material of Sedum quadrifidum was purchased in a pharmacy chain in St. Petersburg, the place and time of procurement according to the information on the package is Altai, March 2019. Rhodiola heterodonta was harvested in Tajikistan (March 2018). The analysis was carried out by inductively coupled plasma atomic emission spectrometry (AES) on an Optima 8000 spectrometer (Perkin Elmer, USA) with preliminary sample preparation by the wet mineralization method in accordance with the recommendations of the State Foundation of the Russian Federation XIV OFS1.2.1.1.0004.15 and OFS 1.5. 3.0009.15 on the basis of the Center for Collective Use "Analytical Center". Statistical processing of the results was carried out using the Microsoft Excel program according to GM.1.1.0013.15.Results and discussion. According to the results of the experiment, it was found that Sedum quadrifidum contains a greater amount of sodium, iron, aluminum, and manganese in comparison with other types of Rhodiols, and the content of manganese is 3 times higher than in the Sedum rosea, and 4.9 times more than in the Rhodiola heterodonta. Rhodiola heterodonta is distinguished by a high content of calcium, potassium, and magnesium. The results of studying the elemental composition of Orthilia herb showed that the harvesting region does not significantly affect the mineral profile of the plant. However, in Orthilia secunda (L.) House harvested in Kazakhstan, a high content of barium is noted, iron, magnesium, manganese, and zinc also slightly prevail, which may be associated with technogenic soil pollution in this region. A significant content of manganese was noted in the herb of orthilia (1801.50 mg/kg), which is higher than in the raw material of rhodiola, which belongs to manganophiles. This makes it possible to classify ortilia as a plant that selectively accumulates manganese, and to position it as an indicator of soils rich in salts of this element. The results of statistical processing made it possible to establish the confidence interval of the mean value, which characterizes the uncertainty of the analysis results and the RSD, which characterizes the precision of the results obtained.Conclusion. Sedum quadrifidum accumulates the maximum numberof elements in comparison with Sedum roseum. Barium and strontium are the major microelements of the Rhodiola. Sedum quadrifidum is marketed as a manganophil. In the herb of Orthilia, manganese is significantly prevalent, which makes it possible to classify Orthilia as a manganophilous species. The total content of copper, iron, zinc and calcium in the raw material of Rhodiola heterodonta and Orthilia secunda herb confirms the prospects for the development of phytopreparations based on these species of raw materials for the treatment and prevention of gynecological pathologies.
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