Toronto General Hospital, University Health Network, Toronto, Ontario; Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada.
Department of Psychosomatic Medicine and Psychotherapy, Hannover Medical School, Hanover, Germany.
Eur Eat Disord Rev. 2019 May;27(3):215-223. doi: 10.1002/erv.2667. Epub 2019 Mar 7.
The presence of eating disorders (EDs) might have a significant impact upon pregnancy, birth, and the offspring's well-being. Thus, several specific aspects are to be considered by medical professionals when females with EDs either become pregnant or intend to undergo fertility treatment. Clinical management algorithms for gynaecologists and fertility specialists are missing. Here, based on currently available evidence on the topic, specific clinical recommendations are presented. Treatment by a mental health professional may be necessary for pregnant females suffering from acute EDs or prior to fertility treatment. Because the regulation of the menstrual cycle is known to be induced in the course of ED-specific treatment due to weight gain and eating behaviour stabilization, the necessity and drawbacks of fertility treatments in females with EDs are discussed.
饮食失调（EDs）的存在可能会对怀孕、分娩和后代的健康产生重大影响。因此，当患有 ED 的女性怀孕或打算接受生育治疗时，医务人员需要考虑几个特定的方面。目前还缺乏妇科医生和生育专家的临床管理算法。在这里，根据目前关于该主题的可用证据，提出了具体的临床建议。对于患有急性 ED 的孕妇或在接受生育治疗之前，可能需要由心理健康专业人员进行治疗。由于已知由于体重增加和饮食行为稳定而在 ED 特定治疗过程中诱导了月经周期的调节，因此讨论了 ED 女性进行生育治疗的必要性和缺点。
