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分析 COVID-19 育龄妇女的性激素和月经情况。

Analysis of sex hormones and menstruation in COVID-19 women of child-bearing age.

机构信息

Department of Gynecology and Obstetrics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan Hubei, China.

Department of Laboratory Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan Hubei, China.

出版信息

Reprod Biomed Online. 2021 Jan;42(1):260-267. doi: 10.1016/j.rbmo.2020.09.020. Epub 2020 Sep 29.

DOI:10.1016/j.rbmo.2020.09.020
PMID:33288478
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7522626/
Abstract

RESEARCH QUESTION

Does SARS-CoV-2 infection have an effect on ovarian reserve, sex hormones and menstruation of women of child-bearing age?

DESIGN

This is a retrospective, cross-sectional study in which clinical and laboratory data from 237 women of child-bearing age diagnosed with COVID-19 were retrospectively reviewed. Menstrual data from 177 patients were analysed. Blood samples from the early follicular phase were tested for sex hormones and anti-Müllerian hormone (AMH).

RESULTS

Among 237 patients with confirmed COVID-19, severely ill patients had more comorbidities than mildly ill patients (34% versus 8%), particularly for patients with diabetes, hepatic disease and malignant tumours. Of 177 patients with menstrual records, 45 (25%) patients presented with menstrual volume changes, and 50 (28%) patients had menstrual cycle changes, mainly a decreased volume (20%) and a prolonged cycle (19%). The average sex hormone and AMH concentrations of women of child-bearing age with COVID-19 were not different from those of age-matched controls.

CONCLUSIONS

Average sex hormone concentrations and ovarian reserve did not change significantly in COVID-19 women of child-bearing age. Nearly one-fifth of patients exhibited a menstrual volume decrease or cycle prolongation. The menstruation changes of these patients might be the consequence of transient sex hormone changes caused by suppression of ovarian function that quickly resume after recovery.

摘要

研究问题

SARS-CoV-2 感染是否会影响育龄妇女的卵巢储备、性激素和月经?

设计

这是一项回顾性、横断面研究,回顾分析了 237 例确诊 COVID-19 的育龄妇女的临床和实验室数据。对 177 例患者的月经数据进行了分析。检测了早期卵泡期的血液样本中的性激素和抗苗勒管激素(AMH)。

结果

在 237 例确诊 COVID-19 的患者中,重症患者比轻症患者有更多的合并症(34%比 8%),特别是合并糖尿病、肝病和恶性肿瘤的患者。在有月经记录的 177 例患者中,45 例(25%)患者出现月经量改变,50 例(28%)患者出现月经周期改变,主要是月经量减少(20%)和周期延长(19%)。COVID-19 育龄妇女的平均性激素和 AMH 浓度与年龄匹配的对照组无差异。

结论

COVID-19 育龄妇女的平均性激素浓度和卵巢储备没有明显变化。近五分之一的患者出现月经量减少或周期延长。这些患者的月经变化可能是卵巢功能抑制导致的短暂性激素变化的结果,在恢复后很快恢复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35d5/7522626/ce69e505a83e/gr4_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35d5/7522626/fe61b4541df7/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35d5/7522626/678e2d5ed90e/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35d5/7522626/c59211d7c456/gr3_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35d5/7522626/ce69e505a83e/gr4_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35d5/7522626/fe61b4541df7/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35d5/7522626/678e2d5ed90e/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35d5/7522626/c59211d7c456/gr3_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35d5/7522626/ce69e505a83e/gr4_lrg.jpg

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