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四十岁以上女性的多囊卵巢综合征与更年期

Polycystic Ovarian Syndrome and Menopause in Forty Plus Women.

作者信息

Sharma Sudhaa, Mahajan Neha

机构信息

Department of Obstetrics and Gynecology, Government Medical College, SMGS Hospital, Jammu, Jammu and Kashmir, India.

出版信息

J Midlife Health. 2021 Jan-Mar;12(1):3-7. doi: 10.4103/jmh.jmh_8_21. Epub 2021 Apr 17.

Abstract

Polycystic ovary syndrome (PCOS) is the most common endocrine disorder in women of reproductive age group, but it affects women's health and quality of life across the life course. During different stages of life, the PCOS phenotype can change, which requires a personalized diagnostic approach and treatment. With increasing age, the syndrome evolves from a reproductive disease to a more metabolic disorder. Along with various metabolic disturbances like insulin resistance and abnormalities of energy expenditure, PCOS is recognized as a major risk factor for the development of type 2 diabetes and cardiovascular disease (CVD) in later life. The aim of the current review was to conduct a nonsystematic review of published literature and research that has been presented so far regarding menopausal women with PCOS as well as the associated changes in hormone profile, their lipid profile, and various metabolic changes that occur. The current review may also contribute to raise awareness about the risk of hypertension and CVDs in postmenopausal women with PCOS.

摘要

多囊卵巢综合征(PCOS)是育龄期女性最常见的内分泌疾病,但它会在女性的整个生命历程中影响其健康和生活质量。在生命的不同阶段,PCOS的表型会发生变化,这就需要个性化的诊断方法和治疗。随着年龄的增长,该综合征会从一种生殖疾病演变为一种更具代谢性的疾病。除了胰岛素抵抗和能量消耗异常等各种代谢紊乱外,PCOS被认为是后期发生2型糖尿病和心血管疾病(CVD)的主要危险因素。本综述的目的是对目前已发表的关于绝经后PCOS女性的文献和研究进行非系统性综述,以及相关的激素谱变化、血脂谱变化和发生的各种代谢变化。本综述也可能有助于提高对绝经后PCOS女性患高血压和CVD风险的认识。

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