Abraham S
Department of Obstetrics and Gynaecology, University of Sydney, New South Wales, Australia.
J Psychosom Res. 1998 Mar-Apr;44(3-4):491-502. doi: 10.1016/s0022-3999(97)00272-9.
The reproductive and sexual histories of women who had recovered or were recovering from bulimia nervosa were examined. Of 48 consecutive female patients, 43 were studied 10-15 years after first presenting for treatment. At follow-up, 74% were considered recovered and 26% still had an eating disorder. Only 2 women fulfilled the criteria for bulimia nervosa. A history of amenorrhea was common (81% of women), 63% of women being without their menstrual periods for more than 12 months. Menstruation was present in women at a body mass index of 19 or more who were no longer using the weight loss practices of self-induced vomiting, laxative abuse, and starvation. Bulimia nervosa women are more likely to be investigated for infertility when their eating disorder is active. Bulimia sufferers are sexually active, but have times of withdrawing from their partners and ceasing sexual behavior. They associate their sexual feeling with body weight, pregnancy, breastfeeding, and status of their relationships. Marital breakdown is also more common but only if the eating disorder was active at the time of marriage. Forty-five percent left their relationship had a negative effect on their eating disorder. Short-term episodes of bulimic-free behavior are associated with pregnancy and breastfeeding in some pregnancies. Termination of pregnancy occurs more often. The prevalence of miscarriage, hyperemesis gravidarum, and postnatal depression was greater among women who had not recovered from their eating disorder at the time of their pregnancy. Recovery from eating disorder behavior before attempting conception reduces the prevalence of the gynecologic, obstetric, and psychiatric problems associated with eating disorder behavior.
对已从神经性贪食症康复或正在康复的女性的生殖和性病史进行了检查。在连续的48名女性患者中，43名在首次接受治疗后的10至15年接受了研究。随访时，74%的患者被认为已康复，26%仍患有饮食失调症。只有2名女性符合神经性贪食症的标准。闭经史很常见（81%的女性），63%的女性停经超过12个月。体重指数达到19或更高且不再采用自我催吐、滥用泻药和饥饿等减肥行为的女性月经正常。神经性贪食症女性在饮食失调活跃时更有可能接受不孕症检查。贪食症患者有性行为，但有时会与伴侣疏远并停止性行为。她们将自己的性感觉与体重、怀孕、哺乳及恋爱关系状况联系起来。婚姻破裂也更常见，但前提是饮食失调在结婚时处于活跃状态。45%离开恋爱关系的人对其饮食失调有负面影响。在某些孕期，短期无贪食行为发作与怀孕和哺乳有关。终止妊娠的情况更常发生。在怀孕时未从饮食失调中康复的女性中，流产、妊娠剧吐和产后抑郁症的患病率更高。在尝试受孕前从饮食失调行为中康复可降低与饮食失调行为相关的妇科、产科和精神问题的患病率。
