Zaporožskij Medicinskij Žurnal (Mar 2023)

The causes of abnormal uterine bleeding in women with chronic psychogenic stress

  • K. V. Fedosiuk,
  • L. V. Pakharenko,
  • K. V. Chaika,
  • V. M. Zhurakivskyi,
  • O. M. Lasytchuk,
  • O. M. Kusa

DOI
https://doi.org/10.14739/2310-1210.2023.1.265556
Journal volume & issue
Vol. 25, no. 1
pp. 30 – 34

Abstract

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Abnormal uterine bleeding (AUB) is a common pathology in women of reproductive age. Chronic psychogenic stress significantly impacts the parameters of the menstrual cycle and can result in its disorders and AUB. The aim of the study was to determine the main etiological causes of AUB in women of reproductive age with chronic psychogenic stress. Materials and methods. We studied the causes of AUB using PALM-COEIN classification in 100 women of reproductive age with chronic psychogenic stress (group I) and 50 patients without chronic psychogenic stress (group II). 30 practically healthy women without AUB and chronic psychogenic stress were the control group. Results. The most often disorders of menstrual cycle in women in group I were intermenstrual bleeding (IMB) – 38.00 %, prolonged menstrual bleeding – 31.00 %, heavy menstrual bleeding (HMB) – 29.00 %, in group II– HMB (36.00 %), prolonged menstrual bleeding – 34.00 % and IMB – 30.00 %. The most often reasons of AUB in group I were ovulatory dysfunction – 36.00 %, leiomyoma – 24.00 % and adenomyosis – 18.00 %, in group II – leiomyoma – 38.00 %, polyps – 26.00 % and adenomyosis – 20.00 %. In patients of reproductive age, the rate of structural causes for AUB predominated over functional factors but the organic reasons occurred more often in persons without stress factor (80.33 %, P = 0.01) than those in individuals with chronic psychogenic stress (60.71 %). But the frequency of ovulatory dysfunction was 2.57 times more (χ2 = 6.85, P = 0.009) in persons with chronic psychogenic stress compared to the patients without chronic psychogenic stress (14.00 %). Conclusions. In patients of reproductive age, the structural causes predominate over non-structural factors in the development of abnormal uterine bleeding. But in women with chronic psychogenic stress, ovulatory dysfunction is the most common reason of AUB.

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