- The role of hyperprolactinaemia in the genesis of stressQinduced infertility and the possibility of its correction
The role of hyperprolactinaemia in the genesis of stressQinduced infertility and the possibility of its correction
HEALTH OF WOMAN. 2017.6(122):31–39
Tatarchuk T. F., Kosei N. V., Reheda S. I., Iarotska N. V., Gorokhova G. O.
SI «Institute of Pediatrics, Obstetrics and Gynecology NAMS of Ukraine», Kiev
An evaluation of the effectiveness of primary stress-induced infertility treatment was carried out using complex therapy aimed at correcting the psychoemotional state and secondary hyperprolactinemia in 72 patients aged 24 to 40 with reproductive plans (38 women in the main group and 34 in the comparison group). 30 healthy – the control group. Before treatment, studies of hormonal homeostasis showed a decrease in the average level of pituitary hormones, rather low average concentrations of estradiol and progesterone, a moderately elevated level of prolactin and reduced endometrial thickness in all patients. An increased level of personal and reactive anxiety was also noted in most women. In addition to anti-stress therapy with the use of phenibut and mebekar, the patients of the main group received mild dopaminomimetic Cyclodinon, which promotes oppression of prolactin secretion and normalization of the function of the hypothalamic-pituitary-ovarian system. Patients of the comparison group received only anti-stress therapy. Already 3 months after the start of complex anti-stress therapy in both groups, the level of reactive anxiety decreased, and to a lesser extent – personal anxiety. The dynamics of restoration of hormonal homeostasis in the groups was significantly different. Thus, a more significant decrease in the average concentration of prolactin and an increase in the synthesis of follicle-stimulating, luteinizing hormones, estradiol and progesterone in the blood serum was noted in the main group. In her, an increase in the thickness of the endometrium was noted. In the comparison group, where only anti-stress therapy was used, only a trend was observed without complete normalization. Within three years after the course of treatment, 32 (94.11%) patients of the main group had pregnancy, and only 17 (50%) had a comparison group. From the results of the study, it can be concluded that the combination of antistress and dopaminergic therapy is highly effective. Therefore, it is possible to recommend the prescription of dopaminergic phytopreparations, in particular Cyclodinon, against the background of antistress therapy for patients with stress induced infertility in order to correct psychosomatic disorders and increase the clinical frequency of pregnancy.
Key words: stress, infertility, anxiety, Cyclodynon®.
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