• Optimisation of the diagnostic and therapeutic algorithm for dealing with psychogenic amenorrhea from the standpoint of the interdisciplinary approach

Optimisation of the diagnostic and therapeutic algorithm for dealing with psychogenic amenorrhea from the standpoint of the interdisciplinary approach

HEALTH OF WOMAN. 2018.7(133):26–32; doi 10.15574/HW.2018.133.26

Vedeneieva Z. M. , Prima I. V. , Goncharenko V. M. , Kravchenkо Yu. V.
Clinical Hospital «Feofaniya», Kyiv

The objective: was to optimize the treatment of patients with post-stress disorders of menstrual function by conducting pathogenetic complex therapy from the perspective of an interdisciplinary approach.

Materials and methods. 54 women aged 19-37 years with psychogenic amenorrhea (PA) – the main group – were examined. The control group included 25 practically healthy patients aged 18 to 35 years.

Results. The variants of hormonal disorders in this pathology are determined, the analysis of the results of electroencephalography and the study of individual and reactive anxiety in patients with PA are performed. The presence of three pathogenetic variants of hormonal disorders was established, which became the criterion of the proposed differentiated pathogenetic treatment.

Conclusion. Features of the pathogenesis of psychogenic amenorrhea, the complexity of neuroendocrine and hormonal disorders indicate the need for an interdisciplinary approach in the examination, treatment and rehabilitation of this category of patients with the involvement of related specialists – a neurologist and psychotherapist.

Key words: amenorrhea, stress, Noofen®, Cyclodinone, electroencephalography, reactive anxiety, individual anxiety, hyperprolactinaemia, hypercortisolemia.

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