• Tactics of carrying out of auxiliary reproductive technologies at patients with accompanying adiposity and metabolic syndrome
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Tactics of carrying out of auxiliary reproductive technologies at patients with accompanying adiposity and metabolic syndrome

HEALTH OF WOMAN. 2016.8(114):134–136; doi 10.15574/HW.2016.114.134 
 

Tactics of carrying out of auxiliary reproductive technologies at patients with accompanying adiposity and metabolic syndrome


Petropavlovskay V. O.

Shupyk National Medical Academy of Postgraduate Education, Kiev,


The objective: restoration of reproductive function at women with accompanying adiposity and metabolic syndrome on the basis of studying at them clinical-functional and endocrinological features, and also improvement and introduction of algorithm of diagnostic and treatment-and-prophylactic actions with use of auxiliary reproductive technologies.


Patients and methods. For studying of features of an induction superovulation at patients with superfluous weight of body and adiposity the retrospective analysis of treatment by methods of auxiliary reproductive technologies of 30 patients with IMB > 25kg/m2 (38 cycles of stimulation) has been carried out. Criteria of inclusion were age of 18–38 years; barreness that was the indication to ECO/IKSI; absence contra-indications to an induction superovulation and pregnancy. The comparison group was made by 30 patients at the age of 18–38 years without endocrinological infringements and in normal weight of a body (IМB – 18.5–24.9 kg/m2), indications to application ARТ for them were tube-peritoneale barreness owing to impassability or absence uterine pipes or the man’s factor of barreness.


Results. Results of the spent researches testify about presence of essential difficulties at performance ART at women with superfluous weight of body and an accompanying metabolic syndrome. The results received by us are important from the scientific and theoretical point of view and allow insufficient efficiency of treatment of barreness at these patients.


Conclusions. Results of treatment of infringements of reproductive function at women with accompanying adiposity and a metabolic syndrome that allows to recommend from in practical public health services allow to improve introduction of the received results.


Key words: auxiliary reproductive technologies, superfluous weight bodies, adiposity.


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