PATHOGENETIC FEATURES OF THE INFLUENCE OF A PAST CORONAVIRUS INFECTION IN WOMEN WITH POLYCYSTIC OVARIAN SYNDROME

A. V. Usova, T. M. Sokolova, K. Makarov, T. V. Kiseleva, E.N. Usolkina
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Abstract

From July 1, 2022, restrictions related to the spread of COVID-19 were lifted in Russia. But until now, according to experts, COVID-19 remains one of the most important medical problems for the global community. In 2023, 11 thousand people died from COVID-19 in the world, about 3 million were infected. There are cases known for complications from other organ systems in patients with COVID-19. However, in the general population, the course of COVID-19 is more severe in people with dyslipidaemia, obesity and hypertension. Often, these comorbidities are associated with polycystic ovary syndrome (PCOS). It is possible that women with PCOS will experience more severe clinical manifestations in the future. For 2020–2023 many women reported experiencing menstrual irregularities for the first time, which raised concerns about the impact of SARS-CoV-2 on reproductive function. There are currently insufficient clinical and statistically significant data to establish the causes of these disorders. This material is devoted to the analysis of the probable causes of menstrual irregularities in women with PCOS after a coronavirus infection: the possible direct effect of SARS-CoV-2 on the organs of the female reproductive system depending on the PCOS phenotype.
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既往冠状病毒感染对多囊卵巢综合征妇女影响的发病特点
从2022年7月1日起,俄罗斯取消了与COVID-19传播有关的限制。但据专家介绍,到目前为止,COVID-19仍然是国际社会最重要的医疗问题之一。2023年,全球有1.1万人死于COVID-19,约300万人受到感染。已知的病例中,COVID-19患者有其他器官系统的并发症。然而,在一般人群中,患有血脂异常、肥胖和高血压的人群的COVID-19病程更为严重。通常,这些合并症与多囊卵巢综合征(PCOS)有关。多囊卵巢综合征的女性在未来可能会出现更严重的临床表现。2020-2023年,许多女性报告首次出现月经不规律,这引发了人们对SARS-CoV-2对生殖功能影响的担忧。目前没有足够的临床和统计上有意义的数据来确定这些疾病的原因。本材料致力于分析冠状病毒感染后多囊卵巢综合征女性月经不规律的可能原因:SARS-CoV-2对女性生殖系统器官的可能直接影响取决于多囊卵巢综合征的表型。
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