研究肥胖与原发性不孕症和早孕损失中内分泌失调的关系

JASVIR SINGH, Seema, MANINDER KAUR, MANJIT KAUR MOHI
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摘要

研究目的该研究旨在评估原发性不孕和早孕损失(EPL)肥胖患者的卵泡刺激素(FSH)、黄体生成素(LH)、催乳素和促甲状腺激素,并与正常肥胖患者进行比较:将患者分为两组。方法:患者分为两组,A 组包括 50 名体重指数超过 30 kg/m2 且有不孕和早孕损失病史的患者。B 组包括 50 名正常生育的患者。所有患者均已获得知情书面同意。采集血样,测量两组患者的激素水平并进行统计比较:结果:肥胖不育组和正常生育组的 FSH 水平比较和统计分析显示,两组的差异在统计学上非常显著。两组的 LH 水平在统计学上差异显著。经统计学比较,两组催乳素水平差异显著:本研究证实了肥胖对不孕症和妊娠结果的影响。肥胖会影响下丘脑、垂体卵巢轴的功能障碍,导致不孕症和极度不孕症的风险增加。
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TO STUDY ASSOCIATION OF OBESITY WITH HORMONAL IMBALANCE IN PRIMARY INFERTILITY AND EARLY PREGNANCY LOSS
Objectives: The study aimed to assess follicle-stimulating hormone (FSH), luteinizing hormone (LH), prolactin, and thyroid-stimulating hormone in obese patients with primary infertility and early pregnancy loss (EPL) and compare with normal fertile patients. Methods: Patients were divided into two groups. Group A consists of 50 patients with a history of infertility and EPL with a body mass index of more than 30 kg/m2. Group B consists of 50 normal fertile patients. Informed written consent was taken from all the patients. Blood samples were taken and hormone levels in two groups were measured and compared statistically. Results: Comparison and statistical analysis of FSH levels in obese infertile and normal fertile groups showed the difference to be statistically highly significant. LH levels in both groups were statistically highly significant. When compared statistically, the difference between prolactin levels of both groups was highly significant. Conclusion: This study supports the impact of obesity on infertility and pregnancy outcomes. Obesity affects dysfunction of the hypothalamus, pituitary ovarian axis, and results in a higher risk of infertility and EPL.
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