Features of the Pathology of the Reproductive System in Pubertal Patients with Hypothalamic-Pituitary Dysfunction

Abstract

The health of the younger generation is of particular importance due to the fact that it is the reproductive and social potential of society. The reproductive potential of modern adolescent girls is very low due to the high overall morbidity. Modern girls are 15% more painful than boys; 70% suffer from chronic diseases of the gastrointestinal tract, respiratory system. Body weight deficiency is observed in 17% of schoolgirls. Only 14% of children can be considered completely healthy in accordance with generally accepted norms.

Girls born to women with HS are significantly more likely to have pathology of the reproductive system than children from healthy mothers.

It is known that HS in 60% of cases manifests a violation of the menstrual cycle. For a long time it was believed that a doctor should not specifically engage in the normalization of menstrual function, as it should spontaneously recover, as soon as the diencephalic dysfunction is eliminated. The truth of this provision is subject to revision, since in practice, even after successful treatment of patients with HS, the characteristics and rhythm of the menstrual cycle still differ from the norm for a long time. In addition, in some cases, HS is the initial manifestation of the metabolic syndrome. In connection with the above, it is urgent to develop measures aimed at preserving the reproductive potential of girls, optimizing approaches to the diagnosis, treatment and prevention of hypothalamic syndrome and endometrial hyperplastic processes.