Preview

Ural Medical Journal

Advanced search

Clinical, epidemiological and laboratory characteristics of HCV in women of fertile age

https://doi.org/10.25694/URMJ.2018.04.067

Abstract

Aim: to assess the effect of the natural course of chronic hepatitis C in young women, on fertile function. Material and methods. 71 patients with CHC were examined in a complex manner in comparison with the results of 32 healthy women of reproductive age, conducted on the basis of the infectious disease department of 5 VKG VNG RF (Ekaterinburg) in 2017-2018.Results: In interpreting the results it was found that in women with HCV infection, in comparison with healthy women, infertility is more often diagnosed, the frequency of infection with human papillomavirus is higher, the incidence of genital herpes, gastrointestinal tract diseases, ovarian cysts , uterine fibroids; with the progression of liver fibrosis, the levels of folicle-stimulating hormone (FSH) and testosterone decrease. Conclusion: The natural course of HCV-infection in fertile women is characterized by hormonal changes, mainly at the F3-F4 stage, moderate cytolytic syndrome, a decrease in vitamin D levels, and is accompanied by comorbidity from gynecological diseases and pathology of the gastrointestinal tract. Early diagnosis and timely treatment of HCV will prevent the development of violations of female reproductive function.

About the Authors

E. P. Patlasov
ФКУЗ «5 ВКГ ВНГ России»
Russian Federation


S. V. Chernov
ФКУЗ «5 ВКГ ВНГ России»
Russian Federation


T. S. Abramova
МБУ ЦГБ № 7
Russian Federation


References

1. World health organization guidelines for the screening, care and treatment of persons with chronic hepatitis C infection. Geneva: Switzerland; 2016.

2. Zuure F.R., Urbanus A.T., Langendam M.W. Outcomes of hepatitis C screening programs targeted at risk groups hidden in the general population: a systematic review. BMC Public. Health. 2014; Available at: http://bmcpublichealth.biomedcentral.com.

3. Патлусов Е.П. Клиническая и прогностическая оценка инвазивной и неинвазивной методик диагностики фиброза печени у больных хроническим гепатитом С.: автореф. дис.. канд. мед. наук: 14.01.09. Москва; 2018.

4. Burra, P Liver abnormalities and endocrine diseases Best. Pract. Res. Clin. Gastroenterol. 2013; 27(4): 553-563.

5. Mitchell S., Bungay V., Day C.A. Has the Experience of Hepatitis C Diagnosis Improved Over the Last Decade? An Analysis of Canadian Women's Experiences. Can. J. Nurs. Res. 2016; 48(1): 21-28.

6. Mohd Hanafiah K., Groeger J., Flaxman A.D. Global epidemiology of hepatitis C virus infection: new estimates of age-specific antibody to HCV seroprevalence. Hepatology. 2013; 57: 1333-1342.

7. Федоров Б.А., Колесникова Л.И., Сутурина Л.В. Состояние гормонально-метаболического гомеостаза у женщин репродуктивного возраста с вирусным гепатитом В и С. Медицинские науки. Фундаментальные исследования. 2011; 2: 157-160.

8. Aimilia Karampatou, Xue Han, Loreta A. Kondili at all. Premature ovarian senescence and a high miscarriage rate impair fertility in women with HCV. Journal of Hepatology. 2018; 68: 33-41.

9. Жданов К.В., Лобзин Ю.В., Гусев Д.А., Козлов К.В. Вирусные гепатиты. С-Пб.: Фолиант; 2011.

10. Козлов К.В. Хронические вирусные гепатиты: клиника, диагностика, лечение, наблюдение и экспертиза в военно-медицинских учреждениях.: автореф. дис.. докт. мед. наук: 14.01.09. С-Пб; 2015.


Review

For citations:


Patlasov EP, Chernov SV, Abramova TS. Clinical, epidemiological and laboratory characteristics of HCV in women of fertile age. Ural Medical Journal. 2018;(5):29-33. (In Russ.) https://doi.org/10.25694/URMJ.2018.04.067

Views: 118


ISSN 2071-5943 (Print)
ISSN 2949-4389 (Online)