Advanced search ?

Object

Access Limited

This publication is protected and available only for logged users.
This publication is protected and available only for logged users.

Title: Hyperplastic changes of the endometrium during pharmacological correction of insulin sensitivity

Author:

Kacalska-Janssen, Olga.

Date:

2011

Type:

Praca doktorska

Abstract:

Introduction: Hyperplastic changes of the endometrium constitute one of the most fundamental clinical problems of perimenopausal and postmenopausal women. The spectrum of pathological endometrial changes connected with proliferation includes endometrial polyps, endometrial hyperplasia and endometrial cancer. The connection between endometrial cancer and endometrial hyperplasia with type 2 diabetes and insulin resistance has been known for long.Study objective: Assessment of frequency of carbohydrate disorders as well as hormonal and receptor status in perimenopausal and postmenopausal women with hyperplastic changes of the endometrium; Comparison of the efficiency of treatment with insulin-sensitizing agents (metformin) and progestagens (lynestrenol) with the efficiency of treatment only with progestagens (lynestrenol) in women with endometrial hyperplasia.Material and methods: Group of 100 perimenopausal and postmenopausal patients who displayed abnormal uterine bleeding and/or thickened endometrium in transvaginal ultrasonography. The population of women under study was divided into four groups (non-atypical endometrial hyperplasia, endometrial polyp, endometrial cancer, control group). Patients with endometrial hyperplasia were randomly divided into 2 groups of patients depending on the administered treatment (progestagens + metformin vs only progestagens).Conclusions: Insulin resistance occurs in approximately half of the women with hyperplastic changes of the endometrium. Insulin level in the 120th minute of the OGTT is the best parameter in predicting endometrial hyperplasia. Androgens play a role in premenopausal women and estrogens in postmenopausal women with endometrial hyperplasia. IGFBP-3 may contribute to pathogenesis of endometrial hyperplasia. In all patients with endometrial hyperplasia, regardless of the implemented treatment, in the 6 month period regression ofhyperplastic changes occurred. In case of women with abnormal insulin resistance markers who experience pathological uterine bleeding and/or thickened endometrium, there is clinical basis for recommending modification of life style or for introduction of pharmaceutical insulin-sensitizing agents.

Place of publishing:

Kraków

Level of degree:

2 - studia doktoranckie

Degree discipline:

endokrynologia ; ginekologia

Degree grantor:

Uniwersytet Jagielloński. Collegium Medicum. Wydział Lekarski.

Promoter:

Józef Krzysiek

Date issued:

2011

Format:

application/pdf

Identifier:

oai:dl.cm-uj.krakow.pl:3425

Call number:

ZB-115825

ControlNumberVIRTUA:

click here to follow the link

Language:

pol

Access rights:

tylko w bibliotece

Location of original object:

Biblioteka Medyczna Uniwersytetu Jagiellońskiego- Collegium Medicum

Subject and keywords:

hyperplastic changes of the endometrium insulin resistance metformin

Object collections:

Last modified:

Oct 16, 2019

In our library since:

Mar 6, 2013

Number of object content hits:

2

Number of object content views in PDF format

2

All available object's versions:

http://dl.cm-uj.krakow.pl:8080/publication/3425

Show description in RDF format:

RDF

Show description in OAI-PMH format:

OAI-PMH

Edition name Date
ZB-115825 Oct 16, 2019

Objects

Similar

Hyperplastic changes of the endometrium during pharmacological correction of insulin sensitivity

Kacalska-Janssen, Olga.

2011
Praca doktorska

Carbohydrate metabolism disturbances and insulin sensitivity evaluation in alcohol - addicted men with withdrawal syndrome

Radomska, Monika

2011
Praca doktorska

Insulin resistance candidate gene polymorphisms and predisposition to Type 2 diabetes mellitus

Wanic, Krzysztof

2005
Praca doktorska

The influence of testosterone on the opioid system activity in lean polycystic ovary syndrome women

Kiałka, Marta

2018
Praca doktorska

The role of clinical and genetical risk factors in pathogenesis of diabetic retinopathy in patients with type 2 diabetes

Cyganek, Katarzyna

2007
Praca doktorska
More
×

Citation

Citation style:

Contact details

Address

Medical Library
Medyczna 7
30-688 Krakow

Phone

12 658 72 56
517 385 669

E-Mail

Collecting and Elaboration Department
cyfrowabm@cm-uj.krakow.pl

Visit us!

This page uses 'cookies'. More information