Particular characteristics of anorexia nervosa in adolescent girls
Authors:
R. Vavrušová
Authors‘ workplace:
CDOZS Poliklinika akad. O. Teyschla Brno
Published in:
Prakt Gyn 2008; 12(3): 172-179
Overview
Anorexia nervosa is a psychosomatic disorder whose principal symptom is permanent active refusal of food and a dramatic loss of weight. Body weight is kept at least 15 % under the level of the normal body weight. Anorexia nervosa most typically develops in puberty between the age of 12 and 18, in 0.5–1 % of population. Girls are affected more often than boys and make 90– 95 % of cases. Menstru ation cycle disorders develop as a result of rapid loss of weight by 15 %, or of body fat below 22 %. Loss of menstru ation is not considered as a consequence of cachexia only, but as the primary symptom of the disease. Low estrogen level over a longer period of time is a risk factor for the development of osteoporosis. The gynaecologist is often the first medical specialist visited by the patient. Typically, the principal reason for the visit is a menstru ation cycle disorder manifested by hypo- oligomenorrhea or amenorrhea. The treatment of anorectic patients is difficult and prolonged. It involves renutrition, hormone substitution therapy and psychotherapy. Timely and correct multidisciplinary care may help the affected person’s social adaptation, which is the principal prerequisite of successful treatment.
Key words:
anorexia nervosa – amenorrhea – BMI – hormone substitution therapy
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Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicineArticle was published in
Practical Gynecology
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