Menstrual Symptoms in Women Infected by the Human Immunodeficiency Virus
Menstrual Symptoms in Women Infected by the Human Immunodeficiency Virus
复制标题
感染人类免疫缺陷病毒的女性的月经症状
作者：
P. Shah;J R SMITH;C. Wells;S. Barton;V. Kitchen;P. Steer
目的：为了确定是否有一个更高的流行率月经症状的妇女血清阳性的人类免疫缺陷病毒（HIV）相比，匹配的对照组，并检查月经病理学和免疫抑制之间的关系。方法：在一项横断面研究中，55名艾滋病毒血清阳性妇女和一个匹配的对照组进行了详细的妇科评估。评估两组中规律周期、月经稀发、闭经、月经过多、痛经和性交困难的患病率。寻找与临床疾病或CD4淋巴细胞计数的任何相关性。结果如下：两组间月经过少、闭经、月经过多、痛经或性交困难的患病率无显著差异。此外，在有症状和无症状的艾滋病毒感染妇女之间没有发现差异，也没有发现CD4淋巴细胞计数与月经减少或痛经之间的任何相关性。结论：HIV感染和相关的免疫抑制似乎对月经没有临床意义的影响。
Objective: To determine whether there is a higher prevalence of menstrual symptoms in women seropositive for the human immunodeficiency virus (HIV) compared to a matched control group and to examine the relation between menstrual symptomatology and immunosuppression. Methods: In a cross-sectional study, 55 HIV-seropositive women and a matched control group underwent detailed gynecologic assessment. The prevalence of regular cycles, oligomenorrhea, amenorrhea, menorrhagia, dysmenorrhea, and dyspareunia was assessed in the two groups. Any association with clinical disease or CD4 lymphocyte count was sought. Results: There were no significant differences in the prevalence of oligomenorrhea, amenorrhea, menorrhagia, dysmenorrhea, or dyspareunia between the groups. Furthermore, no differences were demonstrated between symptomatic and asymptomatic women infected by HIV, nor was any correlation found between CD4 lymphocyte count and menstrual loss or dysmenorrhea. Conclusion: Infection with HIV and related immunosuppression do not seem to have a clinically significant effect on menstruation.