Suy buồng trứng sớm tiếng Anh là primary ovarian insufficency (POI) hay premature ovarian failure, là tình trạng buồng trứng ngưng hoạt động trước 40 tuổi, đôi khi buồng trứng có thể suy sớm từ thời niên thiếu.
NGUYÊN NHÂN CỦA SUY BUỒNG TRỨNG SỚM
Hiện nay vẫn chưa được biết chính xác (90%), nhưng có một số nguyên nhân có thể nghĩ đến như:
- Rối loạn di truyền như hội chứng nhiễm sắc thể X dễ gãy và hội chứng Turner
- Số lượng nang noãn thấp bẩm sinh
- Bệnh tự miễn bao gồm viêm tuyến giáp và bệnh Addison
- Sau hóa trị liệu hay điều trị phóng xạ
- Rối loạn chuyển hóa
- Nhiễm độc: hút thuốc, nhiễm thuốc trừ sâu, nhiễm chất hóa học…
Khác với mãn kinh sớm nghĩa là người phụ nữ mất kinh nguyệt trước tuổi 40 và đi vào mãn kinh thật sự, phụ nữ suy buồng trứng sớm đôi khi vẫn có kinh nguyệt và thi thoảng dù hiếm vẫn xảy ra trường hợp suy buồng trứng sớm có thai được và suy buồng trứng vẫn có con.
BIỂU HIỆN CỦA SUY BUỒNG TRỨNG SƠM
Biểu hiện suy buồng trứng sớm thường là người phụ nữ có chu kỳ kinh thưa ra cùng với những triệu chứng giống như tiền mãn kinh: bốc hỏa, khô âm đạo, đổ mồ hôi đêm, mất tập trung, mất ngủ, dễ bị kích thích, giảm ham muốn tình dục…
XÉT NGHIỆM
Xét nghiệm suy buồng trứng bao gồm các xét nghiệm chủ yếu: FSH, estradiol (E2), AMH, ngoài ra có thể xét nghiệm thêm prolactine, TSH… để đánh giá hoặc loại trừ các bệnh lý có liên quan.
HẬU QUẢ NẾU KHÔNG ĐIỀU TRỊ KỊP
Nếu không cải thiện suy buồng trứng sớm có thể dẫn đến những hậu quả lâu dài cho sức khỏe phụ nữ như:
- Trầm cảm và rối loạn lo âu
- Hội chứng khô mắt và những bệnh lý bề mặt của mắt
- Bệnh tim mạch
- Hiếm muộn
- Suy giáp
- Loãng xương
SUY BUỒNG TRỨNG CÓ CHỮA ĐƯỢC KHÔNG?
Hiện nay có nhiều phương pháp để cải thiện suy buồng trứng nhưng phương pháp để khiến buồng trứng quay về như bình thường thì chưa có. Một số biện pháp có thể sử dụng:
- Liệu pháp hormone thay thế (HRT)
- Bổ sung vitamin D và canxi
- Tập luyện, ăn uống, liệu pháp tâm lý…
Việc điều trị còn tùy vào bác sĩ có kinh nghiệm, có am hiểu về nội tiết sinh sản hay không. Mọi biện pháp chỉ là để đáp ứng được nhu cầu hiện tại của chị em như nhu cầu có con hay nhu cầu giúp tăng ham muốn tình dục. Nếu các bạn nghi ngờ mình có biểu hiện của suy buồng trứng sớm hãy gặp bác sĩ để được xét nghiệm máu đánh giá, tránh tự ý dùng thuốc trôi nổi trên thị trường đôi khi gây mất đi cơ hội có thai hiếm hoi còn lại tức là thời gian vàng để cứu hoãn những nang noãn còn lại bị mất do các bạn tự ý điều trị.
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