体重过低对女性生殖能力的影响及治疗  

Effect of underweight on female fertility and its treatment

作　　者：车德惠(综述) 肖志波(审校)[1] CHE De-hui;XIAO Zhi-bo(Department of Plastic Surgery, the Second Affiliated Hospital of Harbin Medical University, Heilongjiang 150081, China)

机构地区：[1]哈尔滨医科大学附属第二医院整形美容外科,黑龙江150081

出　　处：《中国临床新医学》2021年第4期419-422,共4页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

基　　金：黑龙江省科学基金项目(编号:JC2017019)。

摘　　要：严格限制食物摄入量、剧烈运动、神经性厌食症以及使用减肥药物等不健康的体重控制行为,是引起年轻人体重过低的常见原因。然而体重不足影响机体瘦素水平,进而通过下丘脑-垂体-性腺轴干扰性激素的合成,使女性生殖能力下降,最终导致不孕。解决体重过低问题,常需要多学科协作治疗,包括营养支持、心理咨询以及药物治疗等。Unhealthy weight control behaviors,such as strict restrictions of food intake,strenuous exercise,anorexia nervosa and use of diet pills are common causes of underweight in young people.However,underweight affects the level of leptin in the body,which interferes with the synthesis of sex hormones through the hypothalamic-pituitary-gonadal axis,thus reducing female reproductive ability and eventually leading to infertility.To solve the problem of underweight,multidisciplinary treatment is often needed,including nutritional support,psychological counseling and drug therapy.

关 键 词：体重过低 生殖 不孕 瘦素 下丘脑-垂体-性腺轴 

分 类 号：R723[医药卫生—儿科]