Attention women with eating disorders! Ask your doctor for this test.
Claiming that eating disorders should be correctly diagnosed, Op. Dr. Dilek Uslu stated that this is a problem that usually occurs during adolescence.
Gynecology, Obstetrics and Sexual Health Specialist Op. Dr Dilek Uslu said: “Gynecological problems such as irregular periods, abortion, pelvic pain, atrophic vaginitis and breast atrophy are common in adult and adolescent women with eating disorders. Recognizing risk factors for eating disorders can help identify patients who need further evaluation Asking the patient how they feel about their weight, what they eat, how much they eat and how much they exercise can help identify patients at risk Physical examination and laboratory tests are important in the diagnosis of eating disorders A multidisciplinary approach becomes necessary as eating disorders are complex and affect psychological and physical health.” said.
Kiss. Dr. Dilek Uslu, Anorexianervosa; bulimia nervosa, a long-term and dangerous disease in which calorie restriction is applied to cause a significantly lower body weight; states that it is a psychiatric disorder characterized by an intense preoccupation with body weight and body shape, and severe recurrent episodes of eating with compensatory behavior.
Kiss. Dr. Dilek Uslu gave important advice on increasing eating disorders in adolescents and young girls.
While obstetricians and gynecologists are not expected to treat eating disorders, they should be familiar with the criteria that warrant immediate hospitalization.
Weight gain is considered the best treatment for low bone mineral density (BMD) caused by irregular diets.
More research is needed to identify the best treatments, including decreased bone mineral density, irregular periods and pregnancy prevention.
Combined oral contraceptive pills are not only recommended for treating irregular periods associated with eating disorders.
MEN’S PERIODS ARE IRREGULAR!
Kiss. Dr. Dilek Uslu stated that eating disorders usually occur during adolescence, but eating disorders are also seen in older and middle-aged women.
Adult women and adolescents with eating disorders may experience gynecological symptoms such as menstrual irregularities, amenorrhea, pelvic pain, atrophic vaginitis, and breast atrophy.
Kiss. Dr. “Delayed puberty, menstrual irregularities and missed periods can all be symptoms that occur in a patient with a previously undiagnosed eating disorder. In eating disorders, the hypothalamic-pituitary-ovarian axis may be disrupted. In patients with anorexia nervosa, low leptin levels and insulin-like growth factor 1 in combination with energy and fat mass depletion leads to hypogonadotropic hypogonadism.Decreased cognitive function and eating disorders are seen in patients with anorexia nervosa.” Said
SUICIDE Tendencies
Kiss. Dr Uslu mentioned risky behavior in eating disorders
Severe calorie restriction in risky behavior
skipping meals to lose weight
Long periods of fasting
Don’t let yourself surrender
diet pills,
Use of laxatives or diuretics;
compulsive and excessive exercise and social isolation,
irritability,
fear of becoming overweight
Kiss. Dr. Uslu explained that there is a high risk of suicide in people with eating disorders and especially in those diagnosed with anorexia nervosa.
GYNECOLOGICAL FOLLOW-UP
Mention that patients should be examined at intervals of 3-6 months, Op. Dr. Dilek Uslu: “When he starts to gain weight, LH, FSH and estradiol levels rise. During the gynecological examination, an increase in physiological secretion and healthy mucosal tissue in the vagina can be observed. With ovulation on ultrasound, a thickened endometrium or growing follicles in the ovary can be seen. These positive findings may motivate women to continue on the path to being healthy, gaining weight and continuing their periods.” Found in description.
BIRTH CONTROL
Kiss. Dr. Dilek Uslu “Choosing a method of contraception for sexually active patients with an eating disorder requires expertise. Fertility rates are low in patients with anorexia nervosa, but patients with eating disorders can still get pregnant. Methods containing depot progesterone are not preferred as it leads to an imbalance between bone resorption and bone formation in favor of bone resorption, thereby reducing bone mineral density and may be associated with significant bone loss. All hormonal contraceptive methods, including combined contraceptive pills, progesterone-only pills, implants and hormonal coils, can mask the resumption of spontaneous menstruation. Copper IUDs have benefits because they are long-acting and do not suppress menstruation.” he finished his statement.