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Abashova E.I.
Department of Endocrinology Reproductions Research Institute of Obstetrics, Gynecology and Reproduction named after D.O. Ott, Mendeleevskaya line, 3, St. Petersburg, Russia, 197034
Iarmolinskaia M.I.
NII akusherstva i ginekologii im. D.O. Otta RAMN, Sankt-Peterburg
Misharina E.V.
Department of Endocrinology Reproductions Research Institute of Obstetrics, Gynecology and Reproduction named after D.O. Ott, Mendeleevskaya line, 3, St. Petersburg, Russia, 197034
Shalina M.A.
Department of Endocrinology Reproductions Research Institute of Obstetrics, Gynecology and Reproduction named after D.O. Ott, Mendeleevskaya line, 3, St. Petersburg, Russia, 197034
Rulev V.V.
Department of Endocrinology Reproductions Research Institute of Obstetrics, Gynecology and Reproduction named after D.O. Ott, Mendeleevskaya line, 3, St. Petersburg, Russia, 197034
The experience of tableted cholecalcifferol use in patients with normogonadotropic anovulation and vitamin D deficiency
Journal: Russian Journal of Human Reproduction. 2018;24(1): 34‑41
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To cite this article:
Abashova EI, Iarmolinskaia MI, Misharina EV, Shalina MA, Rulev VV. The experience of tableted cholecalcifferol use in patients with normogonadotropic anovulation and vitamin D deficiency. Russian Journal of Human Reproduction.
2018;24(1):34‑41. (In Russ.)
https://doi.org/10.17116/repro201824134-41
Objective — to study the effectiveness of the use of native vitamin D (tableted cholecalciferol) in the total saturating and maintenance dose in patients with vitamin D deficiency or deficiency in normogonadotropic anovulation. Material and methods. The study included 48 women, a reproductive age with normogonadotropic anovulation and vitamin D deficiency or deficiency. Depending on the initial level of vitamin D in the blood serum, the patients were divided into 2 groups: I group included 28 women with a deficit vitamin D (level 25(OH)D 12.4±2.8 ng/ml); the second group included 20 women with vitamin D deficiency with a baseline level of 25(OH)D 22.8±2.1 ng/ml. Normogonadotropic anovulation was associated with PCOS in 20 women: with OGE in 16 women; in 12 women with chronic salpingo-oophoritis: 22 patients had excess body weight (BMI was 27.5±0.9 kg/m2). Patients from group I used 6,000 ED of tableted cholecalciferol daily; patients from Group II used 4000 U of tableted cholecalciferol daily for 8 weeks. Subsequently, patients of both groups were recommended a maintenance dose of tableted cholecalciferol daily at 2000 units for the next 8 weeks. Level 25(OH)D and progesterone in the blood serum were determined 2 and 4 months after the beginning of the use of tableted cholecalciferol. Results. Tableted cholecalciferol used in the total saturating and maintenance dose effectively eliminates vitamin D deficiency and insufficiency in patients with normogonadotropic anovulation. In 4 months from the beginning of the use of tableted cholecalciferol, the average level of 25(OH)D in the blood serum significantly increased by 89.2% and amounted to 34.5±4.9 ng/ml (p<0.05). Elimination of vitamin D deficiency, in combination with a low-calorie diet and dosed physical activity, promoted weight normalization in 40.9% of patients with excess body weight. The decrease in BMI in women with excess body weight significantly correlated with an increase in serum 25(OH)D (r =–0.42; p=0.05) and the dose of vitamin D. A significant decrease in weight by 10.3% the initial (p<0.05) was in patients of the I group. The level of progesterone in the serum after 4 months on the 20—23 day of the menstrual cycle increased to 7.3±3.3 nmol/l, but did not differ significantly from the initial 4.5±1.6 nmol/l. Conclusion. For effective treatment of normogonadotropic anovulation, elimination of vitamin D deficiency is considered as an important factor in reducing metabolic disorders in patients with PCOS, obesity or overweight.
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Abashova E.I.
Department of Endocrinology Reproductions Research Institute of Obstetrics, Gynecology and Reproduction named after D.O. Ott, Mendeleevskaya line, 3, St. Petersburg, Russia, 197034
Iarmolinskaia M.I.
NII akusherstva i ginekologii im. D.O. Otta RAMN, Sankt-Peterburg
Misharina E.V.
Department of Endocrinology Reproductions Research Institute of Obstetrics, Gynecology and Reproduction named after D.O. Ott, Mendeleevskaya line, 3, St. Petersburg, Russia, 197034
Shalina M.A.
Department of Endocrinology Reproductions Research Institute of Obstetrics, Gynecology and Reproduction named after D.O. Ott, Mendeleevskaya line, 3, St. Petersburg, Russia, 197034
Rulev V.V.
Department of Endocrinology Reproductions Research Institute of Obstetrics, Gynecology and Reproduction named after D.O. Ott, Mendeleevskaya line, 3, St. Petersburg, Russia, 197034
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