Прегравидарная подготовка и особенности течения беременности у женщин с дефицитом прогестерона

Ирина Николаевна Салко; Денис Сергеевич Лысяк

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https://doi.org/10.24412/2311-5068-2023-11-1-16

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Review article

PRECONCEPTION PREPARATION AND FEATURES OF THE COURSE

OF PREGNANCY IN WOMEN WITH PROGESTERONE DEFICIENCY

Irina N. Salko, Denis S. Lysyak

Amur State Medical Academy of the Ministry of Health of the Russian Federation,

Blagoveshchensk, Russia, irasalco92@mail.ru, denis_lysyak@mail.ru

Abstract. Menstrual disorders occupy the main place among gynecological diseases in girls of

reproductive age. A low concentration of progesterone in the second phase of the cycle is one of the most

common functional pathologies leading to impaired reproductive function. The purpose of the literature

review: to study data on the features of preconception preparation and the course of pregnancy in women

with progesterone deficiency. Insufficient hormonal support is accompanied by pathological secretory

transformation of the endometrium, which prevents the formation of an �implantation window�. When

pregnancy occurs, there is a high risk of its complications: spontaneous miscarriage, placental disorders

and preeclampsia. This category of women needs preconception preparation with timely diagnosis of luteal

phase insufficiency (LPI) and additional dosing of gestagens in a cyclic mode.

Keywords: progesterone deficiency, oligomenorrhea, luteal phase insufficiency (LPI), endometrium,

implantation window, placental disorders.

For citation: Salko IN, Lysyak DS. Pregravidarnaya podgotovka i osobennosti techeniya beremennosti u

zhenshchin s defitsitom progesterona [Preconception preparation and features of the course of pregnancy in

women with progesterone deficiency]. Amurskii meditsinskii zhurnal. �. Amur Medical Journal. 2023;11;1:16�

23. (In Russ.). https://doi.org/10.24412/2311-5068-2023-11-1-16.

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The article was submitted 02.04.2023; approved after reviewing 21.06.2023; accepted for publication 08.08.2023.

Прегравидарная подготовка и особенности течения беременности у женщин с дефицитом прогестерона Текст научной статьи по специальности «Клиническая медицина»

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