TY - JOUR
T1 - L'amenorrea ipotalamica
T2 - Un esempio di disadattamento riproduttivo
AU - Nappi, Rossella E.
AU - Brundu, Benedetta
AU - Farina, Claudio
AU - Detaddei, Silvia
AU - Sommacal, Arianna
AU - De Leonardis, Christian
AU - Chiapparini, Iolanda
AU - Vaccaro, Patrizia
AU - Facchinetti, Fabio
AU - Polatti, Franco
PY - 2002
Y1 - 2002
N2 - Functional hypothalamic amenorrhea is a common, non-organic and theoretically reversible form of anovulation due to reduced hypothalamic GnRH drive. Numerous studies suggest that this altered hypothalamic homeostasis is caused by a synergism between psychogenic challenge, promoted in part by dysfunctional attitudes, and metabolic compromise induced by undernutrition and overexercise. The recent growing interest in psychiatric comorbidity underlines the importance of reconsidering the boundaries between psychological disorders and somatic conditions. That not with standing, it is mandatory in gynecological endocrinology to explore the issue of secondary amenorrhea from a psychoneuroendocrine perspective in order to devise biopsychosocial interventions which address the individual distress. In this brief review we will try to critically discuss the issue providing evidences from personal studies as clues for better understanding the extent of the complex psychoneuroendocrine network controlling menstrual function.
AB - Functional hypothalamic amenorrhea is a common, non-organic and theoretically reversible form of anovulation due to reduced hypothalamic GnRH drive. Numerous studies suggest that this altered hypothalamic homeostasis is caused by a synergism between psychogenic challenge, promoted in part by dysfunctional attitudes, and metabolic compromise induced by undernutrition and overexercise. The recent growing interest in psychiatric comorbidity underlines the importance of reconsidering the boundaries between psychological disorders and somatic conditions. That not with standing, it is mandatory in gynecological endocrinology to explore the issue of secondary amenorrhea from a psychoneuroendocrine perspective in order to devise biopsychosocial interventions which address the individual distress. In this brief review we will try to critically discuss the issue providing evidences from personal studies as clues for better understanding the extent of the complex psychoneuroendocrine network controlling menstrual function.
KW - Amenorrhea
KW - Eating disorders
KW - Hypothalamus
KW - Reproduction
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M3 - Articolo
AN - SCOPUS:0036393567
VL - 11
SP - 67
EP - 77
JO - Confinia Cephalalgica
JF - Confinia Cephalalgica
SN - 1122-0279
IS - 2
ER -