Severe osteoporosis against primary ovarian failure in triplet sisters
- Authors: Dora S.V.1, Khalimov Y.S.1, Lisker A.V.1, Shvets Z.V.1, Volkova A.R.1, Ostroukhova E.N.1, Mamedova N.N.1, Kolyabina A.B.1
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Affiliations:
- Academician I.P. Pavlov First Saint Petersburg State Medical University of the Ministry of Healthcare of Russia
- Issue: Vol 10, No 8 (2024)
- Pages: 125-131
- Section: CLINICAL CASES
- URL: https://journals.eco-vector.com/2412-4036/article/view/642008
- DOI: https://doi.org/10.18565/therapy.2024.8.125-131
- ID: 642008
Cite item
Abstract
Abstract. During menopause period, the risk of osteoporosis and pathological fractures increases, especially with its immature or early onset. Both heredity and possible prenatal developmental disorders play a significant role in the development of these conditions, especially in children born from multiple pregnancies. This emphasizes the necessity for special attention to females from the risk groups for their timely referral to specialized professionals, prescription of treatment for osteoporosis and consideration of the possibility of using menopausal hormone therapy. The article describes clinical cases of severe osteoporosis that developed in triplet sisters in connection with immature or early menopause. The interest of the presented observations could be explained by fact of the lack of treatment and referral to an endocrinologist for patients with multiple pathological fractures in their anamnesis, which indicates insufficient awareness of these diseases among doctors of other specialties.
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About the authors
Svetlana V. Dora
Academician I.P. Pavlov First Saint Petersburg State Medical University of the Ministry of Healthcare of Russia
Email: doras2001@mail.ru
ORCID iD: 0000-0002-8249-6075
SPIN-code: 9845-0065
MD, Dr. Sci. (Medicine), professor
Russian Federation, Saint PetersburgYuri Sh. Khalimov
Academician I.P. Pavlov First Saint Petersburg State Medical University of the Ministry of Healthcare of Russia
Email: yushkha@gmail.com
ORCID iD: 0000-0002-7755-7275
SPIN-code: 7315-6746
MD, Dr. Sci. (Medicine), professor
Russian Federation, Saint PetersburgAnna V. Lisker
Academician I.P. Pavlov First Saint Petersburg State Medical University of the Ministry of Healthcare of Russia
Email: a.lisker@mail.ru
ORCID iD: 0000-0003-4295-1202
SPIN-code: 3688-1505
MD, PhD (Medicine)
Russian Federation, Saint PetersburgZlata V. Shvets
Academician I.P. Pavlov First Saint Petersburg State Medical University of the Ministry of Healthcare of Russia
Email: shvetszlata31@gmail.com
ORCID iD: 0009-0007-9218-8133
clinical resident
Russian Federation, Saint PetersburgAnna R. Volkova
Academician I.P. Pavlov First Saint Petersburg State Medical University of the Ministry of Healthcare of Russia
Email: volkovaa@mail.ru
ORCID iD: 0000-0002-5189-9365
SPIN-code: 4007-1288
MD, Dr. Sci. (Medicine), professor
Russian Federation, Saint PetersburgElena N. Ostroukhova
Academician I.P. Pavlov First Saint Petersburg State Medical University of the Ministry of Healthcare of Russia
Email: elenikos9@gmail.com
ORCID iD: 0000-0002-6542-7959
SPIN-code: 4103-7025
MD, PhD (Medicine), associate professor
Russian Federation, Saint PetersburgNargiz N. Mamedova
Academician I.P. Pavlov First Saint Petersburg State Medical University of the Ministry of Healthcare of Russia
Email: nsz90@mail.ru
ORCID iD: 0009-0002-2709-3641
MD
Russian Federation, Saint PetersburgAlexandra B. Kolyabina
Academician I.P. Pavlov First Saint Petersburg State Medical University of the Ministry of Healthcare of Russia
Author for correspondence.
Email: kolyabinas@yandex.ru
ORCID iD: 0009-0003-3136-3509
student
Russian Federation, Saint PetersburgReferences
- Ruth K.S., Day F.R., Hussain J. et al. Genetic insights into biological mechanisms governing human ovarian ageing. Nature. 2021; 596(7872): 393–97. https://doi.org/10.1038/s41586-021-03779-7. PMID: 34349265. PMCID: PMC7611832.
- InterLACE Study Team. Variations in reproductive events across life: A pooled analysis of data from 505 147 women across 10 countries. Hum Reprod. 2019; 34(5): 881–93. https://doi.org/10.1093/humrep/dez015. PMID: 30835788. PMCID: PMC7571491.
- Nash Z., Al-Wattar B.H., Davies M. Bone and heart health in menopause. Best Pract Res Clin Obstet Gynaecol. 2022; 81: 61–68. https://doi.org/10.1016/j.bpobgyn.2022.03.002. PMID: 35400590.
- Клинические рекомендации. Менопауза и климактерическое состояние у женщины. Российское общество акушеров-гинекологов. Рубрикатор клинических рекомендаций Минздрава России. 2021. ID: 117. Доступ: https://cr.minzdrav.gov.ru/recomend/117_2 (дата обращения – 10.09.2024). [Clinical guidelines. Menopause and menopausal condition in women. Russian Society of Obstetricians and Gynecologists. Rubricator of clinical guidelines of the Ministry of Healthcare of Russia. 2021. ID: 117. https://cr.minzdrav.gov.ru/recomend/117_2 (date of access – 10.09.2024) (In Russ.)].
- Mishra G.D., Chung H.F., Cano A. et al. EMAS position statement: Predictors of premature and early natural menopause. Maturitas. 2019; 123: 82–88. https://doi.org/10.1016/j.maturitas.2019.03.008. PMID: 31027683.
- Golezar S., Tehrani F.R., Khazaei S. et al. The global prevalence of primary ovarian insufficiency and early menopause: A meta-analysis. 2019; 22(4): 403–11. https://doi.org/10.1080/13697137.2019.1574738. PMID: 30829083.
- Lee G.B., Nam G.E., Kim W. et al. Association between premature menopause and cardiovascular diseases and all-cause mortality in Korean women. J Am Heart Assoc. 2023: 12(22): e030117. https://doi.org/10.1161/JAHA.123.030117. PMID: 37947103.
- El Khoudary S.R., Aggarwal B., Beckie T.M. et al. American Heart Association Prevention Science Committee of the Council on Epidemiology and Prevention; and Council on Cardiovascular and Stroke Nursing. Menopause transition and cardiovascular disease risk: Implications for timing of early prevention: A scientific statement from the American Heart Association. Circulation. 2020; 142(25): e506–e532. https://doi.org/10.1161/CIR.0000000000000912. PMID: 33251828.
- Honigberg M.C., Zekavat S.M., Aragam K. et al. Association of premature natural and surgical menopause with incident cardiovascular disease. JAMA. 2019; 322(24): 2411–21. https://doi.org/10.1001/jama.2019.19191. PMID: 31738818. PMCID: PMC7231649.
- Anagnostis P., Siolos P., Gkekas N.K. et al. Association between age at menopause and fracture risk: A systematic review and meta-analysis. Endocrine. 2019; 63(2): 213–24. https://doi.org/10.1007/s12020-018-1746-6. PMID: 30203119.
- Moberg L., Hamrefors V., Fedorowski A. et al. Early menopause and weight loss are significant factors associated with risk of future fracture in middle-aged women. BMC Musculoskelet Disord. 2022; 23(1): 779. https://doi.org/10.1186/s12891-022-05744-5. PMID: 35974320. PMCID: PMC9380294.
- Gosset A., Pouillès J.M., Trémollieres F. Menopausal hormone therapy for the management of osteoporosis. Best Pract Res Clin Endocrinol Metab. 2021; 35(6): 101551. https://doi.org/10.1016/j.beem.2021.101551. PMID: 34119418.
- Okman-Kilic T. Estrogen deficiency and osteoporosis. Advances in Osteoporosis. InTech. 2015; 176 pp. ISBN: 978-953-51-2027-8. https://doi.org/10.5772/59407.
- Коваленко И.И., Лабыгина А.В., Дружинина Е.Б., Крылова К.В. Оценка частоты использования заместительной гормональной терапии у женщин с преждевременной недостаточностью яичников по обращаемости. Акушерство и гинекология Санкт-Петербурга. 2018; (1): 47–52. [Kovalenko I.I., Labygina A.V., Druzhinina E.B., Krylova K.V. Evaluation of the frequency of hormone replacement therapy in women with premature ovarian failure. Akusherstvo i ginekologiya Sankt-Peterburga = Obstetrics and Gynaecology of Saint Petersburg. 2018; (1): 47–52 (In Russ.)]. EDN: XTGDVB.
- Treloar S.A., Sadrzadeh S., Do K.A. et al. Birth weight and age at menopause in Australian female twin pairs: exploration of the fetal origin hypothesis. Hum Reprod. 2000; 15(1): 55–59. https://doi.org/10.1093/humrep/15.1.55. PMID: 10611188.
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