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Eating disorders and reproduction.
1Department of General Psychiatry and Eating Disorder Clinic, St. George's Hospital Medical School, London, United Kingdom.
The Australian & New Zealand Journal of Obstetrics & Gynaecology
|February 7, 2001
Summary
Eating disorders like anorexia nervosa and bulimia nervosa significantly impact reproductive health in young women. This review summarizes current knowledge and offers clinical recommendations for managing eating disorders during pregnancy.
Area of Science:
- Reproductive Medicine
- Psychiatry
- Women's Health
Background:
- Eating disorders commonly affect young women during their reproductive years.
- Anorexia nervosa and bulimia nervosa have significant behavioral and physiological impacts on reproduction.
- These conditions affect menstruation, ovarian function, fertility, sexuality, and pregnancy outcomes.
Purpose of the Study:
- To review current knowledge on the reproductive consequences of eating disorders.
- To identify areas for future research in this field.
- To provide clinical recommendations for managing eating disorders in pregnant women.
Main Methods:
- Literature review of current research on eating disorders and reproduction.
- Synthesis of findings related to menstrual, ovarian, fertility, sexual, and pregnancy effects.
- Development of clinical recommendations based on evidence.
Main Results:
- Eating disorders disrupt normal reproductive functioning through various mechanisms.
- Specific impacts include altered menstruation, reduced fertility, and potential pregnancy complications.
- The review highlights the need for integrated care approaches.
Conclusions:
- Eating disorders pose significant risks to reproductive health and pregnancy.
- Further research is needed to fully understand and manage these complex interactions.
- Clinical management should address both the eating disorder and its reproductive consequences, especially during pregnancy.