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Published on: April 5, 2024
LOW 25OHD IN ENDOMETRIOSIS- RISK FACTOR OR CONSEQUENCE?!
N Abesadze1, J Kristesashvili1, A Gvenetadze1
1Faculty of Medicine, Ivane Javakhishvili Tbilisi State University, Georgia.
Women with endometriosis show lower 25-hydroxyvitamin D (25OHD) and higher active vitamin D (1,25OHD) and calcium levels. Surgical removal of endometriosis normalized these vitamin D metabolite and calcium levels.
Area of Science:
- Endocrinology
- Gynecology
- Metabolic Research
Background:
- Endometrial active vitamin D (1,25OHD) may be elevated in endometriosis.
- Vitamin D metabolites (25OHD, 1,25OHD) and calcium levels in endometriosis require further investigation.
Purpose of the Study:
- To determine the role of vitamin D in endometriosis pathogenesis.
- To analyze 25OHD, 1,25OHD, and calcium levels before and after endometriosis treatment.
Main Methods:
- Comparative analysis of vitamin D metabolites and calcium levels.
- Preoperative and 3-month postoperative measurements post-laparoscopy.
- Comparison between endometriosis patients and healthy controls.
Main Results:
- Endometriosis patients had lower 25OHD, higher 1,25OHD, and higher calcium than controls.
- Endometriosis stage and endometrioma size correlated negatively with 25OHD.
- Post-surgery, 1,25OHD and calcium decreased, while 25OHD increased significantly.
Conclusions:
- Endometriosis is associated with altered vitamin D metabolism (low 25OHD, high 1,25OHD) and hypercalcemia.
- Elevated 1,25OHD suggests increased conversion in endometriosis, potentially driven by high demand.
- Surgical intervention impacts vitamin D metabolite levels, indicating endometriosis influences their regulation.
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