子宫内膜异位症是由于进化的不适应吗?
Sezcan Mumusoglu1, Aaron J W Hsueh2
1Department of Obstetrics and Gynaecology, Hacettepe University School of Medicine, Sihhiye, Ankara, Turkey.
Reproductive biomedicine online
|January 4, 2024
概括
子宫内膜异位症可能源于进化不匹配,现代生活方式增加月经周期. 局部化孕激素治疗为早期子宫内膜异位症提供了一种潜在的节育方法.
科学领域:
- 进化医学是一种进化医学.
- 生殖生物学 生殖生物学
- 妇科 妇科 妇科 妇科
背景情况:
- 子宫内膜异位症,与传染病不同,理论上是由于人类进化的不适应引起的.
- 灵长类动物的进化包括自发的决定性,导致怀孕不发生时的月经.
研究的目的:
- 审查有关导致子宫内膜异位症的进化因素的文献.
- 增强对改善预防和治疗策略的理解.
主要方法:
- 关于进化生物学和子宫内膜异位症的文献综述.
- 分析祖先和现代生活方式之间的生理差异.
主要成果:
- 狩猎采集者的女性由于经常怀孕和哺乳,可能月经周期较少.
- 延迟生育的现代生活方式增加了累积的月经周期,可能会增加子宫内膜异位症的风险.
结论:
- 在进化的子宫生理学和现代生殖模式之间存在不匹配.
- 局部孕激素子宫内装置可以控制子宫内膜异位症的症状,保持生育能力,并最大限度地减少副作用.
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