MENSTRUAL IRREGULARITIES IN OBESE GIRLS

Currently, obesity is considered one of the main causes of reproductive system dysfunction in women, leading to decreased fertility, pathological pregnancy and childbirth. One of the earliest studies that showed a link between obesity and reproductive dysfunction was published in the early 20th century by H. Evans and K. Bishop (1922). The authors noted that fertility was restored when excess body weight was reduced. The relationship between reproductive dysfunction and obesity was outlined in 1934 in a classic article by Stein and Leventhal describing polycystic ovary syndrome. In 1952, J. Rogers and G. Mitchell presented the results of observation of women with obesity, anovulatory menstrual cycles, and oligo- or amenorrhea. After consulting dieticians, the menstrual rhythm was restored in most of the patients who lost weight; oligomenorrhea persisted in those who failed to lose weight. Although these observations were relatively random, they laid the foundation for subsequent studies of the relationship between obesity and anovulation. In subsequent years, researchers repeatedly emphasized the high frequency of menstrual irregularities, infertility, and habitual miscarriage in overweight women.