MODERN IDEAS ABOUT THE PRINCIPLES OF TREATMENT OF UTERINE FIBROIDS IN FERTILE WOMEN WITH METABOLIC DISORDERS
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Abstract
Uterine fibroids (leiomyoma) are one of the most common benign neoplasms of the female reproductive system, which have a significant impact on fertility and quality of life. Metabolic disorders, including obesity, insulin resistance, dyslipidemia, and metabolic syndrome, are becoming increasingly common among women of reproductive age and have an impact on the pathogenesis, growth, and clinical course of fibroids. This article examines modern ideas about the relationship between fibroids and metabolic disorders, analyzes the mechanisms of the influence of the metabolic background on the development of myomatous nodes, and provides current recommendations for drug, surgical, and conservative therapy with an emphasis on preserving reproductive function. Special attention is paid to a personalized approach, multidisciplinary follow-up and relapse prevention.
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