2019, Number 4
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Revista Habanera de Ciencias Médicas 2019; 18 (4)
Reproductive history and fertility in patients affected by roteinopathies of the nervous system
Sánchez MY, Almaguer MLE
Language: Spanish
References: 63
Page: 640-653
PDF size: 607.22 Kb.
ABSTRACT
Introduction: It is known that several
proteinopathies of the nervous system are
associated with significant changes in
reproductive history and fertility.
Objective: To show the behavior of reproductive
history and fertility in patients with
proteinopathies of the nervous system.
Material and Methods: A literature review was
carried out from January, 2018 to December,
2018. Search was carried out in databases like
PubMed, EBSCO, Google Scholar and HighWire.
An advanced search strategy was used in the
selection of the articles.
Results: Evidence on the occurrence of significant
changes in reproductive history and fertility in
patients with proteinopathies of the nervous
system were identified. Women with Parkinson´s
disease and patients with Amyotrophic Lateral
Sclerosis tend to show lower fertility than
individuals in the general population. On the
contrary, patients with Huntington´s disease or
Spinocerebellar Ataxias tend to show higher
fertility than individuals in the general
population, with a significant role for nuptiality.
On the other hand, women with Alzheimer´s
disease usually show menopause at older ages
whereas women with Parkinson´s disease usually
show delayed menarche and a more reduced
number of abortions than women in the general
population.
Conclusions: Available evidence regarding
significant changes in the reproductive history
and fertility in patients with proteinopathies of
the nervous system are frequently contradictory
and focused on biological factors with
underestimation of socio-economic and cultural
factors.
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