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我们在对月经异常和不孕进行鉴别诊断时需考虑到1型糖尿病和2型糖尿病。糖尿病女性出现初潮延迟和更年期提前时可能造成生育期缩短。生育期发生的糖尿病与月经异常相关,如月经过稀和继发性闭经。研究发现,更好的血糖控制和预防糖尿病并发症可改善这些问题,并能增加生育率甚至使其接近正常人群。持续月经异常的女性,即使已经接受了合适的治疗,也仍需进一步完善相关检查如下丘脑-垂体-卵巢轴和激素检查、自身免疫性甲状腺疾病检查、抗卵巢抗体和雄激素过多症检查等。
We need to consider type 1 diabetes and type 2 diabetes in the differential diagnosis of menstrual disorders and infertility. Diabetic women with delayed menarche and early menopause may result in shortened growth period. Diabetes during growth period associated with abnormal menstruation, such as menstrual thin and secondary amenorrhea. The study found that better glycemic control and prevention of complications from diabetes can improve these problems and increase fertility and even bring it closer to the normal population. Continued menstrual abnormalities in women, even if they have received the appropriate treatment, but also need to further improve the relevant tests such as the following hypothalamus - pituitary - ovarian axis and hormone tests, autoimmune thyroid disease tests, anti-ovarian antibodies and androgen hyperosis and so on.