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4-A-survey-of-knowledge-and-clinical-practice-of-Anorexia-nervosa-Aidah-Alkaissi.pdf | 8.53 KB |
Introduction: Anorexia nervosa (AN) affects many women in
their adolescence. One of the diagnostic criteria of the disease is menstrual
irregularity, and the presence of a menstruation is used as a sign of recovery
among patients. For this reason, these girls intend gynecologists to solve this
problem.
Aims: was to evaluate knowledge and clinical practice of Palestinian
gynecologists for patients with anorexia nervosa.
Method and materials: a cross-sectional study design, questionnaires were
distributed to 60 Palestinian gynecologists 40/60 (66.7%) men and 20/60 (33.3%)
women, aged between 30-60 year in the West Bank in Palestine.
Results: AN is unusual disease in our society, 40/60 (67%) of participants
thought that the presence of the disease less than 1%, 12/60 (20%) 1-5% and 4 /
60 (7%) is more than 5% respectively. Although 45/60 (75%) of participants felt
that teenagers (14-19 years) has the highest percentage of developing the disease.
25/60 (42%) of those gynecologists always check the women's weight during the
evaluation of amenorrhea. 18/60 (30%) of gynecologists would administer
progesterone to have a withdrawal bleed for 16 - years as a suspect had one,
and amenorrhea of three months, 7 / 60 (12%) would administer 20 micrograms,
COC, 7 / 60 (12%) would give a 30 mcg COC pill and 27/60 (45%) would not manage
anything. 35/60 (58.3%) they thought the causes of amenorrhea in girls of
anorexia nervosa is weight loss, stress and fat adipose loss. 29 (48.3%) of
gynecologists thought that treatment with combined oral contraceptives reduces
the risk of osteopenia in women with AN and should be used , 45/60 (75%) of
gynecologists did not do referral to psychiatric specialist for women that present
with secondary amenorrhea, 37/60(62%) do make nutritional consult for women
that present with secondary amenorrhea, compared with 22/60 (37%) do not make
any nutritional consult and 33/60 (55%) would like to know more about anorexia
nervosa.
Conclusion: Gynecologists have enough knowledge about AN issue, they are
performing a good clinical practice in dealing with AN and they are looking for
additional information to identify and refer patients at an early stage of the
disease.
Key words: eating disorder, anorexia nervosa, amenorrhea and DSMIV diagnostic
criteria