94 -3 (89) 2026 - Bakamov D.U., Tosheva Kh.B. - EFFICACY OF HORMONE REPLACEMENT THERAPY IN THE TREATMENT OF PEPTIC ULCER DISEASE IN FERTILE AND POSTMENOPAUSAL WOMEN
EFFICACY OF HORMONE REPLACEMENT THERAPY IN THE TREATMENT OF PEPTIC ULCER DISEASE IN FERTILE AND POSTMENOPAUSAL WOMEN
Bakamov D.U. - Bukhara branch of the Republican Scientific Center for Emergency Medical Care Uzbekistan
Tosheva Kh.B. - Bukhara State Medical Institute named after Abu Ali Ibn Sina
Resume
This article evaluates the efficacy of hormone replacement therapy (HRT) added to standard H. pylori eradication for treating peptic ulcer disease (PUD) in postmenopausal women. 120 women were enrolled: fertile (n=53) and postmenopausal (n=67), subdivided into Group 2a (eradication, n=34) and 2b (eradication+HRT, n=33). Pain syndrome predominated in fertile women (98%), while dyspeptic complaints were characteristic of postmenopausal patients (p<0.001). Estradiol was 32.7±1.24 pg/mL in postmenopause — six-fold lower (p<0.001). Combined therapy raised estradiol to 92.4±3.5 pg/mL (p<0.001) with significant improvement in clinical, cognitive and autonomic parameters. Results justify mandatory inclusion of HRT in PUD treatment protocols for postmenopausal women.
Keywords: peptic ulcer disease, postmenopause, estrogen deficiency, hormone replacement therapy, H. pylori eradication, estradiol, quality of life.
First page
577
Last page
584
For citation:Bakamov D.U., Tosheva Kh.B. - EFFICACY OF HORMONE REPLACEMENT THERAPY IN THE TREATMENT OF PEPTIC ULCER DISEASE IN FERTILE AND POSTMENOPAUSAL WOMEN//New Day in Medicine 3(89)2026 577-584 https://newdayworldmedicine.com/en/new_day_medicine/3-89-2026
List of References
- Malfertheiner P., Megraud F., O'Morain C.A. et al. Management of Helicobacter pylori infection — the Maastricht V/Florence Consensus Report. Gut. 2017;66(1):6–30.
- Huang J., Sridhar S., Chen Y., Hunt R.H. Meta-analysis of the relationship between Helicobacter pylori seropositivity and gastric cancer. Gastroenterology. 1998;114(6):1169–1179.
- Taussig S.L. The relationship between the uterus and stomach. Am J Obstet Gynecol. 1934;28:1005–1009.
- Sandweiss D.J., Saltzstein H.C., Farbman A.A. The relation of sex hormones to peptic ulcer. Am J Dig Dis. 1946;13(7):1436–1442.
- Radulović P., Čolović R., Ignjatović N. The role of estrogens in gastrointestinal mucosal protection. Eur J Pharmacol. 2018;117:187–188.
- Amalia R., Huang J., Ito Y. Association between menopause and peptic ulcer: a systematic review. J Gastroenterol Hepatol. 2021;35:441–448.
- Borri C. Über Magengeschwür und Menopause. Arch Verdauungskrank. 1904;40:689–696.
- Karimov M.M. et al. Helicobacter pylori infection prevalence and CagA strain distribution in Uzbekistan. J Gastroenterol. 2018;15:48–51.
- Ўзбекистон Республикаси Президентининг 2022 йил 28 январдаги ПФ-60-сон Фармони. «2022–2026 йилларга мўлжалланган Янги Ўзбекистон тараққиёт стратегияси тўғрисида».
- Karimov M.M., Tashkentov I.T., Saidova M.R. Clinical features of peptic ulcer disease in postmenopausal Uzbek women. Central Asian J Med Sci. 2022;8(1):44–50.
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