OBJECTIVE: Menstrual dysfunction occurs frequently in patients with bulimia nervosa. Whether this is associated with diminished fertility is unknown. This study examined menstrual and reproductive function in bulimia nervosa patients retrospectively, with 10-15-year follow-ups. METHOD: A total of 173 women with bulimia nervosa were interviewed an average of 11.5 years (SD=1.9) after initial assessment with the Structured Clinical Interview for DSM-IV and a questionnaire about menstruation, pregnancy, and eating disorder symptoms. RESULTS: At baseline assessment, 38.2% of the subjects reported regular menses, and 4.6% reported amenorrhea. At follow-up, the rate of amenorrhea was 16.8% (2.9% because of pregnancy). At baseline, 34.7% of the subjects had experienced at least one pregnancy. At follow-up, 74.6% had been pregnant at least once, and 1.7% reported an inability to conceive. CONCLUSIONS: These results suggest that while menstrual irregularities are common, bulimia nervosa appears to have little impact on later ability to achieve pregnancy.
OBJECTIVE:Menstrual dysfunction occurs frequently in patients with bulimia nervosa. Whether this is associated with diminished fertility is unknown. This study examined menstrual and reproductive function in bulimia nervosapatients retrospectively, with 10-15-year follow-ups. METHOD: A total of 173 women with bulimia nervosa were interviewed an average of 11.5 years (SD=1.9) after initial assessment with the Structured Clinical Interview for DSM-IV and a questionnaire about menstruation, pregnancy, and eating disorder symptoms. RESULTS: At baseline assessment, 38.2% of the subjects reported regular menses, and 4.6% reported amenorrhea. At follow-up, the rate of amenorrhea was 16.8% (2.9% because of pregnancy). At baseline, 34.7% of the subjects had experienced at least one pregnancy. At follow-up, 74.6% had been pregnant at least once, and 1.7% reported an inability to conceive. CONCLUSIONS: These results suggest that while menstrual irregularities are common, bulimia nervosa appears to have little impact on later ability to achieve pregnancy.
Authors: Millie Maxwell; Laura M Thornton; Tammy L Root; Andrea Poyastro Pinheiro; Michael Strober; Harry Brandt; Steve Crawford; Scott Crow; Manfred M Fichter; Katherine A Halmi; Craig Johnson; Allan S Kaplan; Pamela Keel; Kelly L Klump; Maria LaVia; James E Mitchell; Kathy Plotnicov; Alessandro Rotondo; D Blake Woodside; Wade H Berrettini; Walter H Kaye; Cynthia M Bulik Journal: Int J Eat Disord Date: 2011-04 Impact factor: 4.861
Authors: Cynthia M Bulik; Ann Von Holle; Robert Hamer; Cecilie Knoph Berg; Leila Torgersen; Per Magnus; Camilla Stoltenberg; Anna Maria Siega-Riz; Patrick Sullivan; Ted Reichborn-Kjennerud Journal: Psychol Med Date: 2007-05-10 Impact factor: 7.723
Authors: N Micali; I dos-Santos-Silva; B De Stavola; J Steenweg-de Graaff; J Steenweg-de Graaf; V Jaddoe; A Hofman; F C Verhulst; Eap Steegers; H Tiemeier Journal: BJOG Date: 2013-10-30 Impact factor: 6.531