Abstract
Objectives:Fibromyalgia syndrome (FS) is a chronic pain disorder usually affecting women in their fertile period of life. However, the relationship between FS and pregnancy has not been studied in depth. The effect of FS on the course of pregnancy is poorly investigated in the current literature. Here we aimed to investigate the effects of FS to menarche age, gravidity, parity and duration of breastfeeding.Methods:One hundred and eighty-seven non-pregnant females attending between March 2015-June 2015, to Malatya State Hospital Physical Medicine and Rehabilitation Outpatient Clinic, were included in this prospective study. One hundred eleven (111) of them were diagnosed with FS according to the American Rheumatology Association (ACR) 2010 criteria and were defined as group 1; group 2 comprised of seventy six (76) non-pregnant healthy volunteers. All participants were asked about their menarche age, marriage age, gravidity, parity, duration of breastfeeding by conducting a basic questionnaire survey. Patients’ body mass index (BMI) were recorded. Depression parameters were evaluated by Beck Depression Scale (BDS).Results:The average age of the patients was 39.04±9.21 (FS) and 38.47±9.65 (Control) years; first menarche age was at 13.28±1.38 (FS) and 13.59±1.54 years (Control), and marriage age was 20.1±3.62 (FS) and 20.69±3.90 years (Control), respectively. No statistically significant difference was found (p=0.598) between BMI values (FS, 27.76±4.95; Control 26.90±4.56 kg/m2). The results from both groups were similar in terms of gravidity, parity, and breastfeeding duration, with no statistically significant differences (p=0.252, 0.093, 0.075, respectively). The only significant difference was found in the depression parameter. The BDS results were statistically different between the groups, found higher in FS group (p=0.000).Conclusion:FS occurs as a result of symptoms such as mood disorder, anxiety, cognitive and sleep disorders, and also hormonal changes; no exact cause has yet been established. The syndrome usually occurs during fertile period of young female. According to the findings of our study, FS has no negative effect on the outcome of gravidity, parity, and duration of breastfeeding in Turkish women. Further studies about the effects of FS on the course of pregnancy are required.
Highlights
Fibromyalgia syndrome (FS) is a chronic disease involving a range of symptoms including diffuse pain, sleep disorder, and cognitive function disorder.1,2 FS is usually seen in women between 30 and 50 years of age and its prevalence ranges between 1 up to 4%.3 Its etiology and pathogenesis are still not known, but it is thought to be a multifactorial disease
The average age of the patients was 39.04±9.21 (FS) and 38.47±9.65 (Control) years; first menarche age was at 13.28±1.38 (FS) and 13.59±1.54 years (Control), and marriage age was at 20.1±3.62 (FS) and 20.69±3.90 years (Control), respectively
The Beck depression index (BDI) was found to be higher in the FS group (p=0.000)
Summary
Fibromyalgia syndrome (FS) is a chronic disease involving a range of symptoms including diffuse pain, sleep disorder, and cognitive function disorder (usually depression). FS is usually seen in women between 30 and 50 years of age and its prevalence ranges between 1 up to 4%.3 Its etiology and pathogenesis are still not known, but it is thought to be a multifactorial disease. Fibromyalgia syndrome (FS) is a chronic disease involving a range of symptoms including diffuse pain, sleep disorder, and cognitive function disorder (usually depression).. FS is usually seen in women between 30 and 50 years of age and its prevalence ranges between 1 up to 4%.3. Neural activity changes in the central nervous system, abnormal metabolism of biogenic amines, and immunologic problems may lead to the occurrence of this disease. The subjectivity of FS narratives, which is mostly similar with chronic pain and psychosomatic symptoms, makes differential diagnosis problematic.. FS is a chronic pain disorder that affects women of childbearing age, but the relationship between FS and pregnancy is not widely studied. FS symptoms affect pregnancy status, spontaneous abortion, menstruation, oral contraceptive usage, and breastfeeding duration.
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