Acromegaly, Gynaecological Health, and Complementary Therapies: A Multidisciplinary Perspective

Acromegaly, a rare hormonal disorder caused by excessive secretion of growth hormone, often presents with notable external changes, such as enlarged hands and feet. However, the condition’s impact goes beyond the physical manifestations, affecting multiple systems, including cardiovascular and metabolic health. Importantly, recent studies have also started exploring its relationship with gynaecological diseases, an area that has been largely overlooked until now.

In a preliminary study, researchers investigated the prevalence of gynaecological conditions in women with acromegaly, uncovering a significant association with uterine fibroids and sexual dysfunction. Of the 32 women enrolled in the study, 31% had a history of uterine fibroids, and 25% reported genital prolapse. The impact on quality of life was also considerable, with 48% of the women reporting difficulties in sexual relationships. These findings suggest that acromegaly may contribute to a range of gynaecological issues, necessitating comprehensive care and a multidisciplinary approach involving both endocrinologists and gynaecologists.

In addition to managing these gynaecological conditions, there is growing interest in the use of complementary therapies, such as physiotherapy and balneoclimatology, to support traditional medical treatments. These therapies, which utilize natural resources like mineral baths and advanced physiotherapeutic techniques, have shown promise in treating genital inflammations—common issues among women with and without acromegaly.

Balneoclimatology, for instance, employs treatments like brine and radon baths, along with vaginal irrigations, to alleviate inflammation and improve overall gynaecological health. Likewise, physiotherapy methods, such as short-wave diathermy and electrostimulation, are gaining recognition for their effectiveness in reducing inflammation and enhancing recovery. These methods, when integrated into a multidisciplinary treatment plan, can significantly improve outcomes for women dealing with both acromegaly and its associated gynaecological conditions.

Together, these therapies offer a holistic approach that addresses both the physical and emotional challenges faced by women with acromegaly. The combination of traditional medical care and complementary treatments is crucial in improving quality of life and ensuring comprehensive care for this unique patient population. This interdisciplinary approach, blending gynaecology with physiotherapy and balneoclimatology, provides a promising pathway to better health outcomes.

References:

Górski K, Zgliczyńska M, Czajka-Oraniec I, et al. Epidemiology and clinical picture of obstetric and gynecological conditions in women with acromegaly – a preliminary report. Eur J Obstet Gynecol Reprod Biol. 2024;293:179-185. https://www.researchgate.net/publication/377993783_Epidemiology_and_clinical_picture_of_obstetric_and_gynecological_conditions_in_women_with_acromegaly_-_a_preliminary_report

Luwański D, Wójcik M, Goździewicz T, et al. Gynaecology, physiotherapy, and balneoclimatology – an interdisciplinary approach. Eur J Obstet Gynecol Reprod Biol. 2024;298:41-50. https://www.researchgate.net/publication/377993445_Gynaecology_physiotherapy_and_balneoclimatology_-_an_interdisciplinary_approach

Summary by Faith Oluwamakinde