RESUMEN
OBJECTIVE: To investigate the follicular size at spontaneous rupture on pregnancy rate in patients with polycystic ovary syndrome (PCOS) undergoing clomiphene citrate (CC) ovulation. DESIGN: Cross-sectional study. PATIENTS AND METHODS: One hundred and four women with ovulatory cycles after use of CC followed by ultrasound to determine the follicle size at the time of rupture, which was subsequently correlated with the occurrence of pregnancy or not in coit cycles. RESULTS: In the group of follicular rupture at a mean diameter ≤25 mm (n = 54), pregnancy rate was 35.1% and when follicular rupture occurred at a mean diameter >25 mm (n = 50), it was 34% (p > 0.05). When different diameters at follicular rupture were randomly correlated with the pregnancy rate, there was no significant difference. CONCLUSION: Our data suggest that the occurrence of pregnancy after ovulation induction with CC in women with PCOS is not associated with follicle size at the time of rupture.
Asunto(s)
Infertilidad Femenina/tratamiento farmacológico , Folículo Ovárico/diagnóstico por imagen , Ovulación , Síndrome del Ovario Poliquístico/tratamiento farmacológico , Adulto , Clomifeno/uso terapéutico , Estudios Transversales , Antagonistas de Estrógenos/uso terapéutico , Femenino , Humanos , Infertilidad Femenina/etiología , Tamaño de los Órganos , Folículo Ovárico/crecimiento & desarrollo , Inducción de la Ovulación , Síndrome del Ovario Poliquístico/complicaciones , Embarazo , Índice de Embarazo , UltrasonografíaRESUMEN
The sclerosing stromal tumor of the ovary is an extremely rare benign tumor more common in young women and without specific symptoms in most cases. Less than 150 cases have been described, of which 8 were diagnosed during pregnancy. In this report, we describe the association between sclerosing stromal tumor of the ovary, Meigs' syndrome and elevated levels of CA-125 in term pregnancy.
Asunto(s)
Síndrome de Meigs/complicaciones , Síndrome de Meigs/diagnóstico , Neoplasias Ováricas/complicaciones , Neoplasias Ováricas/diagnóstico , Complicaciones del Embarazo/diagnóstico , Tumores de los Cordones Sexuales y Estroma de las Gónadas/complicaciones , Tumores de los Cordones Sexuales y Estroma de las Gónadas/diagnóstico , Adolescente , Antígeno Ca-125/sangre , Femenino , Humanos , Síndrome de Meigs/sangre , Neoplasias Ováricas/sangre , Embarazo , Complicaciones del Embarazo/sangre , Tumores de los Cordones Sexuales y Estroma de las Gónadas/sangreRESUMEN
O tumor estromal esclerosante de ovário é uma neoplasia benigna extremamente rara, mais frequente em mulheres jovens e sem sintomas específicos na maioria dos casos. Menos de 150 casos foram descritos, dos quais 8 diagnosticados durante a gestação. Neste relato, documentamos a associação entre tumor estromal esclerosante de ovário, síndrome de Meigs e elevação dos níveis de CA-125 em gravidez a termo.
The sclerosing stromal tumor of the ovary is an extremely rare benign tumor more common in young women and without specific symptoms in most cases. Less than 150 cases have been described, of which 8 were diagnosed during pregnancy. In this report, we describe the association between sclerosing stromal tumor of the ovary, Meigs' syndrome and elevated levels of CA-125 in term pregnancy.
Asunto(s)
Adolescente , Femenino , Humanos , Embarazo , Síndrome de Meigs/complicaciones , Síndrome de Meigs/diagnóstico , Neoplasias Ováricas/complicaciones , Neoplasias Ováricas/diagnóstico , Complicaciones del Embarazo/diagnóstico , Tumores de los Cordones Sexuales y Estroma de las Gónadas/complicaciones , Tumores de los Cordones Sexuales y Estroma de las Gónadas/diagnóstico , /sangre , Síndrome de Meigs/sangre , Neoplasias Ováricas/sangre , Complicaciones del Embarazo/sangre , Tumores de los Cordones Sexuales y Estroma de las Gónadas/sangreRESUMEN
The current trends to postpone motherhood and the increase in demand for assistance in reproductive medicine highlight the need for seeking guidelines for the establishment of individualized treatment protocols. Currently available ovarian reserve tests do not provide sufficient evidence to be solely considered ideal, but they may occupy important place in initial counseling, predicting unsatisfactory results that could be improved by individualized induction schemes and reducing excessive psychological and financial burdens, and adverse effects. In this paper, we revise the role of hormonal basal and dynamic tests, as well as ultrasonographic markers, as ovarian reserve markers, in order to provide embasement for propaedeutic strategies and their interpretation in order to have reproductive success.
RESUMEN
Osteoporose é a primeira causa de fraturas com colapso do corpo vertebral, responsável por até 700 mil casos, com 150 mil internações por ano somente nos Estados Unidos. O quadro clínico é caracterizado por dor intensa, restrição à deambulação, baixa estima e depressão com limitação para as atividades diárias. Dentre as opções de tratamento destaca-se a vertebroplastia, uma técnica de acesso percutâneo ao corpo da vértebra no qual se injeta cimento acrílico. Este método é indicado no tratamento de fraturas vertebrais compressivas espontâneas secundárias à osteoporose ou a tumores vertebrais. Consiste em um procedimento cirúrgico minimamente invasivo, resultando na maioria dos casos em alívio imediato da dor e relativa estabilização vertebral
