Articles - Revista Brasileira de Ginecologia e Obstetrícia

Trabalhos Originais
Fetal pulse oximetry: relationship between oxygen saturation at second stage of labor and the umbilical artery pH at birth
- Edson Nunes de Morais
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(7):381-384
08-07-1999

Views43

This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Summary
Trabalhos Originais
Fetal pulse oximetry: relationship between oxygen saturation at second stage of labor and the umbilical artery pH at birth
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(7):381-384
08-07-1999
DOI 10.1590/S0100-72031999000700003
Edson Nunes de Morais
Views43
Purpose: to study the correlation between fetal oxygen saturation measured by pulse oximetry during second stage of labor and umbilical artery pH at birth. Patients and Methods: fetal oxygen saturation (FSpO2) was monitored by pulse oximetry during the second stage of labor in 64 singleton pregnancies at term, with vertex presentation. Umbilical blood was sampled immediately after delivery for subsequent measurement of venous and arterial blood gases and pH. All fetuses maintained FSpO2 > or = 30% through the first stage of labor, until the start of second stage. Results: the mean FSpO2 at the second stage of labor correlated significantly with umbilical artery pH at birth (n = 64, r = 0.79, p <0.001). There was no significant corre-lation between FSpO2 at the second stage of labor and umbilical artery oxygen saturation at birth. Conclusion: fetal oxygen saturation measured by pulse oximetry during second stage of labor has a good correlation with umbilical artery pH at birth.

Key-words Fetal distress Fetal monitoring Fetal pulse oximetry
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Trabalhos Originais
Reverse blood flow in ductus venosus: new perspective in detection of chromosomal abnormalities
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(7):371-376
08-07-1999

Views88

This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Summary
Trabalhos Originais
Reverse blood flow in ductus venosus: new perspective in detection of chromosomal abnormalities
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(7):371-376
08-07-1999
DOI 10.1590/S0100-72031999000700002
Carlos Geraldo Viana Murta,
Antônio Fernandes Moron,
Màrcio Augusto Pinto de Ávila,
Luiz Cláudio França
Views88
Purpose: to evaluate the possible value of pulsed and color Doppler of ductus venosus blood flow in the screening for chromosomal abnormalities at 10-14 weeks of gestation. Methods: the ductus venosus flow velocity waveforms and the nuchal translucency (NT) thickness were obtained immediately before the chorionic villus sample in 26 pregnancies. We employed the following criteria for the suspicion of chromosomal defects: reverse or absent flow during atrial contraction and NT greater or equal to 3 mm. We calculated the sensitivity, the specificity, the negative and positive predictive value for each of the above items. Results: there were 9 chromosomal abnormalities (3 cases of trisomy 21, 2 cases of trisomy 13, 1 case of trisomy 9, 1 case of trisomy 22, 1 triploidy and 1 monosomy X). Abnormal ductus venosus flow was observed in all cases (sensitivity of 100%). In the normal fetuses (17 cases) only 1 had abnormal flow (specificity of 94%). Concerning NT, the sensitivity and the specificity were 88% and 76%, respectively. Conclusion: our preliminary results suggest that the presence of chromosomal abnormalities may be strongly suspected when an increased NT thickness is associated with an absent or reverse flow in the ductus venosus. We speculated that both methods are valid in the screening of chromosomal defects.

Key-words Chromosomal abnormalities Collor Doppler Ductus venosus Nuchal translucency
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Editorial
As sociedades científicas, sua proliferação e a ética
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(7):370-370
08-07-1999

Views39

This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Summary
Editorial
As sociedades científicas, sua proliferação e a ética
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(7):370-370
08-07-1999
DOI 10.1590/S0100-72031999000700001
Views39
As Sociedades Científicas, sua Proliferação e a Ética […]
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Resumos de Teses
Avaliação dos padrões vasculares uterino e placentário no primeiro trimestre das gestações normal e patológica
- Marcelo Giacobbe
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(5):302-302
08-07-1999

Views37

This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Summary
Resumos de Teses
Avaliação dos padrões vasculares uterino e placentário no primeiro trimestre das gestações normal e patológica
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(5):302-302
08-07-1999
DOI 10.1590/S0100-72031999000500012
Marcelo Giacobbe
Views37
Avaliação dos Padrões Vasculares Uterino e Placentário no Primeiro Trimestre das Gestações Normal e Patológica […]
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Resumos de Teses
Dopplervelocimetria das artérias uterinas, arqueadas e espiraladas no prognóstico de receptividade endometrail de mulheres em ciclos estimulados para fertilização in vitro
- Daniella Spilborghs Castellotti
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(5):302-302
08-07-1999

Views30

This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Summary
Resumos de Teses
Dopplervelocimetria das artérias uterinas, arqueadas e espiraladas no prognóstico de receptividade endometrail de mulheres em ciclos estimulados para fertilização in vitro
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(5):302-302
08-07-1999
DOI 10.1590/S0100-72031999000500013
Daniella Spilborghs Castellotti
Views30
Dopplervelocimetria das Artérias Uterinas, Arqueadas e Espiraladas no Prognóstico de Receptividade Endometrail de Mulheres em Ciclos Estimulados para Fertilização In Vitro […]
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Resumos de Teses
Estudo anatomoclínico do carcinoma ductal invasivo da mama em pacientes axila-negativas associado à identificação dos receptores de estrogênio
- Gilberto Uemura
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(5):301-301
08-07-1999

Views38

This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Summary
Resumos de Teses
Estudo anatomoclínico do carcinoma ductal invasivo da mama em pacientes axila-negativas associado à identificação dos receptores de estrogênio
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(5):301-301
08-07-1999
DOI 10.1590/S0100-72031999000500010
Gilberto Uemura
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Estudo Anatomoclínico do Carcinoma Ductal Invasivo da Mama em Pacientes Axila-Negativas Associado à Identificação dos Receptores de Estrogênio. […]
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Resumos de Teses
Sangramento uterino anormal na adolescência
- Zuleide Aparecida Félix Cabral
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(5):301-302
08-07-1999

Views41

This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Summary
Resumos de Teses
Sangramento uterino anormal na adolescência
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(5):301-302
08-07-1999
DOI 10.1590/S0100-72031999000500011
Zuleide Aparecida Félix Cabral
Views41
Sangramento Uterino Anormal na Adolescência […]
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Relato de Caso
Full-term pregnancy after endometrial ablation
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(5):297-298
08-07-1999

Views78

This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Summary
Relato de Caso
Full-term pregnancy after endometrial ablation
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(5):297-298
08-07-1999
DOI 10.1590/S0100-72031999000500009
Rievane S. Damião,
Frederico F. Rodrigues,
Salete Yatabe José Francisco D. Ramos,
Reginaldo G. C. Lopes,
Umberto G Lippi
Views78
Endometrial ablation is a useful technique in patientes with abnormal uterine bleeding without response to clinical measures. Pregnancy is possible even after the destruction or resection of the endometrium. The case reported is a normal term pregnancy after endometrial ablation because ot menorrhagia without successful prior clinical treatment.

Key-words Endometrial ablation Pregnancy complications
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Review Article
Commercial Surrogacy: An Overview
- Pedro Brandão ,
- Nicolás Garrido
Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(12):1141-1158
03-24-2022

Views257

This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Summary
Review Article
Commercial Surrogacy: An Overview
Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(12):1141-1158
03-24-2022
DOI 10.1055/s-0042-1759774
Pedro Brandão ,
Nicolás Garrido
Views257
Abstract

Objective

Surrogacy is the process in which a woman carries and delivers a baby to other person or couple, known as intended parents. When carriers are paid for surrogacy, this is known as commercial surrogacy. The objective of the present work is to review the legal, ethical, social, and cultural aspects of commercial surrogacy, as well as the current panorama worldwide.

Methods

This is a review of the literature published in the 21^st century on commercial surrogacy.

Results

A total of 248 articles were included as the core of the present review. The demand for surrogate treatments by women without uterus or with important uterine disorders, single men and same-sex male couples is constantly increasing worldwide. This reproductive treatment has important ethical dilemmas. In addition, legislation defers widely worldwide and is in constant change. Therefore, patients look more and more for treatments abroad, which can lead to important legal problems between countries with different laws. Commercial surrogacy is practiced in several countries, in most of which there is no specific legislation. Some countries have taken restrictive measures against this technique because of reports of exploitation of carriers.

Conclusion

Commercial surrogacy is a common practice, despite important ethical and legal dilemmas. As a consequence of diverse national legislations, patients frequently resort to international commercial surrogacy programs. As of today, there is no standard international legal context, and this practice remains largely unregulated.

Key-words Bioethics Fertilization in vitro legislation medical medical tourism surrogacy
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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Review Article
The Female Athlete Triad/Relative Energy Deficiency in Sports (RED-S)
Revista Brasileira de Ginecologia e Obstetrícia. 2021;43(5):395-402
07-30-2021

Views309

This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Summary
Review Article
The Female Athlete Triad/Relative Energy Deficiency in Sports (RED-S)
Revista Brasileira de Ginecologia e Obstetrícia. 2021;43(5):395-402
07-30-2021
DOI 10.1055/s-0041-1730289
Alexandra Ruivo Coelho ,
Gonçalo Cardoso ,
Marta Espanhol Brito ,
Inês Neves Gomes ,
Maria João Cascais
Views309
Abstract

In a healthy athlete, the caloric intake is sufficient for sports energy needs and body physiological functions, allowing a balance between energy availability, bone metabolism, andmenstrual cycle.Onthe other hand, an imbalance causedby low energy availability dueto a restrictive diet, eating disorders or long periods of energy expenditure leads to multisystemic deregulation favoring the essential functions of the body. This phenomenon, described as the female athlete triad, occurs in a considerable percentage of high-performance athletes, with harmful consequences for their future. The present review was carried out based on a critical analysis of themost recent publications available and aims to provide a global perception of the topic relative energy deficit in sport (RED-S). The objective is to promote theacquisition ofmore consolidated knowledgeon an undervaluedtheme, enabling the acquisition of preventive strategies, early diagnosis and/or appropriate treatment.

Key-words Amenorrhea bone health female athlete low energy availability menstrual dysfunction
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Original Article
Prevalence of Premenstrual Syndrome and Associated Factors Among Academics of a University in Midwest Brazil
- Ana Paula Rodrigues Rezende ,
- Fernanda Rassi Alvarenga ,
- Marcelo Ramos ,
- Débora Luiza Franken ,
- Juvenal Soares Dias da Costa ,
- Vera Maria Vieira Paniz
Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(2):133-141
04-08-2022

Views243

This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Summary
Original Article
Prevalence of Premenstrual Syndrome and Associated Factors Among Academics of a University in Midwest Brazil
Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(2):133-141
04-08-2022
DOI 10.1055/s-0041-1741456
Ana Paula Rodrigues Rezende ,
Fernanda Rassi Alvarenga ,
Marcelo Ramos ,
Débora Luiza Franken ,
Juvenal Soares Dias da Costa ,
Marcos Pascoal Pattussi ,
Vera Maria Vieira Paniz
Views243
Abstract

Objective

To investigate the prevalence of premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD) in university students, the factors associated with PMS, the most prevalent symptoms, and the interference of symptoms in academic, family, social, and work activities.

Methods

This cross-sectional study included 1,115 university students aged ≥ 18 years from the University of Rio Verde, Goiás. Premenstrual syndrome and PMDD were identified using the Premenstrual Symptoms Screening Tool. Associations with sociodemographic, behavioral, reproductive, nutritional, and health factors were investigated using the Poisson regression.

Results

The prevalence of PMS was 46.9% (95% confidence interval [CI] 44.0-49.8), and of PMDD, 11.1% (95% CI 9.3-13.0). The most prevalent symptoms were physical, such as breast tenderness, bloating, e weight gain (73%); followed by psychological ones such as overeating/food cravings, tearful/more sensitive to rejection (> 60%). More than 30% of the patients reported that the symptoms interfered in a moderate-tosevere way in their social and academic activities. After adjusted analysis, PMS was more prevalent in those who were attending the 1st/2nd semester of college (prevalence ratio [PR] 1.44; 95% CI 1.14-1.80), those who consumed alcohol in the last 30 days (PR 1.23; 95% CI 1.04-1.47), and those who had depression (PR 1.49; 95% CI 1.30-1.71).

Conclusion

Almost half of the university students had PMS and ~ 11%, PMDD. Physical symptoms were themost common and interfered in amoderate-to-severe way in various aspects of life. Attending the first semesters, consuming alcohol, and having depression were risk factors for PMS. The identification of risk factors for PMS is essential to prevent symptoms and reduce the impact of the syndrome.

Key-words Cross-sectional studies premenstrual dysphoric disorder Premenstrual syndrome Risk factors Students
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Review Article
Cognitive Behavioral Therapy in Endometriosis, Psychological Based Intervention: A Systematic Review
Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(3):295-303
06-27-2022

Views244

This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Summary
Review Article
Cognitive Behavioral Therapy in Endometriosis, Psychological Based Intervention: A Systematic Review
Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(3):295-303
06-27-2022
DOI 10.1055/s-0042-1742406
Lilian Donatti ,
Helena Malvezzi ,
Bruna Cestari de Azevedo ,
Edmund Chada Baracat ,
Sergio Podgaec
Views244
Abstract

Introduction

Endometriosis is an inflammatory disease that affects women of reproductive age, causing pain and the possibility of infertility. Endometriosis was associated to low life quality and research shows the impact of endometriosis in several areas of life, justifying how these patients are more likely to develop depression, anxiety, and stress.

Objective

The aim of the present systematic review was to explore the field of psychology in endometriosis, identifying studies that used the cognitive behavioral therapy technique as a treatment for endometriosis and chronic pelvic pain.

Methods

The keywords used were Endometriosis and Behavioral Therapy; Behavioral Disciplines and Activities; Cognitive Behavioral Therapy; Mental Health; Psychological Techniques; Psychology; Psychotherapy; Mental Health Services; and the search was performed in the following databases: PubMed/Medline, Scielo, Lilacs, and Capes. The study followed the PRISMA guidelines and all studies whose intervention strategy used was related to cognitive-behavioral therapy were considered.

Results

Of the 129 articles found, only 5 were selected, and it was possible to identify that the psychological intervention whose approach brought cognitive-behavioral therapy techniques promoted a decrease in the sensation of pain, improvements in the scores of depression and stress, and significant changes in aspects of quality of life such as vitality, physical and social functioning, emotional well-being, control, and autonomy.

Conclusion

Cognitive-behavioral therapy can be very promising to take care of the emotional side of those who have endometriosis However, the present systematic review highlights the need to develop more structured studies with consistent, clear and replicablemethods to reach a psychological intervention protocol for patients who live with this gynecological-physical-emotional condition.

Key-words Chronic pelvic pain cognitive behavioral therapy Endometriosis psychological intervention Quality of life systematic reviews
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Original Article
Screening of Perinatal Depression Using the Edinburgh Postpartum Depression Scale
Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(5):452-457
03-04-2022

Views305

This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Summary
Original Article
Screening of Perinatal Depression Using the Edinburgh Postpartum Depression Scale
Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(5):452-457
03-04-2022
DOI 10.1055/s-0042-1743095
Tenilson Amaral Oliveira ,
Guilherme Guarany Cardoso Magalhães Luzetti ,
Márcia Maria Auxiliadora Rosalém ,
Corintio Mariani Neto
Views305
Abstract

Objective

To detect depression during pregnancy and in the immediate postpartum period using the Edinburgh postpartum depression scale (EPDS).

Methods

Cross sectional study of 315 women, aged between 14 and 44 years, who received perinatal care at the Leonor Mendes de Barros Hospital, in São Paulo, between July 1st, 2019 and October 30th, 2020. The cutoff point suggesting depression was ≥ 12.

Results

The screening indicated 62 (19.7%) patients experiencing depression. Low family income, multiparity, fewer prenatal appointments, antecedents of emotional disorders, dissatisfaction with the pregnancy, poor relationship with the partner, and psychological aggression were all risk factors associated with depression in pregnancy or in the immediate postpartum period. Antecedents of depression and psychology aggression during pregnancy were significant variables for predicting perinatal depression in the multivariate analysis.

Conclusion

There is a significant association between the occurrence of perinatal depression and the aforementioned psychosocial factors. Screening patients with the EPDS during perinatal and postpartum care could facilitate establishing a line of care to improve the wellbeing of mother and infant.

Key-words Depression Postpartum period Pregnancy Prenatal care Risk factors
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Review Article
Interventions among Pregnant Women in the Field of Music Therapy: A Systematic Review
Revista Brasileira de Ginecologia e Obstetrícia. 2021;43(5):403-413
07-30-2021

Views277

This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Summary
Review Article
Interventions among Pregnant Women in the Field of Music Therapy: A Systematic Review
Revista Brasileira de Ginecologia e Obstetrícia. 2021;43(5):403-413
07-30-2021
DOI 10.1055/s-0041-1731924
Bruna Mayumi Omori Shimada ,
Magda da Silva Oliveira Menezes dos Santos ,
Mayara Alvares Cabral ,
Vanessa Oliveira Silva ,
Gislaine Cristina Vagetti
Views277
Abstract

Objective

To investigate in the literature the studies on the benefits ofmusic therapy interventions among pregnant women in the prenatal, delivery and postpartum periods.

Data Sources

The search for articles was carried out in the following electronic databases: VHL, LILACS, SciELO, Portal CAPES, PsycINFO, ERIC, PubMed/Medline, and journals specialized in this field: Revista Brasileira de Musicoterapia (“Brazilian Journal of Music Therapy”) and Voices.

Study Selection

Descriptors in Portuguese (musicoterapia, gravidez, gestantes, revisão), English (music therapy, pregnancy, pregnant women, review) and Spanish (musicoterapia, embarazo, mujeres embarazadas, revisión) were used. The search was delimited between January 2009 and June 2019. The process of selection and evaluation of the articles was performed through peer review.

Data Collectio

n The following data were extracted: article title, year of publication, journal, author(s), database, country and date of collection, purpose of the study, sample size, type of care, intervention, instruments used, results, and conclusion. The data were organized in chronological order based on the year of publication of thestudy.

Summary of the Data

In total, 146 articles were identified, and only 23 studies were included in this systematic review. The articles found indicate among their results relaxation, decreased levels of anxiety, psychosocial stress and depression, decreased pain, increase in the maternal bond, improvement in the quality of sleep, control of the fetal heart rate and maternal blood pressure, and decreased intake of drugs in the postoperative period.

Conclusion

Music therapy during the prenatal, delivery and postpartum periods can provide benefits to pregnant women and newborns, thus justifying its importance in this field.

Key-words music music therapy Pregnancy Women's health
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Review Article
The Correlation between Chlamydia Trachomatis and Female Infertility: A Systematic Review
- Laura Gazal Passos ,
- Paula Terraciano ,
- Nicole Wolf ,
- Fernanda dos Santos de Oliveira ,
- Isabel de Almeida ,
- Eduardo Pandolfi Passos
Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(6):614-620
08-15-2022

Views275

This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Summary
Review Article
The Correlation between Chlamydia Trachomatis and Female Infertility: A Systematic Review
Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(6):614-620
08-15-2022
DOI 10.1055/s-0042-1748023
Laura Gazal Passos ,
Paula Terraciano ,
Nicole Wolf ,
Fernanda dos Santos de Oliveira ,
Isabel de Almeida ,
Eduardo Pandolfi Passos
Views275
Abstract

The impact of Chlamydia trachomatis (CT) infection on female’s fertility is not completely established yet, since the level of evidence associating these factors is still weak. Hence, the goal of the present review is to contribute to a better elucidation of this matter. The electronic database chosen was the Medline/PubMed, with the last survey on May 11, 2021. Publication date was used as a filter, with the previous 5 years having been selected. The following describers were used: chlamydia trachomatis AND infertility; chlamydia trachomatis AND tubal alteration AND infertility; chlamydia AND low pregnancy rates. From the 322 studies screened, 293 that failed to meet our eligibility criteria were excluded. Subsequently, we removed seven studies for not having the possible correlation between CT infections and female infertility as its main focus, and three for being about sexually transmitted infections (STIs) in general. Moreover, two studies designed as reviews were also excluded. Ergo, we included 17 studies in our qualitative analysis. The authors conducted research individually and analyzed carefully the studies selected. As we retrieved the information needed for our study through reading the texts, no contact was made with the authors of the studies selected. This systematic review corroborates the hypothesis that CT infection potentiates female infertility, as 76.47% of the included studies found a positive correlation between them. We conclude that there is an important association between CT infection and female infertility. Ergo, making CT screening part of the infertility investigation routine is relevant and has a reasonable justification.

Key-words Chlamydia trachomatis human reproduction Infertility Sexually transmitted diseases tubal factor infertility
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Review Article
Polycystic Ovary Syndrome in Adolescence: Challenges in Diagnosis and Management
- Mariana Enxuto Santos Manique ,
- Ana Margarida Antunes Póvoa Ferreira
Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(4):425-433
06-27-2022

Views230

This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Summary
Review Article
Polycystic Ovary Syndrome in Adolescence: Challenges in Diagnosis and Management
Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(4):425-433
06-27-2022
DOI 10.1055/s-0042-1742292
Mariana Enxuto Santos Manique ,
Ana Margarida Antunes Póvoa Ferreira
Views230
Abstract

Diagnosing polycystic ovary syndrome (PCOS) during adolescence is challenging since normal pubertal development overlap typical features of this syndrome. The authors aim to summarize the existing evidence concerning PCOS in adolescence, particularly its diagnostic criteria and therapeutic options. A search throughout medical databases such as PubMed and MedScape was performed. Diagnostic criteria include irregular menstrual cycles according to time postmenarche and evidence of clinical hyperandrogenism and/or biochemical hyperandrogenism, provided other causes have been excluded. Polycystic ovarianmorphology ought not to be used as a diagnostic criterion. Treatment should targetmanifestations and/or comorbidities, even in the absence of a definite diagnosis. Lifestyle interventions are the first-line treatment. Combined oral contraceptives, metformin or antiandrogens may also be considered as adjuvants. Screening for PCOS in adolescence is crucial as it allows an early intervention on the symptoms and comorbidities presented leading to better long-term reproductive and metabolic outcomes.

Key-words Adolescence Diagnosis management Polycystic ovary syndrome
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FEBRASGO POSITION STATEMENT

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GUIDELINES

Integrative Review

Letter to Editor

Letter to the Editor

Métodos e Técnicas

Nominata 2024

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Original Article

Original Article/Contraception

Original Article/Infertility

Original Article/Obstetrics

Original Article/Oncology

Original Article/Sexual Violence/Pediatric and Adolescent Gynecology

Original Article/Teaching and Training

Original Articles

Relato de Caso

Relato de Casos

Relatos de Casos

Reply to the Letter to the Editor

Resposta dos Autores

Resumo De Tese

Resumos de Tese

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Resumos dos Trabalhos Premiados no 50º Congresso Brasileiro de Ginecologia e Obstetrícia

Review

Review Article

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Técnica e Equipamentos

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Trabalhos Originais

Year / Volume

2025; v.47

2025; v.46

2024; v.46

2023; v.45

2022; v.44

2021; v.43

2020; v.42

2019; v.41

2018; v.40

2017; v.39

2016; v.38

2015; v.37

2014; v.36

2013; v.35

2012; v.34

2011; v.33

2010; v.32

2009; v.31

2008; v.30

2007; v.29

2006; v.28

2005; v.27

2004; v.26

2003; v.25

2002; v.24

2001; v.23

2000; v.22

1999; v.21

1998; v.20

ISSUE

Articles - Revista Brasileira de Ginecologia e Obstetrícia

Fetal pulse oximetry: relationship between oxygen saturation at second stage of labor and the umbilical artery pH at birth

Reverse blood flow in ductus venosus: new perspective in detection of chromosomal abnormalities

As sociedades científicas, sua proliferação e a ética

Avaliação dos padrões vasculares uterino e placentário no primeiro trimestre das gestações normal e patológica

Dopplervelocimetria das artérias uterinas, arqueadas e espiraladas no prognóstico de receptividade endometrail de mulheres em ciclos estimulados para fertilização in vitro

Estudo anatomoclínico do carcinoma ductal invasivo da mama em pacientes axila-negativas associado à identificação dos receptores de estrogênio

Sangramento uterino anormal na adolescência

Full-term pregnancy after endometrial ablation

Commercial Surrogacy: An Overview

The Female Athlete Triad/Relative Energy Deficiency in Sports (RED-S)

Prevalence of Premenstrual Syndrome and Associated Factors Among Academics of a University in Midwest Brazil

Cognitive Behavioral Therapy in Endometriosis, Psychological Based Intervention: A Systematic Review

Screening of Perinatal Depression Using the Edinburgh Postpartum Depression Scale

Interventions among Pregnant Women in the Field of Music Therapy: A Systematic Review

The Correlation between Chlamydia Trachomatis and Female Infertility: A Systematic Review

Polycystic Ovary Syndrome in Adolescence: Challenges in Diagnosis and Management

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Fetal pulse oximetry: relationship between oxygen saturation at second stage of labor and the umbilical artery pH at birth

Reverse blood flow in ductus venosus: new perspective in detection of chromosomal abnormalities

As sociedades científicas, sua proliferação e a ética

Avaliação dos padrões vasculares uterino e placentário no primeiro trimestre das gestações normal e patológica

Dopplervelocimetria das artérias uterinas, arqueadas e espiraladas no prognóstico de receptividade endometrail de mulheres em ciclos estimulados para fertilização in vitro

Estudo anatomoclínico do carcinoma ductal invasivo da mama em pacientes axila-negativas associado à identificação dos receptores de estrogênio

Sangramento uterino anormal na adolescência

Full-term pregnancy after endometrial ablation

Commercial Surrogacy: An Overview

Abstract

Objective

Methods

Results

Conclusion

The Female Athlete Triad/Relative Energy Deficiency in Sports (RED-S)

Abstract

Prevalence of Premenstrual Syndrome and Associated Factors Among Academics of a University in Midwest Brazil

Abstract

Objective

Methods

Results

Conclusion

Cognitive Behavioral Therapy in Endometriosis, Psychological Based Intervention: A Systematic Review

Abstract

Introduction

Objective

Methods

Results

Conclusion

Screening of Perinatal Depression Using the Edinburgh Postpartum Depression Scale

Abstract

Objective

Methods

Results

Conclusion

Interventions among Pregnant Women in the Field of Music Therapy: A Systematic Review

Abstract

Objective

Data Sources

Study Selection

Data Collectio

Summary of the Data

Conclusion

The Correlation between Chlamydia Trachomatis and Female Infertility: A Systematic Review

Abstract

Polycystic Ovary Syndrome in Adolescence: Challenges in Diagnosis and Management

Abstract

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