Articles - Revista Brasileira de Ginecologia e Obstetrícia

Case Report07-10-2000

Mastitis due to Paracoccidioidomycosis: a Case Report
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(9):593-596

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Abstract
Case Report
Mastitis due to Paracoccidioidomycosis: a Case Report
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(9):593-596
DOI 10.1590/S0100-72032000000900009
Antônio Chambô Filho,
Fabio Leal Laignier Borges,
Luiz Cálice Cintra,
Rubia Mara Martins
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Paracoccidioidomycosis is an important systemic endemic mycosis in Latin America. This infection is usually acquired via inhalation of mycelial particles. Most infected subjects develop an asymptomatic infection, which is associated with various host-related factors such as sex, age, genetic, as well as characteristics of the infecting agent, mainly its virulence. It is a systemic pathology. A case of mastitis due to paracoccidioidomycosis is presented with the objective to demonstrate that elderly patients with a breast abscess should be submitted to biopsy.

Key-words Breast Paracoccidioides brasiliensis Paracoccidioidomycosis
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Original Article07-10-2000

Analysis of Avoidable Mortality Among Women in Reproductive Age
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(9):579-584

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Abstract
Original Article
Analysis of Avoidable Mortality Among Women in Reproductive Age
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(9):579-584
DOI 10.1590/S0100-72032000000900007
Mary Angela Parpinelli,
Aníbal Faúndes,
José Guilherme Cecatti,
Belmiro Gonçalves Pereira,
Renato Passini Júnior,
Eliana Amaral
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Purpose: to evaluate the avoidable mortality among women in reproductive age, living in Campinas, SP, comparing two five-year periods: 1985-89 and 1990-94. Methods: death certificates of 3.086 women aged 10 to 49 years were studied, representing the total number of deaths during the period from January 1985 through December 1994. The criteria for avoidance were applied to these deaths using preventive, sanitary, early diagnosis and treatment, and mixed measures. The deaths were also classified as: with hardly avoidable causes, not well-defined causes and other causes. The specific mortality coefficient for each period of five years and the ratio between these coefficients were calculated. Results: there was a 20% increase in the avoidable mortality rate from the first to the second period. The main failure was observed among the group of avoidable causes by preventive and sanitary measures. The main increase in death causes by preventive measures resulted from AIDS. Among the causes of death avoidable by mixed measures, the increase of 50% in maternal mortality caused by abortion, as well as causes due to violence specially homicides, are emphasized. Conclusion: there was an increase in the proportion of avoidable death causes. Measures to prevent AIDS, abortion and to reduce violent deaths, specially homicides, should be political and social priorities in our Country.

Key-words AIDS Avoidable mortality Reproductive health Women mortality
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Original Article07-10-2000

Treatment of Eclampsia: Comparative Study on the Use of Magnesium Sulfate and Phenytoin
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(9):543-549

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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.
Abstract
Original Article
Treatment of Eclampsia: Comparative Study on the Use of Magnesium Sulfate and Phenytoin
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(9):543-549
DOI 10.1590/S0100-72032000000900002
João de Deus Valadares Neto,
Anna Maria Bertini,
Wladimir Corrêa Taborda,
Joaquim Vaz Parente
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Purpose: to compare the efficiency between magnesium sulfate and phenytoin in the control of convulsions in patients with eclampsia and to evaluate the effects of magnesium sulfate and phenytoin on the maternal and perinatal prognosis in patients with eclampsia. Methods: this is a prospective, randomized and controlled study in which the results obtained with the use of anticonvulsive treatment in 77 women with eclampsia, treated with either magnesium sulfate or phenytoin, were analyzed comparatively. The drugs which were used in both therapeutic schemes were distributed in a one to one ratio, in randomly numbered boxes which presented similar characteristics. When a patient was admitted, a box was opened and its contents were given to the patient. Results: in the group whose patients were treated with magnesium sulfate, 19.5% had recurrent convulsions while in the group whose patients used phenytoin, 36.1% had new crises (p<0,05). The patients who were treated with magnesium sulfate showed a greater prevalence of postpartum hemorrhage (14,7%) than those to whom phenytoin was administered (2.7%) (p<0.05). In relation to the newborns, 17.0% of the group from mothers treated with magnesium sulfate presented respiratory distress as opposed to the group of newborns from mothers treated with phenytoin (11.8%), (p> 0,05). Conclusion: magnesium sulfate is shown to be more efficient than phenytoin in the control and the prevention of convulsions in patients with eclampsia. However, its utilization showed a higher prevalence of postpartum hemorrhage and respiratory distress. Phenytoin should be used in cases where the use of magnesium sulfate is contraindicated.

Key-words Eclampsia Hypertension Magnesium sulfate Phenytoin Puerperium Respiratory distress syndrome
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Recadastramento de Sócios
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(9):541-541

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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.
Abstract
Recadastramento de Sócios
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(9):541-541
DOI 10.1590/S0100-72032000000900001
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Recadastramento de Sócios […]
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Resumos de Teses01-04-2000

Comparação entre a Glicemia de Jejum Associada aos Fatores de Risco e o Teste Oral de Tolerância à Glicose Simplificado no Rastreamento do Diabete Gestacional
- Wilson Ayach
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(5):313-313

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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.
Abstract
Resumos de Teses
Comparação entre a Glicemia de Jejum Associada aos Fatores de Risco e o Teste Oral de Tolerância à Glicose Simplificado no Rastreamento do Diabete Gestacional
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(5):313-313
DOI 10.1590/S0100-72032000000500014
Wilson Ayach
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Comparação entre a Glicemia de Jejum Associada aos Fatores de Risco e o Teste Oral de Tolerância à Glicose Simplificado no Rastreamento do Diabete Gestacional[…]
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Resumos de Teses01-04-2000

Influência do Ambiente Peritoneal sobre a Iluminação e a Cor de Objeto Padrão Visualizado por meio de Videolaparoscopia: Estudo Experimental
- Daniel Klotzel
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(5):313-313

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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.
Abstract
Resumos de Teses
Influência do Ambiente Peritoneal sobre a Iluminação e a Cor de Objeto Padrão Visualizado por meio de Videolaparoscopia: Estudo Experimental
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(5):313-313
DOI 10.1590/S0100-72032000000500015
Daniel Klotzel
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Influência do Ambiente Peritoneal sobre a Iluminação e a Cor de Objeto Padrão Visualizado por meio de Videolaparoscopia. Estudo Experimental[…]
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Resumos de Teses01-04-2000

Monitorização Ambulatorial da Pressão Arterial em Gestantes Normotensas: Estudo Longitudinal do Ritmo Pressórico e da Freqüência Cardíaca
- Antônio Vieira Machado
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(5):312-312

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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.
Abstract
Resumos de Teses
Monitorização Ambulatorial da Pressão Arterial em Gestantes Normotensas: Estudo Longitudinal do Ritmo Pressórico e da Freqüência Cardíaca
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(5):312-312
DOI 10.1590/S0100-72032000000500013
Antônio Vieira Machado
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Monitorização Ambulatorial da Pressão Arterial em Gestantes Normotensas: Estudo Longitudinal do Ritmo Pressórico e da Freqüência Cardíaca[…]
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Resumos de Teses01-04-2000

Quimioterapia Neoadjuvante para o Tratamento do Câncer de Mama: Avaliação Clínica, Imunológica e Psicológica Comparada ao Índice de Resposta
- Carlos Francisco Erbolato Melo
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(5):312-312

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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.
Abstract
Resumos de Teses
Quimioterapia Neoadjuvante para o Tratamento do Câncer de Mama: Avaliação Clínica, Imunológica e Psicológica Comparada ao Índice de Resposta
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(5):312-312
DOI 10.1590/S0100-72032000000500012
Carlos Francisco Erbolato Melo
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Quimioterapia Neoadjuvante para o Tratamento do Câncer de Mama. Avaliação Clínica, Imunológica e Psicológica Comparada ao Índice de Resposta[…]
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Review Article03-24-2022

Commercial Surrogacy: An Overview
- Pedro Brandão ,
- Nicolás Garrido
Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(12):1141-1158

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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.
Abstract
Review Article
Commercial Surrogacy: An Overview
Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(12):1141-1158
DOI 10.1055/s-0042-1759774
Pedro Brandão ,
Nicolás Garrido
Views359
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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Review Article07-30-2021

The Female Athlete Triad/Relative Energy Deficiency in Sports (RED-S)
Revista Brasileira de Ginecologia e Obstetrícia. 2021;43(5):395-402

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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.
Abstract
Review Article
The Female Athlete Triad/Relative Energy Deficiency in Sports (RED-S)
Revista Brasileira de Ginecologia e Obstetrícia. 2021;43(5):395-402
DOI 10.1055/s-0041-1730289
Alexandra Ruivo Coelho ,
Gonçalo Cardoso ,
Marta Espanhol Brito ,
Inês Neves Gomes ,
Maria João Cascais
Views408
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 Article03-04-2022

Screening of Perinatal Depression Using the Edinburgh Postpartum Depression Scale
Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(5):452-457

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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.
Abstract
Original Article
Screening of Perinatal Depression Using the Edinburgh Postpartum Depression Scale
Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(5):452-457
DOI 10.1055/s-0042-1743095
Tenilson Amaral Oliveira ,
Guilherme Guarany Cardoso Magalhães Luzetti ,
Márcia Maria Auxiliadora Rosalém ,
Corintio Mariani Neto
Views412
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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Original Article04-08-2022

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

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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.
Abstract
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
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
Views315
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 Article07-30-2021

Interventions among Pregnant Women in the Field of Music Therapy: A Systematic Review
Revista Brasileira de Ginecologia e Obstetrícia. 2021;43(5):403-413

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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.
Abstract
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
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
Views373
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 Article06-27-2022

Cognitive Behavioral Therapy in Endometriosis, Psychological Based Intervention: A Systematic Review
Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(3):295-303

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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.
Abstract
Review Article
Cognitive Behavioral Therapy in Endometriosis, Psychological Based Intervention: A Systematic Review
Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(3):295-303
DOI 10.1055/s-0042-1742406
Lilian Donatti ,
Helena Malvezzi ,
Bruna Cestari de Azevedo ,
Edmund Chada Baracat ,
Sergio Podgaec
Views327
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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Review Article08-15-2022

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

Views371

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.
Abstract
Review Article
The Correlation between Chlamydia Trachomatis and Female Infertility: A Systematic Review
Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(6):614-620
DOI 10.1055/s-0042-1748023
Laura Gazal Passos ,
Paula Terraciano ,
Nicole Wolf ,
Fernanda dos Santos de Oliveira ,
Isabel de Almeida ,
Eduardo Pandolfi Passos
Views371
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 Article06-27-2022

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

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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.
Abstract
Review Article
Polycystic Ovary Syndrome in Adolescence: Challenges in Diagnosis and Management
Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(4):425-433
DOI 10.1055/s-0042-1742292
Mariana Enxuto Santos Manique ,
Ana Margarida Antunes Póvoa Ferreira
Views339
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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ISSUE

Articles - Revista Brasileira de Ginecologia e Obstetrícia

Mastitis due to Paracoccidioidomycosis: a Case Report

Analysis of Avoidable Mortality Among Women in Reproductive Age

Treatment of Eclampsia: Comparative Study on the Use of Magnesium Sulfate and Phenytoin

Recadastramento de Sócios

Comparação entre a Glicemia de Jejum Associada aos Fatores de Risco e o Teste Oral de Tolerância à Glicose Simplificado no Rastreamento do Diabete Gestacional

Influência do Ambiente Peritoneal sobre a Iluminação e a Cor de Objeto Padrão Visualizado por meio de Videolaparoscopia: Estudo Experimental

Monitorização Ambulatorial da Pressão Arterial em Gestantes Normotensas: Estudo Longitudinal do Ritmo Pressórico e da Freqüência Cardíaca

Quimioterapia Neoadjuvante para o Tratamento do Câncer de Mama: Avaliação Clínica, Imunológica e Psicológica Comparada ao Índice de Resposta

Commercial Surrogacy: An Overview

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

Screening of Perinatal Depression Using the Edinburgh Postpartum Depression Scale

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

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

Cognitive Behavioral Therapy in Endometriosis, Psychological Based Intervention: 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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Mastitis due to Paracoccidioidomycosis: a Case Report

Analysis of Avoidable Mortality Among Women in Reproductive Age

Treatment of Eclampsia: Comparative Study on the Use of Magnesium Sulfate and Phenytoin

Recadastramento de Sócios

Comparação entre a Glicemia de Jejum Associada aos Fatores de Risco e o Teste Oral de Tolerância à Glicose Simplificado no Rastreamento do Diabete Gestacional

Influência do Ambiente Peritoneal sobre a Iluminação e a Cor de Objeto Padrão Visualizado por meio de Videolaparoscopia: Estudo Experimental

Monitorização Ambulatorial da Pressão Arterial em Gestantes Normotensas: Estudo Longitudinal do Ritmo Pressórico e da Freqüência Cardíaca

Quimioterapia Neoadjuvante para o Tratamento do Câncer de Mama: Avaliação Clínica, Imunológica e Psicológica Comparada ao Índice de Resposta

Commercial Surrogacy: An Overview

Abstract

Objective

Methods

Results

Conclusion

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

Abstract

Screening of Perinatal Depression Using the Edinburgh Postpartum Depression Scale

Abstract

Objective

Methods

Results

Conclusion

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

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

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

Abstract

Introduction

Objective

Methods

Results

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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