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  • Editorial

    Contraception for Women with Polycystic Ovary Syndrome:Dealing with a Complex Condition

    Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(4):325-326

    Summary

    Editorial

    Contraception for Women with Polycystic Ovary Syndrome:Dealing with a Complex Condition

    Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(4):325-326

    DOI 10.1055/s-0042-1748036

    Views21
    Polycystic ovary syndrome (PCOS) is a complex condition, affecting around 9 to 13% of women at reproductive age and characterized by menstrual irregularity, ovulatory dysfunction, hyperandrogenism and polycystic ovarian morphology. Women with PCOS also present higher prevalence of obesity, cardiometabolic disturbances, such as dyslipidemia and hypertension and greater risk of impaired glucose tolerance and diabetes. […]
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  • Original Article

    Sedentary Lifestyle and High-Carbohydrate Intake are Associated with Low-Grade Chronic Inflammation in Post-Menopause: A Cross-sectional Study

    Revista Brasileira de Ginecologia e Obstetrícia. 2016;38(7):317-324

    Summary

    Original Article

    Sedentary Lifestyle and High-Carbohydrate Intake are Associated with Low-Grade Chronic Inflammation in Post-Menopause: A Cross-sectional Study

    Revista Brasileira de Ginecologia e Obstetrícia. 2016;38(7):317-324

    DOI 10.1055/s-0036-1584582

    Views14

    Abstract

    Introduction

    Cardiovascular disease (CVD) is the leading cause of death in post menopausal women, and inflammation is involved in the atherosclerosis process.

    Purpose

    to assess whether dietary pattern, metabolic profile, body composition and physical activity are associated with low-grade chronic inflammation according to highsensitivity C-reactive protein (hs-CRP) levels in postmenopausal women.

    Methods

    ninety-five postmenopausal participants, with no evidence of clinical disease, underwent anthropometric, metabolic and hormonal assessments. Usual dietary intake was assessed with a validated food frequency questionnaire, habitual physical activity was measured with a digital pedometer, and body composition was estimated by bioelectrical impedance analysis. Patients with hs-CRP ≥ 10 mg/L or using hormone therapy in the last three months before the study were excluded from the analysis. Participants were stratified according to hs-CRP lower or ≥3 mg/L. Sedentary lifestyle was defined as walking fewer than 6 thousand steps a day. Two-tailed Student's t-test, Wilcoxon-Mann-Whitney U or Chi-square (x 2) test were used to compare differences between groups. A logistic regression model was used to estimate the odds ratio of variables for high hs-CRP.

    Results

    participants with hs-CRP ≥ 3 mg/L had higher body mass index (BMI), body fat percentage, waist circumference (WC), triglycerides, glucose, and homeostasis model assessment of insulin resistance (HOMA-IR) (p = 0.01 for all variables) than women with hs-CRP <3 mg/L. Also, women with hs-CRP ≥3 mg/L had a higher glycemic load diet and lower protein intake. Prevalence of sedentary lifestyle (p < 0.01) and metabolic syndrome (p < 0.01) was higher in women with hs-CRP ≥3 mg/L. After adjustment for age and time since menopause, the odds ratio for hs- CRP ≥3 mg/L was higher for sedentary lifestyle (4.7, 95% confidence interval [95%CI] 1.4-15.5) and carbohydrate intake (2.9, 95%CI 1.1-7.7).

    Conclusions

    sedentary lifestyle and high-carbohydrate intake were associated with low-grade chronic inflammation and cardiovascular risk in postmenopause.

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  • Editorial

    Primary and secondary prevention of metabolic and cardiovascular comorbidities in women with polycystic ovary syndrome

    Revista Brasileira de Ginecologia e Obstetrícia. 2015;37(1):01-04

    Summary

    Editorial

    Primary and secondary prevention of metabolic and cardiovascular comorbidities in women with polycystic ovary syndrome

    Revista Brasileira de Ginecologia e Obstetrícia. 2015;37(1):01-04

    DOI 10.1590/SO100-720320140005212

    Views2
    Current concepts on polycystic ovary syndrome Polycystic ovary syndrome (PCOS) is a very common endocrine disease, affecting women of reproductive age. The prevalence of PCOS varies according to the diagnostic criteria used, with estimates ranging from 9% in women of reproductive age according to NIH criteria up to 18% with Rotterdam criteria , . Evidence […]
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    Primary and secondary prevention of metabolic and cardiovascular comorbidities in women with polycystic ovary syndrome
  • Revisão

    Current aspects on diagnosis and treatment of endometriosis

    Revista Brasileira de Ginecologia e Obstetrícia. 2010;32(6):298-307

    Summary

    Revisão

    Current aspects on diagnosis and treatment of endometriosis

    Revista Brasileira de Ginecologia e Obstetrícia. 2010;32(6):298-307

    DOI 10.1590/S0100-72032010000600008

    Views3

    Endometriosis is characterized by the presence of endometrial tissue, localized outside the uterine cavity, such as peritoneal surface, ovaries, and rectum-vaginal septum. The prevalence is about 6 to 10%. Concerning the etiopathogenesis, the retrograde menstruation theory is accepted, although disruption in endometrial molecular biology seems to be fundamental to the development of endometriosis ectopic focuses. Women with endometriosis may be asymptomatic or may present complaints of dysmenorrhea, dispareunia, chronic pelvic pain and/or infertility. Although the definitive diagnosis of endometriosis needs a surgical intervention, mainly by laparoscopy, many findings obtained by physicalexamination and imaging and laboratory tests can predict, with a high degree of reliability, that the patient has endometriosis. The most common current treatments include surgery, ovarian suppression therapy or both. Pharmacological treatments that do not inhibit ovarian function are under investigation.

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    Current aspects on diagnosis and treatment of endometriosis
  • Artigo de Revisão

    Etiological diagnosis of hirsutism and implications for the treatment

    Revista Brasileira de Ginecologia e Obstetrícia. 2009;31(1):41-47

    Summary

    Artigo de Revisão

    Etiological diagnosis of hirsutism and implications for the treatment

    Revista Brasileira de Ginecologia e Obstetrícia. 2009;31(1):41-47

    DOI 10.1590/S0100-72032009000100008

    Views0

    Hirsutism may be defined as the presence of terminal hair in the women, with a male pattern of distribution. The clinical presentation is variable, from isolated hirsutism to the presence of other signs of hyperandrogenism, menstrual irregularities and/or infertility. Hirsutism is related to serum androgens and to the cutaneous sensitivity to these hormones. The most prevalent causes of hirsutism are polycystic ovary syndrome and isolated hirsutism, in the presence of ovulatory cycles. Non-classical congenital adrenal hyperplasia (21-hydroxylase deficiency) and drug-induced hirsutism are less frequent causes. Androgen-secreting neoplasms and Cushing syndrome are rare etiologies related to hirsutism. Diagnostic evaluation should address on identifying the etiology and potential risk for associated comorbidities. The aims of the treatment are: to suppress androgen overproduction, if present; to block androgen action on hair follicles; to identify and treat patients at risk for metabolic disturbances or reproductive neoplasias.

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    Etiological diagnosis of hirsutism and implications for the treatment

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