RESUMEN
OBJECTIVE: To assess compliance with hormone replacement therapy in postmenopausal women. METHOD: Two groups were compared prospectively: 100 women who sought treatment for menopausal symptoms, and 82 women who had undergone a total abdominal hysterectomy with bilateral salpingo-oophorectomy and were using estrogen replacement therapy. RESULTS: Compliance rates after 6 months were 81.0% and 84.1% in the two groups, respectively, and after 12 months, 73.0% and 80.5%. CONCLUSIONS: The high rates are attributed to our investment in patient education of the benefits of treatment and repeated and close follow-up.
Asunto(s)
Terapia de Reemplazo de Estrógeno , Cooperación del Paciente , Adulto , Estrógenos Conjugados (USP)/uso terapéutico , Femenino , Humanos , Acetato de Medroxiprogesterona/uso terapéutico , Persona de Mediana Edad , Congéneres de la Progesterona/uso terapéutico , Estudios ProspectivosRESUMEN
A combined method consisting of extraamniotic infusion of normal saline with prostaglandin F2 alpha was used in 20 patients for termination of midtrimester missed abortion. All 20 patients aborted within 12 h. The mean infusion abortion interval was 7.34 h. Side effects were observed only in 5 patients (25%), a low percentage when compared with other prostaglandin methods. The possibility of adjusting or stopping the infusion permitted the rapid control of side effects and the intensity of uterine contractions. According to the results obtained in this series, the proposed method seems to be more suitable than other procedures reported for termination of midtrimester missed abortion.
Asunto(s)
Aborto Inducido , Aborto Retenido/terapia , Prostaglandinas F/administración & dosificación , Adulto , Cuello del Útero/efectos de los fármacos , Dinoprost , Femenino , Humanos , Embarazo , Prostaglandinas F/efectos adversosRESUMEN
Measurements of human chorionic gonadotropin (HCG), luteinizing hormone (LH), and progesterone were carried out by means of radioimmunoassays in 21 women with regular menstruating cycles, using an intrauterine device (IUD). Serum HCG was undetectable in 10 women. In 11 women very small amounts of HCG were detected, all under 3 mIU/ml. HCG curves were inactive and flat; in one case the highest level of HCG coincided with the LH peak; in another case HCG was detected in spite of lack of ovulation. These facts suggest a cross-reactivity of LH and no real presence of HCG.
PIP: It has been reported that HCG (human chorionic gonadotropins) found in IUD users is a sign of an implantation of fertilized ovum, and that irregular bleeding in the IUD users may be a sign of an early abortion. Other authors contend, however, that HCG levels found in IUD wearers coincide with the peak of LH (luteinizing hormone) and are therefore a sign of cross reaction rather than the actual presence of real HCG. This study was conducted to investigate the presence of HCG during the luteal phase of 21 IUD wearers (aged 22 to 39 years) with menstrual cycles ranging from 25 to 33 days. A total of 80 blood samples was collected and analyzed for levels of HCG B-subunit, LH, and progesterone using radioimmunoassays. 10 women did not exhibit measurable amounts of B-subunit of HCG. In the other 11, very small amounts of HCG were detected (all under 3 mIU/ml. In 1 case, level of progesterone measured (0.6 to 0.7 ng/ml) pointed to a lack of ovulation while in another case, the highest level of HCG (2.5 mIU/ml paralleled the peak of LH reached at 44.6 mIU/ml. The findings suggest that cross reactivity causes the presence of small amounts of HCG in the blood of IUD wearers.
Asunto(s)
Gonadotropina Coriónica/sangre , Dispositivos Intrauterinos , Adulto , Femenino , Humanos , Hormona Luteinizante/sangre , Progesterona/sangre , RadioinmunoensayoRESUMEN
Thirteen nephrosclerotic women were followed for 2 to 7 years from the time a diagnosis was made following a pregnancy complicated by hypertension. Ten patients developed sustained hypertension. Twelve women who were examined responded with a hypertensive pattern to acute salt load. Of the 10 patients who were examined, seven had a reduced renal plasma flow (RPF) demonstrated by the phenolsulfonphthalein (PSP) excretion test. The present observations support the view that the vascular lesion in the kidneys precedes and persists independently of pregnancy. The pregnant state brings the hypertensive disease to clinical expression.
Asunto(s)
Hipertensión/etiología , Nefroesclerosis/complicaciones , Complicaciones Cardiovasculares del Embarazo/etiología , Adulto , Femenino , Estudios de Seguimiento , Humanos , EmbarazoRESUMEN
A total of 154 patients after adnexal operations between 1969-1973 were queried in order to establish fertility rate after operation. Out of the 154 questioned 122 submitted their reply. i.e. 69.2 per cent. These women were divided into three groups. The first one comprised 46 patients operated because of extrauterine pregnancy, the second consisted of 50 patients operated because of ovarian cyst and the third one included 18 women operated because of bilateral adnexal pathology. In the first group 90 per cent of the patients who desired so succeeded to become pregnant. In the second group 87 per cent succeeded and 66.6 per cent in the third group. The possible ethyological factors of sterility after adnexal operations were discussed and conservative operations were proposed as the most convenient policy in cases of bilateral adnexal pathology.