A case-control study was designed to evaluate risk factors for gestational trophoblastic disease. At Arzobispo Loayza Hospital, between 1984 lo 1992. The incidence of hydatidyforme mole was 4,711000 deliveries. Mean age of the study group was 28,42 years. High school level of education was associated with lower risk (OR=0,48; CI=0,233-0,98). Socioeconomic status was not related to risk. No effect of protection or risk was related to the parity of the patients. Women with the disease bad an average age at first pregnancy (19,97 years) lower than that of controls (21,22 years). The personal history of previous gestational trophoblastic disease was associated with an odds ratio of 6.51; however, it was without significance (p=0,101).

To determine the incidence and characteristics of presentation of endometriosis patients with infertility. DESIGN: In a retrospective study of medical records of 2720 patients attending the Infertility Clinic of the Archbishop Loayza Hospital, between the months of January 1993 and July 1997 was revised RESULTS: Of the 532 patients underwent laparoscopy or laparotomy and 773 cases of endometriosis was found, representing 32.5%. They entered the study 166 cases that met the inclusion criteria. The age of the patients was 33.3 ± 4.9 years (mean ± standard deviation). 59% of the cases occurred in stage I of endometriosis. Most patients (59.6%) had primary infertility and infertility average time was 51.2 (± 38.4) months. 75.9% of the patients had some type of symptoms, primarily pain (dysmenorrhea, dyspareunia, chronic pelvic pain), but only 25.9% had alterations in the pelvic exam. 66% ...

Human reproduction is an important phenomenon in the perpetuation of life and important also in terms of its social and human implications. According to estimates, it is considered that in a population there 10-15% of couples who can not fulfill this role. We do not know whether in developing countries or rather underdeveloped countries where social and economic conditions have intimate relationship with the levels of nutrition, education, housing, sanitation, health (especially regarding the presence of infectious diseases), percentage of infertile couples is higher. There are no epidemiological studies that inform us about it.

Objective: To determine the current status of male infertility in a general hospital. Design: Descriptive, retrospective study. Material and Methods: We reviewed 371 charts of male patients attended at Arzobispo Loayza Hospital Infertility Service in a 4 - year period. Inclusion criteria were male infertility diagnosis with pathological results in two or more spermatograms and/or ejaculatory sexual dysfunction. Results: We found 79 cases of male infertility, incidence 21,3%. Average age at diagnosis was 35, 9 years, average time of infertility 4 years, 64,8% with primary infertility. Most frequent diagnosis were infection of accessory sexual glands (38%), abnormal seminal plasma (16,5%), azoospermia (15,2%), idiopathic astenozoospermia (12, 7%). Most frequent germ found was hemolytic Streptococcus alpha (50%). 22,8% of the couples conceived mostly with antibiotics use, intrauterine insem...

The cases of two patients with cervical ectopic pregnancy with fertility desire depreservación treated with methotrexate (MYX) single dose -50 mg / m2 is presented. The findings as well as treatment and evolution is discussed.

OBJECTIVES: To identify the characteristics of patients with infertility and hyperprolactinemia (HPRL). METHOD: 464 medical records of 39 women Infertility Service of Archbishop Loayza (HAL) Hospital were reviewed; selected which had at least two dosages of prolactin (PRL) levels greater than 25 ng / ml, aged between 15 and 42 years, while infertility> 1 years and sexually active. RESULTS: Patients with HPRL represent 8.4% of infertile women HAL. Of these, 56.4% had PRL between 26 and 50 ng / mL; average age of 33.1 years and 5.4 years time disease. The most relevant antecedents were: abortion (48.7%), galactorrhea (35.9%), menstrual disorders (25.6%), unsatisfactory sex (23.1%) and exercise (23.1%). The most important clinical findings were: galactorrhea (46.2%), BMI> 25 mass (44.8%) and inadequate luteal phase (43.6%). The most common etiologic diagnoses were idiopathic HPRL (53.8%) an...

OBJECTIVE: To determine the incidence and maternal characteristics, birth and neonatal delayed asymmetrical and symmetrical growth. MATERIALS AND METHODS: A descriptive, retrospective study of 396 live births with fetal growth retardation (RCF). RESULTS: The annual incidence was 10.1%, with asymmetrical 242 (61.1%) and symmetrical 154 (38.9%). In single mothers it was higher asymmetrical and cohabitants, symmetrical. There was adequate prenatal care in 71.7%. There were no differences between anthropometric measures, weight gain and maternal hemoglobin between the two types. Preeclampsia, urinary tract infection, premature rupture of membranes, previous cesarean section, premature birth and multiple pregnancy were associated pathologies more frequent, taking the last two significant relationship with symmetrical delay. The fetal malformations represented 4.5% and 4.1% in infants with sy...

Objective: To evaluate clinical and hormonal findings related to polycystic ovary. Design: Retrospective study. Setting: Gynecology and Infertility Service, Arzobispo Loayza Hospital. Material and Methods: Hormonal profile was determined in 69 reproductive age patients with transvaginal ultrasound diagnosis of polycystic ovaries. Results: Patients presented oligoamenorrhea in 67,7%, infertility in 28,8%, hirsutism in 23,7% and body mass index > 25 in 42,4%. LH was elevated in 47,1 %, LH/FSH > 2 in 24,5% and high testosterone in 20,9 %. Sixty-four per cent of obese women presented oligoamenorrhea, 42,8% hirsutism, 50% infertility and 50% high LH. Conclusion: There was hormonal and clinical correlation with obesity in polycystic ovaries patients.

This work was performed at the Fertility Centre of the Archbishop Loayza Hospital, covering 3,600 patients from 1955 to 1977. They selected 1,707 who completed their study.

Objective: To evaluate clinical and hormonal findings related to polycystic ovary. Design: Retrospective study. Setting: Gynecology and Infertility Service, Arzobispo Loayza Hospital. Material and Methods: Hormonal profile was determined in 69 reproductive age patients with transvaginal ultrasound diagnosis of polycystic ovaries. Results: Patients presented oligoamenorrhea in 67,7%, infertility in 28,8%, hirsutism in 23,7% and body mass index > 25 in 42,4%. LH was elevated in 47,1 %, LH/FSH > 2 in 24,5% and high testosterone in 20,9 %. Sixty-four per cent of obese women presented oligoamenorrhea, 42,8% hirsutism, 50% infertility and 50% high LH. Conclusion: There was hormonal and clinical correlation with obesity in polycystic ovaries patients.

Objective: To determine the current status of male infertility in a general hospital. Design: Descriptive, retrospective study. Material and Methods: We reviewed 371 charts of male patients attended at Arzobispo Loayza Hospital Infertility Service in a 4 - year period. Inclusion criteria were male infertility diagnosis with pathological results in two or more spermatograms and/or ejaculatory sexual dysfunction. Results: We found 79 cases of male infertility, incidence 21,3%. Average age at diagnosis was 35, 9 years, average time of infertility 4 years, 64,8% with primary infertility. Most frequent diagnosis were infection of accessory sexual glands (38%), abnormal seminal plasma (16,5%), azoospermia (15,2%), idiopathic astenozoospermia (12, 7%). Most frequent germ found was hemolytic Streptococcus alpha (50%). 22,8% of the couples conceived mostly with antibiotics use, intrauterine insem...

This work was performed at the Fertility Centre of the Archbishop Loayza Hospital, covering 3,600 patients from 1955 to 1977. They selected 1,707 who completed their study.

The cases of two patients with cervical ectopic pregnancy with fertility desire depreservación treated with methotrexate (MYX) single dose -50 mg / m2 is presented. The findings as well as treatment and evolution is discussed.