Ovulation induction - Clomiphene.

Retrospective study in Infertility Clinic Loayza Hospital in Lima, between January 1980 and December 1991. They include 56 infertile ovulatory dysfunction treated with clomiphene citrate for a total of 197 cycles. Thirty patients had chronic anovulation or oligo-ovulation, and 26 patients with luteal phase defect, in 83% of the first group of patients it was possible to induce ovulation, pregnancy rate being 29%. Most patients studied had peritoneal tubi factor associated with ovulatory dysfunction, factor associated with a poor prognosis for pregnancy (p <0.001). In 69% of pregnancies, these were achieved during the first three months of treatment, the required dose being 50 to 100 mg / day in 94% of cases. There were no multiple pregnancies and 1.6% of patients presented clinical data cycles of mild ovarian hyperstimulation.

It was considered both climacteric and menopause as an endocrinopathy bringing together the elements that characterize it: to stop functioning gland (in this case the ovary) alterations in the hormonal profile (increased FSH and LH, estrogen decline, etc.) that will produce disorders in target tissues and organs affected corresponding symptoms.

Role of the Peruvian Society for Integrated Women's Health

29 cases of luteal insufficiency of 634 infertile patients Arzobispo Loayza Hospital corresponding to an incidence of 4.5% were checked. The diagnosis was made by the findings of the endometrial biopsy in 68% of cases found other factors associated with infertility. In the treatment of clomiphene, bromocriptine or 17 hydroxyprogesterone caproate, yielding 9 pregnancies (31%).

This work was done in the service of the Archbishop Loayza Hospital Infertility. 45 cases of infertile women with tubal factor is presented. All patients with histersalpingografía counted. In the background prevailed abortion, pelvic inflammatory disease and pelvic surgery, 24% had no antecedent, 4 patients had genital TB. The surgical techniques used were, cornual reimplantation and salpingolisis, fimbriostomía and tubal anastomosis, 10 patients came to gestate, 2 of these pregnancies were ectopic pregnancies, one patient treated with genital TB had two normal pregnancies.

This work was done in the service of the Archbishop Loayza Hospital Infertility. 45 cases of infertile women with tubal factor is presented. All patients with histersalpingografía counted. In the background prevailed abortion, pelvic inflammatory disease and pelvic surgery, 24% had no antecedent, 4 patients had genital TB. The surgical techniques used were, cornual reimplantation and salpingolisis, fimbriostomía and tubal anastomosis, 10 patients came to gestate, 2 of these pregnancies were ectopic pregnancies, one patient treated with genital TB had two normal pregnancies.

29 cases of luteal insufficiency of 634 infertile patients Arzobispo Loayza Hospital corresponding to an incidence of 4.5% were checked. The diagnosis was made by the findings of the endometrial biopsy in 68% of cases found other factors associated with infertility. In the treatment of clomiphene, bromocriptine or 17 hydroxyprogesterone caproate, yielding 9 pregnancies (31%).

Retrospective study in Infertility Clinic Loayza Hospital in Lima, between January 1980 and December 1991. They include 56 infertile ovulatory dysfunction treated with clomiphene citrate for a total of 197 cycles. Thirty patients had chronic anovulation or oligo-ovulation, and 26 patients with luteal phase defect, in 83% of the first group of patients it was possible to induce ovulation, pregnancy rate being 29%. Most patients studied had peritoneal tubi factor associated with ovulatory dysfunction, factor associated with a poor prognosis for pregnancy (p <0.001). In 69% of pregnancies, these were achieved during the first three months of treatment, the required dose being 50 to 100 mg / day in 94% of cases. There were no multiple pregnancies and 1.6% of patients presented clinical data cycles of mild ovarian hyperstimulation.

2150 hysterectomies performed during the years 1984-1986 of which 547 had a diagnosis of uterine adenomyosis by pathologic examination were reviewed, 452 cases it was possible to assess clinical and epidemiological characteristics were selected. Predominantly in the corresponding age group 41-50 years with a preferential distribution in premenopausal age (p <0.05) it is demonstrated. The background of parity and (p <0.05) obstetric and gynecological surgery, particularly the presence of uterine curettage is associated with increased frequency of disease (p <0.05). No statistically significant association was found for the submission of adenomyosis as: age of onset of menarche, age at first intercourse, number of pregnancies per patient and surgical history of previous cesarean. Clinical symptoms for which patients attended were: abnormal uterine bleeding and abdominal and pelvic pain. AI...

2150 hysterectomies performed during the years 1984-1986 of which 547 had a diagnosis of uterine adenomyosis by pathologic examination were reviewed, 452 cases it was possible to assess clinical and epidemiological characteristics were selected. Predominantly in the corresponding age group 41-50 years with a preferential distribution in premenopausal age (p <0.05) it is demonstrated. The background of parity and (p <0.05) obstetric and gynecological surgery, particularly the presence of uterine curettage is associated with increased frequency of disease (p <0.05). No statistically significant association was found for the submission of adenomyosis as: age of onset of menarche, age at first intercourse, number of pregnancies per patient and surgical history of previous cesarean. Clinical symptoms for which patients attended were: abnormal uterine bleeding and abdominal and pelvic...

Objetivo: Determinar la frecuencia y las manifestaciones clínicas de Insuficiencia Ovárica Prematura en las pacientes infértiles. Material y métodos: En un estudio retrospectivo, descriptivo, se revisaron las historias clínicas de las pacientes atendidas en el Consultorio de Infertilidad del Hospital Nacional Arzobispo Loayza (HNAL), entre enero de 1989 y marzo de 1995. Resultados: Se encontró 27 pacientes con el citado diagnóstico, de un total de 1,855 pacientes que acudieron a consulta (1.45%). Todas tuvieron valores de FSH elevado y 25pacientes tuvieron niveles bajos de estradiol. Se observó hipotrofia de genitales externos y de vagina en el 11.11%, y de mamas en el 14.8%. Se realizó biopsia ovárica a 7 pacientes, en seis de ellas se observó ausencia de folículos. El diagnóstico más frecuente fue el de Insuficiencia Ovárica Prematura Idiomática. El tratamiento...

Objetivo: Considerando la importancia del Streptococcus agalactiae en infecciones en neonatos y puérperas y la ausencia de información sobre su prevalencia en nuestro medio, se realizó el presente estudio con el objetivo de determinar los niveles de colonización en secreciones vaginales y anorrectales de mujeres embarazadas en dos importantes centros hospitalarios de la ciudad de Lima. Material y métodos: Entre los meses de abril a octubre del 2002, se estudiaron 238 gestantes con 26 semanas o más de gestación que acudieron al consultorio externo del servicio de Obstetricia de los Hospitales Nacionales Arzobispo Loayza y Cayetano Heredia; mediante hisopado se obtuvieron muestras de secreción vaginal y anorrectal empleando como medio de enriquecimiento selectivo caldo Todd Hewitt suplementado con gentamicina (0.8 mg/mL) y ácido nalidíxico (15 mg/ml). El cultivo se realizÃ...