Clinica e Investigacion en Ginecologia y Obstetricia最新文献_第6页

Consenso multidisciplinar de mastitis granulomatosa: algoritmo diagnóstico y terapéutico 肉芽肿性乳腺炎多学科共识：诊断和治疗算法

IF 0.1

Clinica e Investigacion en Ginecologia y Obstetricia Pub Date : 2024-03-27 DOI: 10.1016/j.gine.2024.100954

L. López-Vendrell , L. Blay , P. Rodriguez , I. Pascual , M.Á. Luna , C. Rios , A. Mariscal , A. Olivé , J.F. Julian , I. Casafont

{"title":"Consenso multidisciplinar de mastitis granulomatosa: algoritmo diagnóstico y terapéutico","authors":"L. López-Vendrell , L. Blay , P. Rodriguez , I. Pascual , M.Á. Luna , C. Rios , A. Mariscal , A. Olivé , J.F. Julian , I. Casafont","doi":"10.1016/j.gine.2024.100954","DOIUrl":"https://doi.org/10.1016/j.gine.2024.100954","url":null,"abstract":"<div><p>Idiopathic granulomatous mastitis (IGM) is a benign chronic inflammatory disease affecting the breast stroma. Diagnosis is by exclusion and requires histopathological confirmation, as its clinical and radiological presentation may be similar to breast carcinoma. Treatment is mainly medical, complemented by percutaneous drainage and ultimately surgical.</p><p>Although it is a benign pathology, it can cause significant impairment of quality of life. Due to its nature, it requires a multidisciplinary approach. It is necessary to protocolise the management of this entity both to establish the diagnosis and to initiate appropriate treatment early and prevent progression to advanced stages.</p><p>The aim of this work is to standardise the diagnosis and treatment of IGM from a multidisciplinary approach following medical consensus. The diagnostic algorithm is described, considering risk factors for IGM, typical radiological signs in order to be able to detect suspected cases early and subsequently ensure early treatment, which is described in the following algorithm for treatment. We also describe a specific follow-up circuit.</p><p>These multidisciplinary diagnostic-therapeutic algorithms are proposed to raise awareness and standardise the approach to this rare disease, accelerating its diagnosis and optimising its treatment.</p></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"51 3","pages":"Article 100954"},"PeriodicalIF":0.1,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140296224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Manejo reproductivo de las mujeres con la premutación del FMR1. Revisión de la literatura FMR1 预突变妇女的生殖管理：文献综述。

IF 0.1

Clinica e Investigacion en Ginecologia y Obstetricia Pub Date : 2024-03-27 DOI: 10.1016/j.gine.2024.100955

I. Agustí , A. Borrás , L. Rodriguez-Revenga , D. Manau

{"title":"Manejo reproductivo de las mujeres con la premutación del FMR1. Revisión de la literatura","authors":"I. Agustí , A. Borrás , L. Rodriguez-Revenga , D. Manau","doi":"10.1016/j.gine.2024.100955","DOIUrl":"https://doi.org/10.1016/j.gine.2024.100955","url":null,"abstract":"<div><p>ertility preservation is indicated in most cases of oncologic diseases and when gonadotoxic treatments are prescribed. However, in recent years, there has been an increase in preservation cycles carried out for benign diseases and conditions with a risk of developing premature ovarian failure. Premature ovarian insufficiency is related to a genetic disorder in 10% of cases. The most common known conditions are <em>FMR1</em> premutation and Turner syndrome, and recently, other diseases such as mutations in the <em>BRCA 1/2</em> genes have been implicated in this pathology.</p><p>We conducted a bibliographic review on premature ovarian insufficiency associated with the premutation of the <em>FMR1</em> gene or <em>Fragile</em> X <em>Messenger Ribonucleoprotein 1</em>, the various pathophysiological theories described, and the difficulty in predicting which women will develop ovarian failure due to the lack of a useful predictive marker. Additionally, we evaluated different recommendations for managing these women and when to indicate the implementation of fertility preservation techniques. This option could prevent the psychological impact women of these women's reproductive health impairment.</p></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"51 3","pages":"Article 100955"},"PeriodicalIF":0.1,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140296225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Terapias innovadoras en pacientes con baja reserva ovárica e insuficiencia ovárica primaria 卵巢储备功能低下和原发性卵巢功能不全患者的创新疗法

IF 0.1

Clinica e Investigacion en Ginecologia y Obstetricia Pub Date : 2024-03-26 DOI: 10.1016/j.gine.2024.100956

M. Méndez , J. Ferreri , L. Abelló , F. Fàbregues

{"title":"Terapias innovadoras en pacientes con baja reserva ovárica e insuficiencia ovárica primaria","authors":"M. Méndez , J. Ferreri , L. Abelló , F. Fàbregues","doi":"10.1016/j.gine.2024.100956","DOIUrl":"https://doi.org/10.1016/j.gine.2024.100956","url":null,"abstract":"<div><p>Premature or primary ovarian insufficiency (POI) is characterized by the loss of ovarian function in women under 40years of age, with a prevalence of 1% of the female population. Women with POI face subfertility and premature symptoms associated with menopause. Currently, reproductive options for these patients are limited, primarily relying on oocyte donation. However, recent advances in the knowledge of the initial phases of folliculogenesis have allowed the proposal of new therapeutic strategies to try to restore ovarian function in these patients. In this paper, the physiological background, preliminary results on POI and DOR (decreased ovarian reserve) patients, as well as future challenges associated with these innovative treatments are addressed. The ovarian reactivation strategies analyzed in this review include surgical procedures (IVA and Drug-Free IVA), the infusion of growth factors from activated platelets (Platelet-Rich Plasma) or the use of stem cells and factors released by them (Stem Cell-Based Therapy), and the use of mitochondrial transfer therapies.</p></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"51 3","pages":"Article 100956"},"PeriodicalIF":0.1,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140290380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

¿Cuál es el manejo óptimo de la leiomiomatosis peritoneal diseminada? Un caso clínico con 15 años de seguimiento sin malignización 播散性腹膜黏液瘤病的最佳治疗方法是什么？随访 15 年未发现恶性肿瘤的病例报告。

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Clinica e Investigacion en Ginecologia y Obstetricia Pub Date : 2024-03-16 DOI: 10.1016/j.gine.2024.100952

A. de Labaig Revert, V.M. Patiño Maraver, M.M. Muñoz Díaz

{"title":"¿Cuál es el manejo óptimo de la leiomiomatosis peritoneal diseminada? Un caso clínico con 15 años de seguimiento sin malignización","authors":"A. de Labaig Revert, V.M. Patiño Maraver, M.M. Muñoz Díaz","doi":"10.1016/j.gine.2024.100952","DOIUrl":"https://doi.org/10.1016/j.gine.2024.100952","url":null,"abstract":"<div><h3>Introduction</h3><p>Disseminated peritoneal leiomyomatosis (DPL) is a benign pathology, defined by the presence of multiple disseminated nodules in the peritoneum of different sizes composed of bundles of smooth muscle cells. Several theories are postulated about its origin related to hormonal stimulus, genetic susceptibility and iatrogenesis after surgeries such as laparocopic myomectomies.</p></div><div><h3>Clinical findings</h3><p>Patients usually present with abdominal discomfort of various kinds, and it may even be asymptomatic, being an incidental finding on imaging tests.</p></div><div><h3>Main diagnoses</h3><p>The differential diagnosis usually includes carcinomatosis, endometriosis, endosalpingiosis, tumours of the gastrointestinal tract or leiomyosarcoma.</p></div><div><h3>Therapeutic interventions</h3><p>There is insufficient evidence about the best approach, with some advocating expectant management or medical treatment and others advocating more radical surgical management. Among medical treatments, one of the most widely used are GnRH agonists, aromatase inhibitors and selective progesterone receptor modulators such as ulipristal acetate have also been used with good results.</p></div><div><h3>Results</h3><p>In this case we present a patient with LPD with 15 years of follow-up in our hospital, with no evidence of malignancy.</p></div><div><h3>Conclusion</h3><p>Knowing the generally benign nature of this disease, it is necessary to opt for the least invasive approach possible. The long-term evolution of this disease is unknown, as most published cases do not have sufficient follow-up time.</p></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"51 2","pages":"Article 100952"},"PeriodicalIF":0.1,"publicationDate":"2024-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140141948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Breast cancer with synchronous massive metastasis in uterine myoma: A case report and literature review 乳腺癌与子宫肌瘤同步大面积转移：病例报告和文献综述

IF 0.1

Clinica e Investigacion en Ginecologia y Obstetricia Pub Date : 2024-03-16 DOI: 10.1016/j.gine.2024.100953

S. Eroglu , S. Celik , F. Tatlidil , C. Caliskan , S.M. Aydin

{"title":"Breast cancer with synchronous massive metastasis in uterine myoma: A case report and literature review","authors":"S. Eroglu , S. Celik , F. Tatlidil , C. Caliskan , S.M. Aydin","doi":"10.1016/j.gine.2024.100953","DOIUrl":"https://doi.org/10.1016/j.gine.2024.100953","url":null,"abstract":"<div><h3>Introduction</h3><p>Metastasis of breast cancer to the uterus is an exceptionally rare occurrence, typically presenting with vaginal bleeding as the predominant symptom. Here, we present a case of synchronous lobular breast cancer metastasis to a uterine myoma.</p></div><div><h3>Main symptoms and/or clinical findings</h3><p>A 42-year-old infertile patient was admitted to the gynecology clinic with the complaints of meno/metrorrhagia. Ultrasound revealed a 5cm intramural myoma on the anterior wall of the uterus, leading to a myomectomy. The patient exhibited no symptoms related to breast cancer.</p></div><div><h3>Main diagnosis</h3><p>Histomorphological and immunohistochemical findings were indicative of breast-derived lobular carcinoma metastasis into leiomyoma.</p></div><div><h3>Therapeutic interventions and outcomes</h3><p>Positron emission tomography/computed tomography (PET/CT) scan revealed no pathological involvement beyond the breast and both axillary lymph nodes. The patient was diagnosed with stage IV breast lobular cancer and initiated chemotherapy treatment. Presently, the patient is undergoing regular monitoring at six-month intervals.</p></div><div><h3>Conclusion</h3><p>Uterine metastasis from extragenital organ cancers is exceedingly rare. In this instance, lobular breast cancer metastasis was confined to the uterine myoma. Clinicians and pathologists should exercise caution regarding gynecological metastases in breast cancer cases.</p></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"51 3","pages":"Article 100953"},"PeriodicalIF":0.1,"publicationDate":"2024-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140141898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Conceptos de criobiología y fisiología ovárica en la preservación de la fertilidad 生育力保存中的低温生物学和卵巢生理学概念

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Clinica e Investigacion en Ginecologia y Obstetricia Pub Date : 2024-02-23 DOI: 10.1016/j.gine.2024.100948

M. Méndez , Y. Cívico , G. Casals

{"title":"Conceptos de criobiología y fisiología ovárica en la preservación de la fertilidad","authors":"M. Méndez , Y. Cívico , G. Casals","doi":"10.1016/j.gine.2024.100948","DOIUrl":"https://doi.org/10.1016/j.gine.2024.100948","url":null,"abstract":"<div><p>Cryobiology focuses on understanding how biological materials react to very low temperatures. This field has experienced significant advances, particularly in the field of assisted reproduction, where programs have been developed to preserve fertility. These developments are of critical importance for those exploring alternatives in fertility and gamete preservation. Fertility preservation aims to protect a person's reproductive capacity under various health conditions, medical treatments, and social reasons that may compromise it. Accepted techniques for human fertility preservation include the cryopreservation of gametes and embryos. There is growing promising evidence on different experimental techniques within this field, such as cryopreservation of gonadal tissue or in vitro maturation strategies, as well as new methodologies in cryogenic protocols that will optimize results and mark a turning point in the field of assisted reproduction. This work aims to explore the current state-of-the-art strategies offered to women in the context of fertility preservation, review advances in cryobiology, and its role in the evolution of this area.</p></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"51 2","pages":"Article 100948"},"PeriodicalIF":0.1,"publicationDate":"2024-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139941622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Non-elective caesarean section risk assessment using Machine Learning techniques 利用机器学习技术进行非选择性剖腹产风险评估

IF 0.1

Clinica e Investigacion en Ginecologia y Obstetricia Pub Date : 2024-02-22 DOI: 10.1016/j.gine.2024.100949

L. López-Mendizábal , C. Varea , A. Berlanga , M.A. Patricio , J.M. Molina , J.L. Bartha

{"title":"Non-elective caesarean section risk assessment using Machine Learning techniques","authors":"L. López-Mendizábal , C. Varea , A. Berlanga , M.A. Patricio , J.M. Molina , J.L. Bartha","doi":"10.1016/j.gine.2024.100949","DOIUrl":"https://doi.org/10.1016/j.gine.2024.100949","url":null,"abstract":"<div><h3>Background</h3><p>The sustained increase and the disparities in the rate of caesarean deliveries (CS) pose a public health challenge. Optimising the use of CS is of global concern and a challenge for public health. Machine Learning (ML) techniques can assist clinicians in decision-making, improving treatment modalities and patient outcomes.</p></div><div><h3>Methods</h3><p>Original data correspond to the 41,037 deliveries that took place at La Paz University Maternity Hospital (Madrid, Spain) between 2010 and 2018. Machine Learning (ML) model algorithm Random Forest (RF) was performed to determine the risk of CS. The first analysis was Mean Decrease Accuracy carried out on 50 permutations. The second analysis was ceteris-paribus and partial-dependence profiles.</p></div><div><h3>Results</h3><p>The RF models obtained identify a higher risk of CS delivery in multiple gestations, macrosomic foetuses and in those with prolonged gestation associated with other maternal–foetal characteristics. Results deny the consideration that older nulliparous mothers represent a specific obstetrtic risk goup.</p></div><div><h3>Conclusions</h3><p>ML techniques can be very useful in identifying risk factors to be addressed to optimise the number of CS. Macrosomia prevention programmes, reduction in the rate of multiple pregnancies or finishing pregnancy before the onset of risks associated with prolonged pregnancy may be ways to optimise the number of CS.</p></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"51 3","pages":"Article 100949"},"PeriodicalIF":0.1,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139943023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Fertility preservation in endometriosis: Review of current evidence and best practices 子宫内膜异位症的生育力保护：当前证据和最佳实践综述

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Clinica e Investigacion en Ginecologia y Obstetricia Pub Date : 2024-02-17 DOI: 10.1016/j.gine.2024.100951

M. Carbonell, M.A. Perelló, J. Herrero

{"title":"Fertility preservation in endometriosis: Review of current evidence and best practices","authors":"M. Carbonell, M.A. Perelló, J. Herrero","doi":"10.1016/j.gine.2024.100951","DOIUrl":"https://doi.org/10.1016/j.gine.2024.100951","url":null,"abstract":"<div><p>In recent decades, the field of female fertility preservation has experienced substantial growth. Reliable techniques such as cryopreservation of oocytes and ovarian tissue have emerged, along with more established methods such as embryo freezing. Among the group of patients who can benefit from these new techniques are patients with endometriosis, a common disease capable of compromising ovarian reserve and fertility prospects. Unfortunately, comprehensive recommendations for fertility preservation in patients with endometriosis are still lacking.</p><p>This narrative review comprehensively explores fertility preservation in patients with endometriosis, using a range of relevant literature, including available national and international guidelines. Additionally, it explains the weight of several factors that contribute to the decision-making process for fertility preservation, including age, severity of endometriosis, ovarian reserve, and previous or future surgery.</p><p>This manuscript summarizes available recommendations that provide guidance for this vital but challenging aspect of reproductive medicine. Underlines the need for personalized care for patients with an early diagnosis of endometriosis and initial medical treatment to try to reduce the deterioration of ovarian reserve and emphasizes the importance of research to refine fertility preservation strategies in people with endometriosis.</p></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"51 2","pages":"Article 100951"},"PeriodicalIF":0.1,"publicationDate":"2024-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139898684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Preservación de la fertilidad en personas transgénero del espectro masculino. Revisión narrativa de la literatura 男谱变性人的生育力保存。文献综述

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Clinica e Investigacion en Ginecologia y Obstetricia Pub Date : 2024-02-15 DOI: 10.1016/j.gine.2024.100950

A. Borrás Capó , M. Méndez , M. Mora Porta , D. Manau Trullàs

{"title":"Preservación de la fertilidad en personas transgénero del espectro masculino. Revisión narrativa de la literatura","authors":"A. Borrás Capó , M. Méndez , M. Mora Porta , D. Manau Trullàs","doi":"10.1016/j.gine.2024.100950","DOIUrl":"https://doi.org/10.1016/j.gine.2024.100950","url":null,"abstract":"<div><p>Gender affirming hormone therapy (GAHT) in transmasculine people (individuals who identify as men or on the masculine spectrum and were assigned female sex at birth) makes it possible to modify the secondary sexual characteristics of the sex assigned at birth, thus alleviating the symptoms of gender dysphoria, during the process called transition. However, it is necessary to highlight that the effect of GAHT on long-term fertility and its potential gonadotoxic effects are currently unknown. Knowledge of the effects of testosterone on fertility and reproduction has increased recently, whilst the request for comprehensive reproductive counselling and the option of performing fertility preservation (FP) techniques have increased exponentially in recent years, leading to profound changes in the clinical management of this population.</p><p>In this review, we analyzed all the information published regarding the effect of GAHT on reproduction and the FP techniques available in this group, mainly oocyte vitrification. In addition, we carry out an exhaustive analysis of the reproductive results published to date after the use of preservation techniques and present the latest laboratory advances concerning ovarian tissue cryopreservation and in vitro oocyte maturation, together with future options in the transmasculine people.</p></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"51 2","pages":"Article 100950"},"PeriodicalIF":0.1,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139743910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of hopelessness in patients with endometriosis 评估子宫内膜异位症患者的绝望情绪

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Clinica e Investigacion en Ginecologia y Obstetricia Pub Date : 2024-01-13 DOI: 10.1016/j.gine.2023.100936

M.d.P. Marín Sánchez , O. Carratalá Pérez , A. Martínez Gómez , R. Oliva Sánchez , A. Nieto Díaz

{"title":"Evaluation of hopelessness in patients with endometriosis","authors":"M.d.P. Marín Sánchez , O. Carratalá Pérez , A. Martínez Gómez , R. Oliva Sánchez , A. Nieto Díaz","doi":"10.1016/j.gine.2023.100936","DOIUrl":"https://doi.org/10.1016/j.gine.2023.100936","url":null,"abstract":"<div><h3>Purpose</h3><p>To explore the prevalence of hopelessness in patients diagnosed with endometriosis and how it may influence their relationships.</p></div><div><h3>Material and methods</h3><p>Prospective–descriptive study among patients with a clinical and/or anatomopathological diagnosis of endometriosis. Demographic data (age, religion, educational level, marital status, occupation, etc.) and pain data have been processed. Pain associated with endometriosis has been evaluated with an analogue scale of pain. The Beck Hopelessness Scale (BHS) was used to determine the level of hopelessness. The results have been classified into 0–3 normal; 4–8 mild; 9–14 moderate and 15–20 severe. SPSS Statistics 26 has been used and the statistical significance has been stipulated at <em>p</em>          <!-->0.9%). We found a significant relation between hopelessness and low income but not with regard to education, employment status or marital status.</p><p>Regarding the pain experienced and its relation with hopelessness, we found that it was significantly connected to pain during urination and dyspareunia and not to chronic pelvic pain dysmenorrhea and dyschezia.</p></div><div><h3>Conclusion</h3><p>Four out of ten patients with endometriosis experience hopelessness, mostly mildly. This hopelessness is influenced by demographic factors such as income level and also pain, specifically pain during intercourse and during urination.</p></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"51 2","pages":"Article 100936"},"PeriodicalIF":0.1,"publicationDate":"2024-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139434418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0