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María Fernández, Patricia Guerra, Eloya Martín, Noelia Martínez, Jose Antonio Álvarez-Diz
OBJECTIVE: Dysphoria gender treatment in adolescents is recent. Studies of adolescents treated with analogs are reduced. To ensure the quality of care and safety of the child, follow-up studies are necessary. The aim of the present research was to describe the characteristics of the process of medical and psychological attention in adolescents with the DG in the Gender Identity Treatment Unit of Asturias in the period 2007-2015. METHODS: The sample included 20 minors attended in the Gender Identity Treatment Unit of Asturias in the period 2007-2015...
February 28, 2018: Revista Española de Salud Pública
Chuenjid Kongkaew, Norman C Scholfield, Teerapon Dhippayom, Piyameth Dilokthornsakul, Surasak Saokaew, Nathorn Chaiyakunapruk
ETHNOPHARMACOLOGICAL RELEVANCE: Pueraria candollei var. mirifica (Airy Shaw & Suvat.) Niyomdham (commonly termed P. mirifica, PM) growing in upland Thailand has a long history as a postmenopausal rejuvenant therapy for indigenants. Its amelioration of menopause symptoms in clinical trials was assessed. MATERIALS AND METHODS: International and Thai databases were searched from inception to February 2017. Clinical trials investigating effects of PM menopausal or postmenopausal women were included...
February 6, 2018: Journal of Ethnopharmacology
Fady Hannah-Shmouni, Andreas G Moraitis, Vladimir Valera Romero, Fabio R Faucz, Spyridon A Mastroyannis, Annabel Berthon, Richard A Failor, Maria Merino, Andrew P Demidowich, Constantine A Stratakis
Primary bilateral macronodular adrenocortical hyperplasia (PBMAH) is an uncommon cause of adrenal Cushing syndrome (CS) in which cortisol and occasionally other steroid hormones can be secreted under the influence of aberrantly expressed G-protein coupled receptors (GPCRs) in the adrenal cortex. We describe the unique case of a 64-year-old postmenopausal female with PBMAH whose adrenal lesions expressed luteinizing hormone receptors (LHr). She presented initially with CS and underwent right adrenalectomy; a few years later she presented with macromastia and mastodynia, possibly due to estrogen excess from her remaining left adrenocortical masses...
February 2018: Hormone and Metabolic Research, Hormon- und Stoffwechselforschung, Hormones et Métabolisme
Mahmoud Rafieian-Kopaei, Mino Movahedi
INTRODUCTION: Vitex agnus-castus, also called vitex is aboriginal to the Mediterranean region, with long leaves, tender stem, flowers and ripening seeds. The aim of this study was to overview premenstrual, postmenstrual and infertility disorder of Vitex agnus-castus. METHODS: This review article was carried out by searching studies in PubMed, Medline, Web of Science, and IranMedex databases. The initial search strategy identified about 87 references. In this study, 43 studies were accepted for further screening, and met all our inclusion criteria (in English, full text, therapeutic effects of Vitex agnus-castus and dated mainly from the year 2009 to 2016)...
January 2017: Electronic Physician
Sebastian Harth, Christopher Behrens, Fritz Christian Roller, Gerhard Ferdinand Peter Alzen, Gabriele Anja Krombach
Purpose To analyze referral indications, imaging findings and diagnoses in breast sonography in a division of pediatric radiology. Materials and Methods Breast ultrasound examinations of 270 patients were analyzed for referral reasons, imaging findings and final diagnoses (152 females, 118 males). The mean age of the patients was 8.8 years (range, 6 days-18 years). Each breast was examined systematically in two orthogonal probe orientations. Pathological findings were documented on two orthogonal imaging planes...
October 2017: Ultraschall in der Medizin
Dolrudee Songtish, Prinya Akranurakkul
OBJECTIVE: This study aimed to identify the clinical presentation, natural history, severity and associatedfactors in Thai women presented with mastalgia. MATERIAL AND METHOD: One hundred and five Thai women with breast pain who visited HRH Princess Maha Chakri Sirindhorn Medical Center were interviewed with breast pain. The data about socio-economic status, sign and symptoms of breast pain, associated factors, mental status and quality of life at first presentation and 6-12 months afterward were collected...
October 2015: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
Meral Sen, Murat Ozgur Kilic, Ozlem Cemeroglu, Duygu Icen
OBJECTIVE: The purposes of this study were to determine the coexistence of mastalgia and fibromyalgia, to investigate the effects of this combination on pain patterns, and to discuss the status of breast pain in the diagnostic algorithm of fibromyalgia syndrome. METHODS: Sixty-one female patients reporting breast pain during the last three months and 53 female patients diagnosed with fibromyalgia syndrome were enrolled in this study. The Breast Pain Questionnaire was administered to all participants in the mastalgia group and to those in the fibromyalgia syndrome group who had experienced mastalgia during the past three months...
November 2015: Clinics
C Ngô, J Seror, N Chabbert-Buffet
OBJECTIVES: To evaluate the diagnostic value of clinical examination and additional tests in the exploration of breast pain, to evaluate the strategy of their care and to provide recommendations. METHODS: A literature search in English and French carried out by consulting the databases PubMed, Cochrane Library and international recommendations. RESULTS: Clinical examination and interrogation, with the use of visual analog scale used to differentiate non-cyclical breast pain from mastodynia (LE2)...
December 2015: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
V Lavoué, X Fritel, M Antoine, F Beltjens, S Bendifallah, M Boisserie-Lacroix, L Boulanger, G Canlorbe, S Catteau-Jonard, N Chabbert-Buffet, F Chamming's, E Chéreau, J Chopier, C Coutant, J Demetz, N Guilhen, R Fauvet, O Kerdraon, E Laas, G Legendre, C Mathelin, C Nadeau, I Thomassin Naggara, C Ngô, L Ouldamer, A Rafii, M-N Roedlich, J Seror, J-Y Séror, C Touboul, C Uzan, E Daraï
Breast sonography is required with mammogram to explore clinical breast mass (grade B), colored unipore breast nipple discharge (grade C), or mastitis (grade C). Bi-RADS system is recommended to describe and classify breast-imaging abnormalities. For breast abscess, a percutaneous biopsy is recommended in case of mass or persistent symptoms (grade C). For mastodynia, when breast imaging is normal, no MRI neither breast biopsy is recommended (grade C). Percutaneous biopsy is recommended for BI-RADS 4-5 mass (grade B)...
December 2015: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
Noelene K Jeffers
No abstract text is available yet for this article.
November 2015: Journal of Human Lactation: Official Journal of International Lactation Consultant Association
Annalisa Capuano, Cristina Scavone, Cristiana Vitale, Liberata Sportiello, Francesco Rossi, Giuseppe M C Rosano, Andrew J Stewart Coats
The role of spironolactone and eplerenone in patients with Heart Failure with preserved Ejection Fraction (HFpEF) is not well defined. Since a growing medical literature has suggested that mineralocorticoid receptor antagonists may be beneficial for patients with HFpEF, this review gives an in-depth update on the role of spironolactone and eplerenone and their implications for therapy in the setting of HFpEF. Eleven clinical studies, including seven randomized trials, were reviewed. Two randomized controlled trials evaluated the effect of eplerenone on different end-points, including 6 minute walk distance (6 MWD), cardiovascular mortality, non-fatal reinfarction, hospitalization for unstable angina and congestive heart failure...
December 1, 2015: International Journal of Cardiology
Anders Fagerlund, Luigi Cormio, Lina Palangi, Richard Lewin, Fabio Santanelli di Pompeo, Anna Elander, Gennaro Selvaggi
INTRODUCTION: Gynecomastia and/or mastodynia is a common medical problem in patients receiving antiandrogen (bicalutamide or flutamide) treatment for prostate cancer; up to 70% of these patients result to be affected; furthermore, this can jeopardise patients' quality of life. AIMS: To systematically review the quality of evidence of the current literature regarding treatment options for bicalutamide-induced gynecomastia, including efficacy, safety and patients' quality of life...
2015: PloS One
Janine Timmers, Marloes Ten Voorde, Ruben E van Engen, Cary van Landsveld-Verhoeven, Ruud Pijnappel, Kitty Droogh-de Greve, Gerard J den Heeten, Mireille J M Broeders
PURPOSE: To compare projected breast area, image quality, pain experience and radiation dose between mammography performed with and without radiolucent positioning sheets. METHODS: 184 women screened in the Dutch breast screening programme (May-June 2012) provided written informed consent to have one additional image taken with positioning sheets. 5 cases were excluded (missing data). Pain was scored using the Numeric Rating Scale. Radiation dose was estimated using the Dance model and projected breast area using computer software...
October 2015: European Journal of Radiology
B Marinov, A Andreeva, A Pandurska
Mastodynia is defined as breast tenderness and pain, also called mastalgia. There are several types of cyclic, noncyclic and extramammary. The cyclic mastodynia is the most common one, and represents a clinical symptom of the premenstrual syndrome and of the more severe premenstrual dysphoric disorder. The article outlines different types of mastalgia with their typical clinical features, including the relatively rear Tietze's syndrome and MONDOR'S disease, as well as the PMS and the PMDD. The authors also offer a diagnostic algorithm and specific diagnostic criteria...
2014: Akusherstvo i Ginekologii︠a︡
Engin Ölçücüoğlu, Güliz Yılmaz
OBJECTIVE: Mastalgia is the most frequent symptom seen in patients who undergo breast imaging. There are various medical treatment methods in the literature. However, malignancy should be excluded before starting treatment. This is a prospective study, evaluating the necessity of imaging in patients who have applied for cyclic or non-cyclic breast pain, with normal physical examination, and without a family history. MATERIAL AND METHODS: Two hundred women, younger than 30 years of age, who applied to Iğdır State Hospital general surgery department with complaint of cyclic or non-cyclic breast pain, were prospectively studied...
2013: Ulusal Cerrahi Dergisi
Frank Q Nuttall, Rohit S Warrier, Mary C Gannon
PURPOSE: A large number of medications have been implicated in the genesis of gynecomastia. However, gynecomastia is common in men, asymptomatic, increases with age, and is considered to be due to an increased estradiol/testosterone ratio. This complicates the interpretation of medication-related gynecomastia. Therefore, we have reviewed the literature in order to assess the data relating gynecomastia onset with utilization of specific medications. METHODS: The literature was searched in PubMed and the Ovid/Medline databases from the 1946 to January 2015 with the search terminology of "gynecomastia, drugs/medications...
May 2015: European Journal of Clinical Pharmacology
Agneta Wennman-Larsen, Lena-Marie Petersson, Fredrik Saboonchi, Kristina Alexanderson, Marjan Vaez
PURPOSE/OBJECTIVES: To examine the severity and development of breast and arm symptoms separately during the two years following breast cancer surgery, and to examine whether previously defined predictors of arm symptoms are associated with breast symptoms. DESIGN: Prospective cohort study with two-year follow-up. SETTING: Three institutions in the Stockholm, Sweden, region. SAMPLE: 645 women, aged 20-63 years, enrolled within 12 weeks of surgery for primary breast cancer...
March 2015: Oncology Nursing Forum
Jennifer White, Chris Mills, Nick Ball, Joanna Scurr
The relationship between inappropriate breast support and upper-extremity kinematics for female runners is unclear. The purpose of this study was to investigate the effect of breast support and breast pain on upper-extremity kinematics during running. Eleven female recreational runners with larger breasts (UK D and E cup) completed a 7 min 20 s treadmill run (2.58 m · s(-1)) in a high and low breast support condition. Multi-planar breast and upper-extremity kinematic data were captured in each breast support condition by eight infrared cameras for 30 s towards the end of the run...
2015: Journal of Sports Sciences
Zeina Chakhtoura, Marie Meunier, Jacqueline Caby, Lucile Mercadal, Nadia Arzouk, Benoît Barrou, Philippe Touraine
OBJECTIVE: To describe the gynecologic issues and follow-up in our referral center of women on dialysis and after kidney transplantation. STUDY DESIGN: This retrospective cohort study included 129 dialysed women among whom 102 had had transplants. Data on menstrual pattern, pregnancies, contraception, and cervical cytology were retrieved from patients' files. RESULTS: The follow-up started at age 41.6±14.2 years and lasted for 9.5±10.2 years...
April 2015: European Journal of Obstetrics, Gynecology, and Reproductive Biology
Hubert Wolski
The first hormonal pill was approved in the 60s of the twentieth century Since that time, oral contraception has been used worldwide by dozens of women due to its high availability as well as relative ease and safety of taking. The main side effects of oral contraception include elevated risk for venous thromboembolism (VTE). Estrogens increase the probability of VTE development, depending on the dose in medication, and third-generation progestins increase the risk of VTE development more than older-generation progestins...
December 2014: Ginekologia Polska
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