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1.
《Journal of pediatric and adolescent gynecology》2020,33(6):686-690
Study ObjectiveThis study describes menstrual dysfunction and treatment among adolescent and young adult (AYA) females with congenital heart disease (CHD).DesignData collected from a 1-time survey completed by AYA females (and mothers if AYA unable).SettingParticipants were recruited from pediatric cardiology clinics.ParticipantsFemale AYA with CHD, aged 14-21 years (N = 114).InterventionsNone.Main Outcome MeasuresThe questionnaire assessed sexual and reproductive health (SRH) concerns, behaviors, and management. Outcome measures were self-reported menstrual complaints, use of over-the-counter (OTC) pain relief medications for dysmenorrhea, reported visits with a clinician for a menstrual problem, and reported use of hormones for menstrual problems or birth control.ResultsMean age was 17.0 years (SD = 2.2). The majority of participants (83%) reported 1 or more menstrual complaints (67.5% cramping, 42.1% irregular menses, 46.5% heavy periods), and 88% reported any history of taking OTC medications for pain relief. Increased menstrual complaints were not associated with level of cardiac complexity, reported transplantation, or reported use of hormonal contraception. However, 32% of participants reported use of hormonal contraception for menstrual dysfunction. Combined oral contraceptive pills (COCs) were the most common; 2 of these women carried contraindications to estrogen.ConclusionsA large majority of AYA females with CHD reported menstrual dysfunction. Use of OTC medication for menstrual pain and inappropriate use of estrogen creates concerns that menstrual disorders may be unaddressed or addressed inappropriately. Thus, gynecological needs of adolescents with CHD may need to be specifically targeted by providers who feel comfortable with this population and their complex needs. 相似文献
2.
目的探究补肾活血组方对人流术后月经过少的临床疗效。方法将90例人流术后月经过少患者随机分为两组,观察组给予补肾活血组方治疗,对照组给予常规治疗,对比两组疗效。结果观察组有效率显著高于对照组(P0.05);治疗后,观察组行经时间显著高于对照组(P0.05);观察组子宫内膜厚度显著高于对照组(P0.05)。结论人流术后月经过少患者经补肾活血法治疗,可有效促进月经恢复,疗效显著。 相似文献
3.
目的探究补肾活血散瘀汤联合高强度聚焦超声对子宫腺肌病的疗效及病人免疫功能的影响。方法选取 2020年 7—12月石家庄市人民医院收治的 110例子宫腺肌病病人,按随机数字表法分为超声组( 55例)和联合组( 55例)。其中超声组给予高强度聚焦超声治疗,联合组给予补肾活血散瘀汤联合高强度聚焦超声治疗子宫腺肌病病人。比较两组病人免疫功能[补体 C3、C4、免疫球蛋白 A(IgA)、免疫球蛋白 G(IgG)、免疫球蛋白 M(IgM)],月经改善情况(月经量、疼痛程度)中医症候积分,血清糖类抗原 CA125水平、子宫体积及不良反应发生情况。结果与治疗前比较,两组治疗后补体 C3[联合,组( 95.32±2.12)比( 102.74±3.42)mg/dL、超声组( 98.12±2.58)比( 101.89±3.36)mg/dL]、 IgA水平[联合组( 2.42±0.26)比( 3.47±0.46)mg/dL、超声组( 3.01±0.34)比( 3.54±0.51)g/L]、月经量评分、疼痛视觉模拟评分法( VAS评分)、中医症候积分、血清糖类抗原 CA125水平、子宫体积明显降低( P<0.05)且与超声组比较,联合组明显降低( P<0.05);两组血清 IgG[联合组( 15.78±1.67)比( 12.12±1.14)g/L、超声组( 13.78±1.42)比.35±1.21)g/L]明显升高( P<0.05),且与超声组比较,联合组明显升高( P<0.05)两组不良反应发生率比较差异无统计学意义( P>0.05)。结论补肾活血散瘀汤联合高强度聚焦超声治疗子宫腺肌病病人可有效改善临(12,床症状,提高免疫功能,安全有效。 相似文献
4.
5.
Bente E. MOEN Valborg BASTE Tone MORKEN Kjersti ALSAKER St?le PALLESEN Bj?rn BJORVATN 《Industrial health》2015,53(4):354-360
Night work has been associated with adverse effects in terms of reproductive health.
Specifically, menstruation has been suggested to be negatively impacted by night work,
which again may influence fertility. This study investigated whether working nights is
related to menstrual characteristics and if there is a relationship between shift work
disorder (SWD) and menstruation. The study was cross-sectional, response rate 38%. The
sample comprised female nurses who were members of the Norwegian Nurses Association; below
50 yr of age, who were not pregnant, did not use hormonal pills or intrauterine devices
and who had not reached menopause (n=766). The nurses answered a postal survey including
questions about night work and menstrual characteristics. Fifteen per cent reported to
have irregular menstruations. Thirty-nine per cent of the nurses were classified as having
SWD. Logistic regression analyses concerning the relationship between irregular
menstruations and night work did not show any associations. Furthermore, no associations
were found between cycle length or bleeding period and night work parameters. No
associations were found between menstrual characteristics and SWD. 相似文献
6.
《Journal of psychosomatic obstetrics and gynaecology》2013,34(4):207-214
We examined the cyclicity of negative mood relative to ovulation and ovulation disturbances in Menstrual Cycle Diary© data collected daily during a 1-year study of ovulation, exercise, and bone change. A validated quantitative basal temperature-based methodology was used to determine the onset of the luteal phase. ‘Feeling depressed’, ‘feeling anxious’, and ‘feeling angry/frustrated’ were scored on a scale of 0 (absent) to 4 (very intense). Mood scores were examined over two 15-day intervals centered on either ovulation/midpoint, or on the onset of flow. Data were available from 765 cycles of 62 healthy and initially ovulatory women with a mean age of 33.9?±?5.4 years. Of 739 cycles that could be classified, 532 (72%) were normally ovulatory, 185 (25%) were ovulatory with a short (<10 day) luteal phase, and 22 (3%) were anovulatory. Minor cyclic mood changes were present in both ovulatory and anovulatory menstrual cycles. In anovulatory cycles, mood tended to be more variable but less negative, with a time course that differed from that in ovulatory cycles. Mood scores did not differ based on luteal phase length or with hormone levels. Patterns and mechanisms of mood change in very symptomatic women appear to be essentially amplifications of normal experiences. 相似文献
7.
目的:观察补肾活血法在治疗月经不调中的疗效作用。方法:按随机原则将90名月经不调患者平均分为两组,中医组采用补肾活血法治疗,西医组采用口服乙烯雌酚方法治疗。结果:与西医组相比,中医组的整体治疗效果明显提高,其治愈率高于西医组,治疗后典型性双相率也明显增高,且两组的差异具有统计学意义,P〈0.05。结论:补肾活血法治疗女性月经不调疗效显著。 相似文献
8.
《Women & health》2013,53(3):63-81
ABSTRACT Women increasingly outnumber men in the US population (Arber & Ginn, 1993), but most research has been conducted with men (Stacey & Olesen, 1988). The purpose of this study was to determine whether older men and women differ in their participation rates and in their responsiveness to a health intervention. Three hundred sixty-three health maintenance organization members with osteoarthritis, 60 years of age or older, were randomly assigned to a control group or to receive social support, education, or a combination of education and social support. Of the 363 randomly assigned members, 245 completed all of the follow-up assessments. Men and women volunteered in proportion to their representation in the osteoarthritis population. Although the genders differed in several ways, the interventions were equally effective for men and women, and the study results applied to both genders. 相似文献
9.
Objective
We sought to evaluate the accuracy of assessing gestational age (GA) prior to first trimester medication abortion using last menstrual period (LMP) compared to ultrasound (U/S).Study Design
We searched Medline, Embase and Cochrane databases through October 2013 for peer-reviewed articles comparing LMP to U/S for GA dating in abortion care. Two teams of investigators independently evaluated data using standard abstraction forms. The US Preventive Services Task Force and Quality Assessment of Diagnostic Accuracy Studies guidelines were used to assess quality.Results
Of 318 articles identified, 5 met inclusion criteria. Three studies reported that 2.5–11.8% of women were eligible for medication abortion by LMP and ineligible by U/S. The number of women who underestimated GA using LMP compared to U/S ranged from 1.8 to 14.8%, with lower rates found when the sample was limited to a GA < 63 days. Most women (90.5–99.1%) knew their LMP, 70.8–90.5% with certainty.Conclusion
Our results support that LMP can be used to assess GA prior to medication abortion at GA < 63 days. Further research looking at patient outcomes and identifying women eligible for medication abortion by LMP but ineligible by U/S is needed to confirm the safety and effectiveness of providing medication abortion using LMP alone to determine GA. 相似文献10.