Influência dos mecanismos fisiopatológicos da hiperprolactinemia moderada na ovulação de mulheres inférteis
Ano de defesa: | 2015 |
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Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | , , , , |
Tipo de documento: | Tese |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Universidade Federal de Goiás
|
Programa de Pós-Graduação: |
Programa de Pós-graduação em Ciências da Saúde (FM)
|
Departamento: |
Faculdade de Medicina - FM (RG)
|
País: |
Brasil
|
Palavras-chave em Português: | |
Palavras-chave em Inglês: | |
Área do conhecimento CNPq: | |
Link de acesso: | http://repositorio.bc.ufg.br/tede/handle/tede/5467 |
Resumo: | Infertility reflects the inability of a couple to achieve pregnancy after one year of sexual intercourse without contraception. Most common causes are related to ovulatory disorders such as hyperprolactinaemia, polycystic ovary syndrome, thyroid dysfunction, corpus luteum deficiency, among others, and can be identified mainly by ultrasound and hormonal dosage. The overall objective of this study was to evaluate the influence of prolactin ovulation in infertile women suffering from regular cycles. It is case-control study, whose sample consisted of 343 women with age range 20-40 years old, attended from 2000 to 2014 in LabRep-HC / UFG and an office of Obstetrics and Gynecology, private network in Goiânia, Goiás, Brazil. Data collection was performed by analyzing the physical records stored in Medical Records and Health Information Service (SAMIS) and electronics made available by the database (Sisfert) (© Approbato, 2013). The patients were classified according to the ovulation state measured by progestogen dosage (≥ 5.65 ng / ml and 5.65 - 9.9 ng / ml) and ovulation by monitoring the ultrasound being divided into four groups: (I ) probable ovulation, (II) likely anovulation. In Groups I and II were compared with the percentages of patients who do not ovulate with normal prolactin (3 to 20 ng / ml) versus moderately elevated prolactin (21 to 29 ng / ml). In group III were evaluated Normal progesterone levels (≥ 10 ng / mL) versus low progesterone (Group IV) (5.65 - 9.9 ng / ml) was considered as LUF (non-luteinized ruptured follicle). The groups were comparable for comparable as to age, body mass index (BMI), duration of infertility, FSH (ng / ml) TSH (mIU / l), LH (IU / l) and oestradiol (ng / dL) . SPSS Statistics 20.0 software and Bioestat (version 5.3) were used to for data analysis and chi-square test (X2) to assess differences between proportions. Where it is not for statistical analysis were calculated mean and standard deviation of the variables under study. The results demonstrated that moderate elevation of prolactin (21-29 ng / ml) caused a significant reduction (p = 0.03) in the ovulation rate of infertile patients with regular cycles considering as a criterion for ovulation progesterone levels ≥5, 65 ng / ml. When evaluated the influence of low progesterone on ovulation monitored by ultrasound was observed that these levels can significantly reduce the percentage of ovulation. It is concluded that a moderate hyperprolactinaemia and low progesterone can negatively influence the regulation of ovulation in infertile women with regular menstrual cycles. |
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Approbato, Mário Silvahttp://lattes.cnpq.br/3408700658976397Approbato, Mário SilvaBarbosa, Maria AlvesAgostinho, Patrícia Leão da SilvaBarros, Patrícia de SáSiriano, Liliane da Rochahttp://lattes.cnpq.br/7917878629861414Sanchez, Eliane Gouveia de Morais2016-04-06T14:33:14Z2015-10-29MORAIS, E. G. Influência dos mecanismos fisiopatológicos da hiperprolactinemia moderada na ovulação de mulheres inférteis. 2015. 74 f. Tese (Doutorado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2015.http://repositorio.bc.ufg.br/tede/handle/tede/5467Infertility reflects the inability of a couple to achieve pregnancy after one year of sexual intercourse without contraception. Most common causes are related to ovulatory disorders such as hyperprolactinaemia, polycystic ovary syndrome, thyroid dysfunction, corpus luteum deficiency, among others, and can be identified mainly by ultrasound and hormonal dosage. The overall objective of this study was to evaluate the influence of prolactin ovulation in infertile women suffering from regular cycles. It is case-control study, whose sample consisted of 343 women with age range 20-40 years old, attended from 2000 to 2014 in LabRep-HC / UFG and an office of Obstetrics and Gynecology, private network in Goiânia, Goiás, Brazil. Data collection was performed by analyzing the physical records stored in Medical Records and Health Information Service (SAMIS) and electronics made available by the database (Sisfert) (© Approbato, 2013). The patients were classified according to the ovulation state measured by progestogen dosage (≥ 5.65 ng / ml and 5.65 - 9.9 ng / ml) and ovulation by monitoring the ultrasound being divided into four groups: (I ) probable ovulation, (II) likely anovulation. In Groups I and II were compared with the percentages of patients who do not ovulate with normal prolactin (3 to 20 ng / ml) versus moderately elevated prolactin (21 to 29 ng / ml). In group III were evaluated Normal progesterone levels (≥ 10 ng / mL) versus low progesterone (Group IV) (5.65 - 9.9 ng / ml) was considered as LUF (non-luteinized ruptured follicle). The groups were comparable for comparable as to age, body mass index (BMI), duration of infertility, FSH (ng / ml) TSH (mIU / l), LH (IU / l) and oestradiol (ng / dL) . SPSS Statistics 20.0 software and Bioestat (version 5.3) were used to for data analysis and chi-square test (X2) to assess differences between proportions. Where it is not for statistical analysis were calculated mean and standard deviation of the variables under study. The results demonstrated that moderate elevation of prolactin (21-29 ng / ml) caused a significant reduction (p = 0.03) in the ovulation rate of infertile patients with regular cycles considering as a criterion for ovulation progesterone levels ≥5, 65 ng / ml. When evaluated the influence of low progesterone on ovulation monitored by ultrasound was observed that these levels can significantly reduce the percentage of ovulation. It is concluded that a moderate hyperprolactinaemia and low progesterone can negatively influence the regulation of ovulation in infertile women with regular menstrual cycles.A infertilidade reflete a incapacidade de um casal conseguir gravidez após um ano de relações sexuais sem contracepção. Causas mais comuns estão relacionadas a disfunções ovulatórias como a hiperprolactinemia, síndrome de ovário policístico, disfunções da tireóide, deficiência de corpo lúteo, entre outras, e que podem ser identificadas, principalmente, por dosagem hormonal e ultrassonografia. O objetivo geral desse estudo foi avaliar a influência dos níveis de prolactina na ovulação de mulheres inférteis portadoras de ciclos regulares. Trata-se de estudo caso-controle, cuja amostra foi composta por 343 mulheres com faixa etária compreendida de 20 a 40 anos, atendidas no período de 2000 a 2014 no LabRep-HC/UFG e em um consultório de Ginecologia e Obstetrícia da rede particular em Goiânia, Goiás, Brasil. A coleta de dados foi feita pela análise dos prontuários físicos armazenados no Serviço de Arquivo Médico e Informações em Saúde (SAMIS) e eletrônicos disponibilizados pelo banco de dados (Sisfert) (©Approbato, 2013). As pacientes foram classificadas de acordo com o estado ovulatório avaliado pela dosagem de progesterona (≥ 5,65 ng/ml e de 5,65 – 9,9 ng/ml) e monitorização da ovulação pelo ultrassom sendo divididas em quatro grupos: (I) provável ovulação, (II) provável anovulação. Nos grupos I e II foram comparadas as porcentagens de pacientes que não ovulavam com prolactina normal (3 a 20 ng/ml) versus prolactina moderadamente elevada (21 a 29 ng/ml). No grupo III foram avaliados os níveis de progesterona normal (≥ 10 ng/ml) versus progesterona baixa (Grupo IV) (5,65 – 9,9 ng/ml) considerada como LUF (Folículo Luteinizado não-roto). Os grupos foram pareados para a comparabilidade quanto a idade, índice de massa corporal (IMC), duração da infertilidade, FSH (ng/ml), TSH (mUI/l), LH (UI/l) e estradiol (ng/dl). Os programas SPSS Statistics 20.0 e Bioestat (versão 5.3) foram utilizados para para a análise dos dados e o teste Qui quadrado (X2) para avaliar as diferenças entre proporções. Onde não coube análise estatística foram calculadas média e desvio padrão das variáveis em estudo. Os resultados demonstraram que a elevação moderada da prolactina (21-29 ng/ml) provocou a redução significativa (p=0,03) na porcentagem de ovulação das pacientes inférteis portadoras de ciclos regulares considerando como critério de ovulação níveis de progesterona ≥5,65 ng/ml. Quando avaliada a influência da progesterona baixa sobre a ovulação monitorada pelo ultrassom foi observado que esses níveis podem reduzir de forma significativa a porcentagem de ovulação. Conclui-se que a hiperprolactinemia moderada e a progesterona baixa podem influenciar negativamente na regulação da ovulação de mulheres inférteis com ciclos regulares.Submitted by Luciana Ferreira (lucgeral@gmail.com) on 2016-04-06T14:30:58Z No. of bitstreams: 2 Tese - Eliane Gouveia de Morais Sanchez - 2015.pdf: 1194460 bytes, checksum: 67eee577cf08aa1bdca9f0cbdddad7f1 (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5)Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2016-04-06T14:33:14Z (GMT) No. of bitstreams: 2 Tese - Eliane Gouveia de Morais Sanchez - 2015.pdf: 1194460 bytes, checksum: 67eee577cf08aa1bdca9f0cbdddad7f1 (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5)Made available in DSpace on 2016-04-06T14:33:14Z (GMT). No. of bitstreams: 2 Tese - Eliane Gouveia de Morais Sanchez - 2015.pdf: 1194460 bytes, checksum: 67eee577cf08aa1bdca9f0cbdddad7f1 (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) Previous issue date: 2015-10-29application/pdfporUniversidade Federal de GoiásPrograma de Pós-graduação em Ciências da Saúde (FM)UFGBrasilFaculdade de Medicina - FM (RG)http://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessInfertilidadeHiperprolactinemia moderadaProgesterona baixaAnovulaçãoInfertilityMild hyperprolactinemiaLow progesteroneAnovulationCIENCIAS DA SAUDE::MEDICINAInfluência dos mecanismos fisiopatológicos da hiperprolactinemia moderada na ovulação de mulheres inférteisInfluence of the pathophysiological mechanisms of hyperprolactinemia ovulation in infertile womeninfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesis-10068643126177453106006006001545772475950486338-969369452308786627reponame:Biblioteca Digital de Teses e Dissertações da UFGinstname:Universidade Federal de Goiás (UFG)instacron:UFGORIGINALTese - Eliane Gouveia de Morais Sanchez - 2015.pdfTese - Eliane Gouveia de Morais Sanchez - 2015.pdfapplication/pdf1194460http://repositorio.bc.ufg.br/tede/bitstreams/f1f63f38-c5e0-49e4-8264-202b70a07ccc/download67eee577cf08aa1bdca9f0cbdddad7f1MD55LICENSElicense.txtlicense.txttext/plain; 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dc.title.por.fl_str_mv |
Influência dos mecanismos fisiopatológicos da hiperprolactinemia moderada na ovulação de mulheres inférteis |
dc.title.alternative.eng.fl_str_mv |
Influence of the pathophysiological mechanisms of hyperprolactinemia ovulation in infertile women |
title |
Influência dos mecanismos fisiopatológicos da hiperprolactinemia moderada na ovulação de mulheres inférteis |
spellingShingle |
Influência dos mecanismos fisiopatológicos da hiperprolactinemia moderada na ovulação de mulheres inférteis Sanchez, Eliane Gouveia de Morais Infertilidade Hiperprolactinemia moderada Progesterona baixa Anovulação Infertility Mild hyperprolactinemia Low progesterone Anovulation CIENCIAS DA SAUDE::MEDICINA |
title_short |
Influência dos mecanismos fisiopatológicos da hiperprolactinemia moderada na ovulação de mulheres inférteis |
title_full |
Influência dos mecanismos fisiopatológicos da hiperprolactinemia moderada na ovulação de mulheres inférteis |
title_fullStr |
Influência dos mecanismos fisiopatológicos da hiperprolactinemia moderada na ovulação de mulheres inférteis |
title_full_unstemmed |
Influência dos mecanismos fisiopatológicos da hiperprolactinemia moderada na ovulação de mulheres inférteis |
title_sort |
Influência dos mecanismos fisiopatológicos da hiperprolactinemia moderada na ovulação de mulheres inférteis |
author |
Sanchez, Eliane Gouveia de Morais |
author_facet |
Sanchez, Eliane Gouveia de Morais |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Approbato, Mário Silva |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/3408700658976397 |
dc.contributor.referee1.fl_str_mv |
Approbato, Mário Silva |
dc.contributor.referee2.fl_str_mv |
Barbosa, Maria Alves |
dc.contributor.referee3.fl_str_mv |
Agostinho, Patrícia Leão da Silva |
dc.contributor.referee4.fl_str_mv |
Barros, Patrícia de Sá |
dc.contributor.referee5.fl_str_mv |
Siriano, Liliane da Rocha |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/7917878629861414 |
dc.contributor.author.fl_str_mv |
Sanchez, Eliane Gouveia de Morais |
contributor_str_mv |
Approbato, Mário Silva Approbato, Mário Silva Barbosa, Maria Alves Agostinho, Patrícia Leão da Silva Barros, Patrícia de Sá Siriano, Liliane da Rocha |
dc.subject.por.fl_str_mv |
Infertilidade Hiperprolactinemia moderada Progesterona baixa Anovulação |
topic |
Infertilidade Hiperprolactinemia moderada Progesterona baixa Anovulação Infertility Mild hyperprolactinemia Low progesterone Anovulation CIENCIAS DA SAUDE::MEDICINA |
dc.subject.eng.fl_str_mv |
Infertility Mild hyperprolactinemia Low progesterone Anovulation |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::MEDICINA |
description |
Infertility reflects the inability of a couple to achieve pregnancy after one year of sexual intercourse without contraception. Most common causes are related to ovulatory disorders such as hyperprolactinaemia, polycystic ovary syndrome, thyroid dysfunction, corpus luteum deficiency, among others, and can be identified mainly by ultrasound and hormonal dosage. The overall objective of this study was to evaluate the influence of prolactin ovulation in infertile women suffering from regular cycles. It is case-control study, whose sample consisted of 343 women with age range 20-40 years old, attended from 2000 to 2014 in LabRep-HC / UFG and an office of Obstetrics and Gynecology, private network in Goiânia, Goiás, Brazil. Data collection was performed by analyzing the physical records stored in Medical Records and Health Information Service (SAMIS) and electronics made available by the database (Sisfert) (© Approbato, 2013). The patients were classified according to the ovulation state measured by progestogen dosage (≥ 5.65 ng / ml and 5.65 - 9.9 ng / ml) and ovulation by monitoring the ultrasound being divided into four groups: (I ) probable ovulation, (II) likely anovulation. In Groups I and II were compared with the percentages of patients who do not ovulate with normal prolactin (3 to 20 ng / ml) versus moderately elevated prolactin (21 to 29 ng / ml). In group III were evaluated Normal progesterone levels (≥ 10 ng / mL) versus low progesterone (Group IV) (5.65 - 9.9 ng / ml) was considered as LUF (non-luteinized ruptured follicle). The groups were comparable for comparable as to age, body mass index (BMI), duration of infertility, FSH (ng / ml) TSH (mIU / l), LH (IU / l) and oestradiol (ng / dL) . SPSS Statistics 20.0 software and Bioestat (version 5.3) were used to for data analysis and chi-square test (X2) to assess differences between proportions. Where it is not for statistical analysis were calculated mean and standard deviation of the variables under study. The results demonstrated that moderate elevation of prolactin (21-29 ng / ml) caused a significant reduction (p = 0.03) in the ovulation rate of infertile patients with regular cycles considering as a criterion for ovulation progesterone levels ≥5, 65 ng / ml. When evaluated the influence of low progesterone on ovulation monitored by ultrasound was observed that these levels can significantly reduce the percentage of ovulation. It is concluded that a moderate hyperprolactinaemia and low progesterone can negatively influence the regulation of ovulation in infertile women with regular menstrual cycles. |
publishDate |
2015 |
dc.date.issued.fl_str_mv |
2015-10-29 |
dc.date.accessioned.fl_str_mv |
2016-04-06T14:33:14Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/doctoralThesis |
format |
doctoralThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
MORAIS, E. G. Influência dos mecanismos fisiopatológicos da hiperprolactinemia moderada na ovulação de mulheres inférteis. 2015. 74 f. Tese (Doutorado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2015. |
dc.identifier.uri.fl_str_mv |
http://repositorio.bc.ufg.br/tede/handle/tede/5467 |
identifier_str_mv |
MORAIS, E. G. Influência dos mecanismos fisiopatológicos da hiperprolactinemia moderada na ovulação de mulheres inférteis. 2015. 74 f. Tese (Doutorado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2015. |
url |
http://repositorio.bc.ufg.br/tede/handle/tede/5467 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.program.fl_str_mv |
-1006864312617745310 |
dc.relation.confidence.fl_str_mv |
600 600 600 |
dc.relation.department.fl_str_mv |
1545772475950486338 |
dc.relation.cnpq.fl_str_mv |
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dc.rights.driver.fl_str_mv |
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UFG |
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Universidade Federal de Goiás |
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