Entity

Time filter

Source Type


Chedraui P.,Hospital Gineco Obstetrico Enrique C. Sotomayor | Troyano-Luque J.M.,Hospital Universitario Of Canarias
Gynecological Endocrinology | Year: 2010

Adnexal masses are common among peri-and post-menopausal women. Although ovarian cancer is a significant cause of mortality in menopausal women, large population-based studies demonstrate that the majority of adnexal masses are benign. Despite this, the appearance of an adnexal mass is a concern for the patient and an insight exercise for physicians. In most cases, an adnexal enlargement is an incidental finding, generally corresponding to a benign cyst and easily diagnosed by conventional ultrasound. Exceptionally an ovarian tumour may be malignant and should be treated as early as possible. When conventional ultrasound renders complex morphology other diagnostic tools must be used such as: colour Doppler and functional tumour vessel properties, serum CA 125 levels, nuclear magnetic resonance imaging and in some cases laparoscopy. Several new tumour markers are being studied for clinical application, although there are presently no clear recommendations. Adnexal masses with benign morphological and functional properties must be periodically monitored as an alternative to surgery since malignant transformation is exceptional. © 2010 Informa UK Ltd.


Chedraui P.,Hospital Gineco Obstetrico Enrique C. Sotomayor | Chedraui P.,University of Guayaquil | Perez-Lopez F.R.,University of Zaragoza | Mendoza M.,University of Guayaquil | And 5 more authors.
Maturitas | Year: 2010

Background: Sleep disorders and sleep-apnea/hypopnea syndromes are very frequent in women, being misdiagnosed in many cases. The menopause, regardless of age, is associated to poor sleep quality and daytime sleepiness that can lead to impaired quality of life, and reduced productivity and functioning. Objective: To assess daytime sleepiness and related risk factors among middle aged Ecuadorian women using the Epworth Sleepiness Scale (ESS). Methods: In this cross-sectional study 149 women aged 40-59 years were assessed for hot flush presence and intensity using the Menopause Rating Scale (MRS) and requested to fill out the ESS and a questionnaire containing personal and partner data. Results: Mean age of surveyed women was 47.6 ± 5.5 years, with 67.8% having less than 12 years of schooling, 33.6% being postmenopausal, and 2.7% on hormone therapy. A 10.1% were current smokers and 20.8% were sedentary. According to the MRS (item 1) 51.7% presented hot flushes, which were graded as severe-very severe in 42.8% of cases. Regarding the partner (n = 132), erectile dysfunction was present in 10.6%, premature ejaculation 6.1% and 17.4% abused alcohol. Mean total ESS score was 8 ± 4.4 (median 8), with 33.6% considered having some degree of daytime sleepiness (ESS score ≥10). Logistic regression analysis determined that postmenopausal status (OR 6.58, CI 95% [2.51-17.23], p = 0.001), sedentarism (OR 3.43, CI 95% [1.14-10.26], p = 0.02) and hot flush presence (OR 2.61, CI 95% [1.02-6.65], p = 0.04) among women were risk factors for increased daytime sleepiness (ESS total score ≥10) whereas partner faithfulness decreased this risk (OR 0.47, CI 95% [0.24-0.90], p = 0.02). Conclusion: Increased daytime sleepiness in this middle aged series was related to female (hormonal status and sedentarism) and partner factors; several which are susceptible of intervention. © 2009 Elsevier Ireland Ltd. All rights reserved.


Chedraui P.,Hospital Gineco Obstetrico Enrique C. Sotomayor | Chedraui P.,University of Guayaquil | Perez-Lopez F.R.,University of Zaragoza | Mendoza M.,University of Guayaquil | And 5 more authors.
Maturitas | Year: 2010

Objective: To assess self-esteem and affecting factors in a middle-aged Ecuadorian female population using the Rosenberg Self-Esteem Scale (RSES). Study design: This was a cross-sectional study in which 149 women (40-59 years) were requested to fill out the RSES and a general socio-demographic form containing personal and partner data. Results: Mean age of sample was 47.6 ± 5.5 years, a 67.8% had less than 12 years of schooling and 33.6% were postmenopausal. At the moment of the survey 2.7% were on hormone therapy, and 2% were taking psychotropic drugs. Mean total RSES score was 26.6 ± 3.1 (median 26, range 17-35). A 35.6% and 18.1% of women respectively presented total RSES scores below 26 (median) and 25 (25th percentile) suggesting lower self-esteem. Total scores did not differ when comparing older age, menopausal phases or time since the menopause. Logistic regression analysis determined that women with lower parity and an unhealthy partner were related to lower total RSES scores (below the 25th percentile) suggesting lower self-esteem. Conclusions: In this mid-aged series lower self-esteem was not related to the aging process per se yet to socio-demographic female/male aspects. More research is needed in this regard that incorporates other sociological aspects. © 2010 Elsevier Ireland Ltd. All rights reserved.


Salazar-Pousada D.,Hospital Gineco Obstetrico Enrique C. Sotomayor | Salazar-Pousada D.,Catholic University of Santiago de Guayaquil | Chedraui P.,Hospital Gineco Obstetrico Enrique C. Sotomayor | Chedraui P.,Catholic University of Santiago de Guayaquil | And 3 more authors.
Enfermeria Clinica | Year: 2014

Objective: To assess obstetrical outcomes in a sample of nulliparous gestations with preeclampsia, as compared to gestations without preeclampsia, attended in the Enrique C. Sotomayor Hospital of Guayaquil, Ecuador. Method: This was a comparative study of maternal and perinatal outcome data of gestations with late onset preeclampsia (n = 150; gestational age = 36.7 ± 3.3 weeks) with that of normal gestations (n = 150; gestational age 38.7 ± 1.7 weeks). Results: Almost three-quarters (73.3%) of preeclampsia cases were defined as severe. Compared to normal gestations, preeclampsia cases had higher anthropometric indices (neck and mid-arm circumference) and had more oligohydramnios, cesarean sections, transfusions, distressed fetuses, and adverse perinatal outcomes such as, lower Apgar scores at birth, and more preterm births, lower birth weight and small for gestational age infants. Conclusion: Gestations with preeclampsia had a negative impact on maternal and perinatal outcomes compared to gestations without preeclampsia. © 2014 Elsevier España, S.L.U.


Rodrguez M.C.,Hospital Gineco Obstetrico Enrique C. Sotomayor | Chedraui P.,Hospital Gineco Obstetrico Enrique C. Sotomayor | Schwager G.,Hospital Gineco Obstetrico Enrique C. Sotomayor | Hidalgo L.,Hospital Gineco Obstetrico Enrique C. Sotomayor | Perez-Lopez F.R.,University of Zaragoza
Journal of Obstetrics and Gynaecology | Year: 2012

The present study aimed at assessing sexuality after hysterectomy using the Female Sexual Function Index (FSFI). A telephone survey was conducted among women 1 year after a hysterectomy for benign cause. The FSFI and a general questionnaire containing personal and partner sociodemographic data were applied. A total of 100 sexually active women participated. Bilateral oophorectomy was performed among 41%. Upon survey, 63% were on hormone therapy (HT) and 2% on psychotropic drugs. Regarding the partner (n = 100), 32% abused alcohol; 11% had erectile dysfunction; 67% premature ejaculation and 11% were unfaithful. Total FSFI score was 19.4 ± 3.6 (median 19.8) and for the domains: 3.2 ± 0.9 (desire); 3.2 ± 0.9 (arousal); 3.1 ± 0.6 (lubrication); 3.1 ± 0.7 (orgasm); 3.5 ± 1.1 (satisfaction) and 3.2 ± 1.2 (pain/dyspareunia). All women displayed sexual dysfunction (total FSFI score ≤ 26.55). A total of 53% presented FSFI scores equal to or below the calculated median for the series. Logistic regression determined that among women who had had a hysterectomy, male premature ejaculation was related to an overall poorer female sexual function (lower total FSFI scorings), whereas sometime oral contraceptive use decreased this risk. Age (female or male) and male sexual dysfunction were factors related to lower individual FSFI domain scores. © 2012 Informa UK, Ltd.

Discover hidden collaborations