Incidencia del sindrome de ovario poliquistico en mujeres de 20 – 30 años en el Hospital Gineco-Obstetrico Enrique C. Sotomayor de octubre del 2013 a marzo del 2014
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2014
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Obstetricia
Resumen
El síndrome de ovarios poliquísticoes la patología endócrina más común en la mujer en edad reproductiva, se caracteriza por la triada clásica obesidad, hirsutismo/androgenización y anovulación/esterilidad. Su etiología no es conocida con exactitud y se cree que es multifactorial pues abarca muchos campos de la ciencia médica (enfermedades metabólicas, cardiovasculares, ginecológicas, oncológicas), constituyendo un problema de salud pública al cual no se ha dado debida importancia. El objetivo del estudio fue determinar la incidencia del Síndrome de ovarios poliquísticoen las pacientes ginecológicas de la consulta externa del Hospital Gineco-Obstetrico “Enrique C. Sotomayor y proponer medidas educativas, determinando edad de mayor frecuencia, índice de masa corporal, alteraciones de la fertilidad, manifestaciones clínicas y exámenes complementarios. Fue un estudio descriptivo, correlacional, longitudinal, no experimental, realizado dese Octubre del 2013 a Marzo del 2014, con un universo de 131 pacientes ginecológicas, de las cuales 28 (21%) fueron diagnosticadas con el síndrome. Los principales resultados fueron: La incidencia (21%), la edad de mayor frecuencia de presentación fue entre los 26 a 30 años; la obesidad está considerablemente relacionada a la presentación del síndrome, sin embargo, como motivo principal de consulta expresado por las pacientes fueron las alteraciones menstruales, a pesar de tener también evidentes signos de androgenización. En nuestra experiencia, el diagnóstico, aunque contó con los debidos métodos auxiliares, estuvo basado principalmente en una anamnesis detallada y en el examen físico y clínico minucioso, los cuales brindaron excelentes criterios diagnósticos.
Polycystic ovary syndrome is the most common endocrine disease in women of reproductive age, is characterized by the classic triad obesity, hirsutism / androgenization and anovulation / sterility. Its etiology is not known exactly and is believed to be multifactorial as it covers many fields of medical science (metabolic diseases, cardiovascular, gynecological, oncology), constituting a public health problem which has not been given due importance. The aim of the study was to determine the incidence of Polycystic ovary syndrome in gynecological patients outpatient Obstetrics and Gynecology " Enrique C. Sotomayor Hospital and propose educational measures , determining age more often, body mass index , impaired fertility , demonstrations clinical and complementary examinations . It was a descriptive, correlational, longitudinal, non-experimental study, dese October 2013 to March 2014, with a universe of 131 gynecological patients, of which 28 (21 %) were diagnosed with the syndrome. Main results were: The incidence (21%), age at presentation was most often between 26 to 30 years ; obesity is significantly related to the presentation of the syndrome, however, as chief complaint expressed by patients were menstrual disturbances, despite also having obvious signs of androgenization. In our experience, the diagnosis, but told with appropriate helper methods, was based primarily on a detailed history and thorough physical and the clinical examination, which provided excellent diagnostic criteria KEYWORDS: POLYCYSTIC OVARIES, OBESITY, HIRSUTISM, ANDROGENIZATION, ANOVULATION, STERILITY.
Polycystic ovary syndrome is the most common endocrine disease in women of reproductive age, is characterized by the classic triad obesity, hirsutism / androgenization and anovulation / sterility. Its etiology is not known exactly and is believed to be multifactorial as it covers many fields of medical science (metabolic diseases, cardiovascular, gynecological, oncology), constituting a public health problem which has not been given due importance. The aim of the study was to determine the incidence of Polycystic ovary syndrome in gynecological patients outpatient Obstetrics and Gynecology " Enrique C. Sotomayor Hospital and propose educational measures , determining age more often, body mass index , impaired fertility , demonstrations clinical and complementary examinations . It was a descriptive, correlational, longitudinal, non-experimental study, dese October 2013 to March 2014, with a universe of 131 gynecological patients, of which 28 (21 %) were diagnosed with the syndrome. Main results were: The incidence (21%), age at presentation was most often between 26 to 30 years ; obesity is significantly related to the presentation of the syndrome, however, as chief complaint expressed by patients were menstrual disturbances, despite also having obvious signs of androgenization. In our experience, the diagnosis, but told with appropriate helper methods, was based primarily on a detailed history and thorough physical and the clinical examination, which provided excellent diagnostic criteria KEYWORDS: POLYCYSTIC OVARIES, OBESITY, HIRSUTISM, ANDROGENIZATION, ANOVULATION, STERILITY.
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Síndrome del ovario poliquístico, Obesidad, Androgenización, Anovulación, Esterilidad, Hospital Gineco Obstétrico Enrique C. Sotomayor, Cantón Guayaquil, Ecuador, Incidencia