Navegando por Palavras-chave "Premenstrual syndrome"
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- ItemAcesso aberto (Open Access)Drenagem linfática manual nos sintomas da síndrome pré-menstrual: estudo piloto(Universidade de São Paulo, 2010-03-01) Ferreira, Juliana De Jesus [UNIFESP]; Machado, Aline Fernanda Perez; Tacani, Rogério; Saldanha, Maria Elisabete Salina; Tacani, Pascale Mutti [UNIFESP]; Liebano, Richard Eloin; Universidade Federal de São Paulo (UNIFESP); Universidade Cidade de São Paulo; Centro Universitário São CamiloPremenstrual syndrome is a symptomatology - including premenstrual edema - that affects women between the 10th and 14th days prior to menstruation and ends at the onset of menstrual flux. The technique of manual lymphatic drainage (MLD) draws off accumulated fluid excess, acts on edema and might help relieve such symptoms. The purpose of this pilot study was to assess the effect of MLD on premenstrual symptoms and on health-related quality of life of four young women. The study was carried out along two menstrual cycles, the first with no intervention; MLD was applied along the second cycle. Participants were assessed, at the beginning of the first cycle and after treatment, as to height and weight, body composition estimate, daily symptoms by means of a diary, and quality of life by the WHOQoL-bref. After treatment results showed the sole significant decreases in abdomen xyphoid and navel level diameters; mean total and individual symptom scores decreased, but with no significant differences, the same happening to the higher WHOQoL-bref mean scores. Manual lymphatic drainage was thus able to reduce one premenstrual symptom, namely the upper abdomen edema, and didn't affect these young women's quality of life.
- ItemAcesso aberto (Open Access)Pre-participation gynecological evaluation of female athletes: a new proposal(Instituto Israelita de Ensino e Pesquisa Albert Einstein, 2014-12-01) Parmigiano, Tathiana Rebizzi; Zucchi, Eliana Viana Monteiro; Araujo, Maíta Poli de; Guindalini, Camila Santa Cruz; Castro, Rodrigo de Aquino [UNIFESP]; Bella, Zsuzsanna Ilona Katalin De Jármy Di; Girão, Manoel João Batista Castello [UNIFESP]; Cohen, Moises [UNIFESP]; Sartori, Marair Gracio Ferreira [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Objective To propose the inclusion of a gynecological investigation during the evaluation of athletes before competitions, using a specific instrument called the Pre-participation Gynecological Examination (PPGE). Methods The study assessed 148 athletes, mean age of 15.4±2.0 years, who engaged in eight different sports modalities, and who responded to a questionnaire named Pre-Participation Gynecological Examination (PPGE), to the International Consultation on Incontinence Questionnaire - Short Form (for urinary loss), and to the Eating Attitudes Test (for eating disorders). Results Fifty percent of the participants reported irregular menstrual intervals, 23.0% did not know about sexually transmitted diseases, and 72.4% denied having, at least, an annual gynecological appointment. The study identified 18.2% who had urinary loss, and 15% presented with an increased risk of eating disorders. Moreover, 89.9% were not familiar with the occurrence of urinary incontinence in athletes and did not know that they were susceptible to the female athlete triad. A total of 87.1% of them stated that would not mention these issues to their coaches even if this would improve their health or performance. Conclusion The Pre-Participation Gynecological Examination can be considered an easy-to-apply instrument that allowed the diagnosis of alterations often underestimated by the athletes themselves. After its application, the alterations were identified, and determined the athletes’ referral to appropriate evaluation and treatment.
- ItemSomente MetadadadosVitex agnus castus for premenstrual syndrome and premenstrual dysphoric disorder: a systematic review(Springer Wien, 2017) Cerqueira, Raphael O. [UNIFESP]; Frey, Benicio N.; Leclerc, Emilie [UNIFESP]; Brietzke, Elisa [UNIFESP]The objective of this study was to evaluate whether Vitex agnus castus is a safe and effective treatment for PMS and premenstrual dysphoric disorder (PMDD) and to discuss the implications of these findings for clinical practice. A systematic review of literature was conducted using PubMed and Scielo databases. The inclusion criteria were randomized controlled trials (RCT) using V. agnus castus in individuals with PMS or PMDD that compared this intervention with placebo or an active comparator and included a description of blinding and dropouts/withdrawals. The search was conducted by two independent investigators who reached consensus on the included trials. A total of eight RCTs were included in this study. Most studies focused on PMS, and the diagnostic criteria of PMS and PMDD changed over the years. Three different preparations of V. agnus castus (VAC) were tested, and there was significant variability in the measurement of treatment outcomes between the studies. Nevertheless, all eight studies were positive for VAC in the treatment of PMS or PMDD and VAC was overall well tolerated. Main limitations were differences in definition of diagnostic criteria, the instruments used as main outcome measures, and different preparations of VAC extracts limit the comparison of results between studies. In conclusion, the RCTs using VAC for treatment of PMS/PMDD suggested that the VAC extract is a safe and efficacious alternative to be considered for the treatment of PMS/PMDD symptoms.