2016, Number 05
<< Back Next >>
Ginecol Obstet Mex 2016; 84 (05)
Frequency of menstrual disturbances in gynecology and obstetrics residents
Carranza-Lira S, Tostado-Loaiza FA
Language: Spanish
References: 13
Page: 301-305
PDF size: 407.43 Kb.
ABSTRACT
Objetive: To determine the frequency of menstrual disorders in gynecology
and obstetrics residents.
Material and Method: All residents of the 2015-2016 academic
cycle were studied. In all them the menstrual cycle characteristics such
as: rhythm, duration and quantity were analyzed. For statistical analysis
Mann Whitney U test and Spearman’s correlation analysis were done.
Results: 61 residents, 18 of 2
nd, 21 of 3
rd and 22 of 4
th year were
studied. Body mass index was significantly greater in those of 4
th grade
when compared with those of 2
nd. The waist hip ratio (WHR) was
significantly smaller in those of 3
rd when compared with those of 4
th.
The reported frequency of menstrual disturbances was 22.8%, 28.6%
and 22.7% for the 2
nd, 3
rd and 4
th years respectively. After comparing
the groups, between them the total volume was greater in those of 2
nd
when compared with those of 3
rd (p‹0.009) and 4
th (p‹0.04) In the correlation
analysis in those of 2
nd grade the WHR negatively correlated
with the duration of bled (ρ -0.483, p‹0.049). In those of 3
rd year the
WHR positively correlated with the duration (ρ 0.544, p‹0.024) and
with the total volume (ρ 0.553, p‹0.021). In those of 4th year any correlation
was found.
Conclusion: The 2
nd year residents women´s are more likely to suffer
menstrual disorders compared with those of 3
rd and 4
th year of residence.
REFERENCES
Luthy C, Perrier A, Perrin E, Cedraschi C, Allaz AF. Exploring the major difficulties perceived by residents in training: a pilot study. Swiss Med Wkly 2004;134(41-42):612-7.
Luppino F, Van Reedt Dortland A, Wardenaar K, Bouvy P, Giltay E, Zitman F, et.al. Symptom dimensions of depression and anxiety and the metabolic syndrome. Psychosom Med 2011;73(3):257-64.
Carranza Lira S. Fisiología Ovárica y endometrial (ciclo menstrual). En: Introducción a la Endocrinología Ginecológica. Mexico: Trillas; 2011. pp. 17-28.
Berumen Enciso F, Pavia Crespo L, Castillo Acuña J. Clasificación y nomenclatura de las alteraciones menstruales. Ginecol Obstet Mex 2007;75(10):641-51.
Carranza Lira S. Amenorrea y trastornos menstruales. En: Introducción a la Endocrinología Ginecológica. México: Editorial Trillas, 2011;63-78.
Fraser I, Critchley H, Broder M, Munro MG. The FIGO recommendations on terminologies and definitions for normal and abnormal uterine bleeding. Semin Reprod Med 2011;29(5):383-90.
Carranza Lira S, Flores Hernandez MI, Sandoval Barragan MP, Martinez Chequer JC, Martinez Rodriguez OA. Variabilidad del ciclo menstrual en mujeres mexicanas segun el peso y la distribucion del tejido adiposo. Ginecol Obstet Mex 2013;81(6):321-8.
Gordon CM. Clinical practice: Functional hypothalamic amenorrhea. N Engl J Med 2010;363(4):365-71.
Yen S. Anovulación crónica debida a disfunción del sistema SNC-hipotalámico-hipofisario En: Yen S, Jaffe R, eds. Endocrinología de la reproducción fisiología, fisiopatología y manejo clínico. 3ª ed. Buenos Aires: Editorial Médica Panamericana, 1996;677-85.
Perkins RB, Hall JE, Martin KA. Neuroendocrine abnormalities in hypothalamic amenorrhea: spectrum, stability, and response to neurotransmitter modulation. J Clin Endocrinol Metab 1999;84(6):1905-11.
Marchand A, Beauregard N, Blanc M. Work and non-work stressors, psychological distress and obesity: evidence from a 14 year study on Canadian workers. BMJ Open 2015;5(3):e006285.
Schliep K, Mumford S, Vladutiu C, Aherens KA, Perkins NJ, Sjaarda LA, et.al. Perceived stress, reproductive hormones, and ovulatory function: prospective cohort study. Epidemiology 2015;26(2):177-84.
Morimatsu Y, Matsubara S, Watanabe T, Hashimoto Y, Matsuy T, Asada K, et.al. Future recovery of the normal menstrual cycle in adolescent patients with secondary amenorrhea. J Obstet Gynecol Res 2009;35(3):545-50.