Transvaginal ultrasonography assessment of ovarian volumes in postmenopausal women

The authors evaluated ovarian volumes by transvaginal ultrasonography at different periods after menopause. Ninety-eight postmenopausal women with an average age of 51.9 years and a one- to eight-year postmenopausal period were studied. The control group consisted of 40 women during menacme with an average age of 31.8 years, who were also submitted to transvaginal ultrasonography to evaluate ovarian volume. There was no significant difference between right and left ovarian volumes in the study groups. There was a significant decrease in measure and standard deviations of the volumes after the first year of menopause (mean volume - 2.2 ñ 0.9 cm3) when compared to the control group (mean volume - 6.3 ñ 2.0 cm3 ), followed by a slow and gradual shrinking after this phase. Decrease in ovarian volume became significant after the fourth postmenopausal year. Transvaginal ultrasonography demonstrated great importance as an investigative method of ovarian diseases in postmenopausal women.

Comportamento do volume ovariano pela ultra-sonografia em mulheres na pós-menopausa / Behavior of ovarian volume determinated by ultrasonography in post menopause women

Os autores avaliaram ultra-sonograficamente as medidas dos volumes ovarianos em diferentes períodos de tempo após a menopausa. Encontraram queda significativa entre as médias das medidas de volume ovariano a partir do primeiro ano de pós-nmenopausa, quando comparadas com grupo controle de pacientes no menacme e queda lenta e gradual a partir desta fase. Salientam a importância do exame ultra-sonográfico na pós-menopausa, como método propedêutico na detecçäo das patologias ovarianas nessa faixa etária

Repercussöes endometriais da hormonioterapia de reposiçäo no climatério / Endometrial effects of hormonal replacement therapy in the climateric

Os autores fazem revisäo, apresentando os efeitos da hormonioterapia de reposiçäo (HR) no climatério sobre o endométrio. Tecem consideraçöes a respeito da estrogenioterapia isolada e associada a progestagenioterapia. Referem ser o esquema estro-progestativo o recomendado nessa faixa etária e apresentam casuística própria do esquema contínuo. Finalizam recomendando o estudo isolado de cada paciente e a melhor terapêutica para cada caso