Asunto(s)
Humanos , Femenino , Disfunciones Sexuales Fisiológicas/tratamiento farmacológico , Disfunciones Sexuales Psicológicas/tratamiento farmacológico , Terapia de Reemplazo de Hormonas , Disfunciones Sexuales Fisiológicas/terapia , Educación Sexual/métodos , Testosterona/uso terapéutico , Neurotransmisores , Sexualidad , Disfunciones Sexuales Psicológicas/terapia , Estrógenos/uso terapéutico , Noretindrona/uso terapéuticoRESUMEN
Este protocolo visa apresentar os critérios e o algoritmo para o diagnóstico e o tratamento das disfunções sexuais femininas (DSFs), de acordo com os critérios da Classificação Internacional das Doenças (CID-10) utilizados pelo Sistema Único de Saúde (SUS) no Brasil. A classificação e os conceitos do DSM-V são utilizados para complementar a CID-10.(AU)
Asunto(s)
Humanos , Femenino , Sexualidad , Disfunciones Sexuales Psicológicas/clasificación , Disfunciones Sexuales Psicológicas/diagnóstico , Salud Sexual , Anamnesis/métodos , Protocolos Clínicos , Factores de Riesgo , Dispareunia/diagnósticoAsunto(s)
Humanos , Femenino , Adolescente , Adulto , Educación Médica , Emociones , Relaciones Médico-Paciente , Práctica Profesional , Terapia Psicoanalítica , Psicología Médica , Psicoterapia de Grupo , Sexo , Educación Sexual , Conducta Sexual , Apoyo Social , Terapia Familiar , Entrevistas como Asunto , Registros Médicos , Pacientes , Rol del Médico , Psicoanálisis , Encuestas y Cuestionarios , Desempeño de PapelRESUMEN
A case of sclerosinhg stomal tumor of the ovary in a 23 years old case is reported. She presented metrorrhagia and abdominal mass in the lower quadrants, measuring 12.5 x 16.7 x 9.0 cm (USG). clinically, there was anaovulation with result infertility, which was resistent to therapy with clomiphene citrate. The tumor was removed from the patient's left ovary. The cut surface showed a solid and edematous pattern. Histological examination revealed a mixture of fibromatous and lipoid cells separated by edematous or sclerosing stroma into pseudonodules. The tumor was benign and considered to arise from gonadal stroma of the ovary. Both menstrual disorders and problems of infertility were corrected by tumor's excision. Ultrastructural and immunohistochemistry studies, as well as clinical patterns have indicated in many cases, that the tumor is functionally active and from ovarian stromal origin. This specific tumor is worthwhile to present due to its rarity, its association with sterility and a difficulty in finding a definitive nomenclature. Two months after the surgery the patient was pregnant for the first time