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Biomedical subjects

G Lo Dico

Publications and source records attributed to G Lo Dico.

At least 19 recordsLinked to original sources

[HRT in post-menopausal women: endometrial histology and bleeding patterns].

BACKGROUND: In this open prospective study the correlation between bleeding patterns and endometrial histology has been evaluated in 101 postmenopausal women after 2 years of continuous sequential hormone replacement therapy (HRT). METHODS: All patients received continuous transdermal 17-b-estradiol supplementation, 0.05 mg/daily, with cyclic progestogen for 12 days every month. The progestogen was: dydrogesterone 10 mg/daily (56 cases); nomegestrol 5 mg/daily (15 cases); MAP 10 mg/daily (15 cases); norethisterone 0.25 mg/daily (15 cases). The changes in the characteristics of bleeding pattern and endometrial biopsy were performed in 90 of 101 patients, at the 10-12th of progestogen therapy. RESULTS: The endometrial pattern was secretory in 60 cases, proliferative in 5 and atrophic in 22. In 3 cases the endometrial histology showed a simple hyperplasia. The bleeding generally starts 2 days after the end of progestogen therapy (13th +/- 2.9 day), with a mean duration of 4 days (4 +/- 2.8); in 21 patients (~20%) the bleeding is reduced. The endometrial histological characteristics haven't any influence on the bleeding pattern. CONCLUSIONS: In this study there was a low incidence of simple hyperplasia (3%), but the characteristics of bleeding don't permit to suspect this hyperplasia.

Biopsy↗

Prognostic value of hCG, progesterone, 17-beta estradiol and the echoscopic examination in threatened abortion during the first trimester.

The Authors refer on the validity of echoscopic examination and hCG, progesterone and 17-beta estradiol values in the prognosis of threatened abortion during the first trimester of pregnancy in 62 patients. The echoscopic examination allowed a prognosis to be made in accordance with the clinical evolution of threatened abortion in 90% of the cases; the plasma levels of hCG and progesterone in 87% of the cases; 17-beta estradiol in 83% of the cases. The Authors conclude that the simultaneous assay of hCG, progesterone and 17-beta estradiol plasma levels does not improve the prognostic validity of echoscopy but, in some cases, can provide essential details on the etiology of threatened abortion itself.

Abortion, Spontaneous↗

Inhibition of lactation and inhibition of prolactin release after mechanical breast stimulation in puerperal women given tamoxifen or placebo.

Tamoxifen was given orally to 60 puerperal women to inhibit lactation. Twenty control puerperal women were given placebo. Fifteen women receiving tamoxifen and 15 women receiving placebo were studied before, during and after the use of a breast pump under basal conditions and after five days of treatment. Tamoxifen was effective in inhibiting lactation; no rebound phenomena were observed. Its administration was free from side effects. This drug was capable of preventing the prolactin release induced by mechanical breast stimulation. Placebo failed to inhibit lactation and had no effect on prolactin release induced by the use of a breast pump.

Adult↗