Dados do Trabalho

Title

GYNECOLOGICAL PROFILE OF OSTEOPOROSIS PATIENTS ATTENDING THE OUTPATIENT CLINIC OF OSTEOMETABOLIC DISEASES AT UNIVERSITY'S HOSPITAL OF AMAZON.

Background

Osteoporosis is a systemic disease in which there is a greater risk of developing bone fragility and fractures, due to bone architectural damage that leads to a decrease in bone mass. It is more common in females, influenced mainly by age, skin color and hormonal factors, notably estrogen, evidenced by the higher incidence among postmenopausal women. This study aims to analyze the gynecological profile of osteoporosis patients treated at the osteometabolic diseases outpatient clinic in a university hospital in Manaus - Amazonas.

Materials and methods

A retrospective, observational, cross - sectional and descriptive study was carried out on the charts of patients with osteoporosis in follow - up at the Osteometabolic Diseases Outpatient Clinic at the Rheumatology Service of a University Hospital located in Manaus - Amazonas. The data collected were: gender, age, ethnicity, age of menarche and menopause, cause of menopause, number of pregnancies and abortions, plus oral contraceptive use and hormone replacement therapy.

Results

Among 328 patients treated with osteoporosis, 321 patients with complete data were selected for the study. There is a predominance of females with 90% and only 10% of males. Most of them over 50 years old (90.34%). The mean age for menarche was 13.7 years. There were 85% menopausal women (84% natural and 16% surgical): 0.7% had a 20-19 year old, 8% had a 30-39 year old, 49% had a 40-49 year old, 39.5% between 50-59 years and 2.5% above 60 years. Among the menopause, 78% did not do Hormonal Replacement Therapy. It was found that 36.6% used oral contraceptives: 19% for less than 11 months, 52% for one to five years and 28% for more than six years. As for the number of pregnancies, 17% had between 1-2 gestations, 21% between 3-4, 21.5% between 5-6, 14% between 7-8, 11% 9-10 and 12% had more than 11 times , 9% was nulliparous. Regarding abortions, 43% had a history of abortion: 90% between 1 and 3 abortions, 8% between 4 and 6 and 2% more than 7 times.

Conclusions

It was found that osteoporosis was more frequent in women of “pardo” color and after the sixth decade of life. The most important risk factors were gender, age and postmenopausal period associated with non-Hormone Replacement Therapy. Therefore the importance of the orientation of women in the pre and the first 5 years of menopause, to prevent osteoporosis.