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Lete I. Evolución del estrógeno en la anticoncepción hormonal combinada: del etinilestradiol al estetrol pasando por el estradiol. Clínica e Investigación en Ginecología y Obstetricia 2022. [DOI: 10.1016/j.gine.2022.100755] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Lete I. Uso de inhibidores de la aromatasa en el tratamiento del dolor pélvico asociado a endometriosis: revisión sistemática. Clínica e Investigación en Ginecología y Obstetricia 2022. [DOI: 10.1016/j.gine.2021.100706] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Lete I, Paz D. RETIRADO: Eficacia, seguridad y beneficios no anticonceptivos del uso extendido o continuo del anillo vaginal anticonceptivo. Clínica e Investigación en Ginecología y Obstetricia 2021. [DOI: 10.1016/j.gine.2021.01.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Merki-Feld GS, Apter D, Bartfai G, Grandi G, Haldre K, Lech M, Lertxundi R, Lete I, Lobo Abascal P, Raine S, Roumen F, Serfaty D, Shulman LP, Skouby S, Bitzer J. ESC expert statement on the effects on mood of the natural cycle and progestin-only contraceptives. EUR J CONTRACEP REPR 2017; 22:247-249. [PMID: 28728451 DOI: 10.1080/13625187.2017.1353075] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
Hormonal fluctuations during the natural cycle, as well as progestins used for hormonal contraception, can exert effects on mood especially in vulnerable women. Negative effects of levonorgestrel-releasing intrauterine contraception on mood are rare.
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Affiliation(s)
- G S Merki-Feld
- a Department of Gynecology and Obstetrics, Clinic for Reproductive Endocrinology , University Hospital Zürich , Zürich , Switzerland
| | - D Apter
- b VL-Medi Oy Clinical Research Center , Helsinki , Finland
| | - G Bartfai
- c Department of Obstetrics and Gynaecology , University of Szeged , Szeged , Hungary
| | - G Grandi
- d Department of Medical and Surgical Sciences for Mother, Child and Adult , University of Modena, and Reggio Emilia, Azienda Ospedaliero-Universitaria Policlinico , Modena , Italy
| | - K Haldre
- e Sexual Health Clinic of the Estonian Sexual Health Association , Tallinn , Estonia
| | - M Lech
- f AD REM Fertility and Sterility Research Centre , Warsaw , Poland
| | - R Lertxundi
- g Department of Sexual and Reproductive Health , Clinica Euskalduna , Bilbao , Spain
| | - I Lete
- h Araba University Hospital , Vitoria , Spain
| | - P Lobo Abascal
- i Infanta Sofía University Hospital, San Sebastián de los Reyes , Madrid , Spain
| | - S Raine
- j Nurse Specialist in Contraception , Bournemouth , UK
| | - F Roumen
- k Zuyderland Medical Centre , Heerlen-Sittard , The Netherlands
| | - D Serfaty
- l Saint-Louis Hospital , Paris , France
| | - L P Shulman
- m Department of Obstetrics and Gynecology , Feinberg School of Medicine of Northwestern University , Chicago , IL , USA
| | - S Skouby
- n Endocrinological and Reproductive Unit, Department of Obstetrics and Gynaecology , Herlev/Gentofte Hospital, Faculty of Health and Medical Sciences, University of Copenhagen , Copenhagen , Denmark
| | - J Bitzer
- o University Hospital , Basel , Switzerland
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Lapuente-Ocamica O, Ugarte L, Cuadra M, Lopez-Picado A, Maestro L, Lete I. Growing teratoma syndrome after ovarian inmature teratoma: a case report and review of the literature. CLIN EXP OBSTET GYN 2016. [DOI: 10.12891/ceog3191.2016] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
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Barbadillo N, Lapuente O, Lete I. Morcelación intraabdominal de un sarcoma uterino no diagnosticado. Clínica e Investigación en Ginecología y Obstetricia 2016. [DOI: 10.1016/j.gine.2014.12.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Lapuente-Ocamica O, Ugarte L, Cuadra M, Lopez-Picado A, Maestro L, Lete I. Growing teratoma syndrome after ovarian inmature teratoma: a case report and review of the literature. CLIN EXP OBSTET GYN 2016; 43:905-910. [PMID: 29944251] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Growing teratoma syndrome is an uncommon complication of malignant germ cell cancer, characterised by the development of large tumours during or after chemotherapy, despite normalisation of tumour marker levels and metastasis, which contain only mature teratoma. Given its low incidence, little is data available. The authors present the case of a 15-year-old girl with a growing teratoma and the literature review outlines the current knowledge of its pathogenesis, common sites, diagnosis, natural course, treatment, and prognosis.
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Calaf J, Lete I, Canals I, Crespo C, Espinós B, Cristóbal I. Cost-effectiveness analysis in the treatment of heavy menstrual bleeding in Spain. Eur J Obstet Gynecol Reprod Biol 2015; 184:24-31. [DOI: 10.1016/j.ejogrb.2014.10.034] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2014] [Revised: 10/08/2014] [Accepted: 10/22/2014] [Indexed: 11/25/2022]
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Guerra S, Lopez-Picado A, Muñoz H, Marín J, Lete I, Echevarria O. Versión cefálica externa en presentación de nalgas: una técnica ancestral muy actual. Clínica e Investigación en Ginecología y Obstetricia 2012. [DOI: 10.1016/j.gine.2011.09.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Blanco-Molina M, Lozano M, Cano A, Cristobal I, Pallardo L, Lete I. Progestin-only contraception and venous thromboembolism. Thromb Res 2012; 129:e257-62. [DOI: 10.1016/j.thromres.2012.02.042] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2011] [Revised: 02/15/2012] [Accepted: 02/22/2012] [Indexed: 10/28/2022]
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Abstract
Women with gestational diabetes mellitus are at increased risk for developing diabetes mellitus (DM), mainly type 2 DM, as well as metabolic syndrome. The presence of subsequent pregnancies increases the risk. In addition, pregnancy in patients with type 1 and type 2 DM also elevates the risk of morbidity and mortality for both mothers and offspring. Thus, all women with pre-existing type 1 or type 2 DM should receive preconception care to optimize glycemic control (HbA1c ≤ 6%). In those cases with macrovascular or microvascular complications, family planning is even more important in order to avoid the risk of aggravation of such complications associated with a new pregnancy. The present review analyzes the metabolic and cardiovascular repercussions of hormone contraception in non-diabetic women as well as in type 1 and type 2 DM patients with and without macrovascular and microvascular complications. Finally, the recommendations pertaining to hormonal contraceptive methods for women with diabetes are summarized.
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Affiliation(s)
| | - A Cano
- Hospital Pesset, valencia, Spain
| | | | | | - M Lozano
- Hospital Clinic, Barcelona, Spain
| | - I Lete
- Hospital Santiago Apostol, Vitoria, Spain
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Lete I, Cristóbal I, Febrer L, Crespo C, Arbat A, Hernández FJ, Brosa M. Economic evaluation of the levonorgestrel-releasing intrauterine system for the treatment of dysfunctional uterine bleeding in Spain. Eur J Obstet Gynecol Reprod Biol 2010; 154:71-80. [PMID: 20951492 DOI: 10.1016/j.ejogrb.2010.08.019] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2009] [Revised: 07/21/2010] [Accepted: 08/28/2010] [Indexed: 11/28/2022]
Abstract
OBJECTIVE To compare the cost and effectiveness of the levonorgestrel-releasing intrauterine system (LNG-IUS) versus combined oral contraception (COC) and progestogens (PROG) in first-line treatment of dysfunctional uterine bleeding (DUB) in Spain. STUDY DESIGN A cost-effectiveness and cost-utility analysis of LNG-IUS, COC and PROG was carried out using a Markov model based on clinical data from the literature and expert opinion. The population studied were women with a previous diagnosis of idiopathic heavy menstrual bleeding. The analysis was performed from the National Health System perspective, discounting both costs and future effects at 3%. In addition, a sensitivity analysis (univariate and probabilistic) was conducted. RESULTS The results show that the greater efficacy of LNG-IUS translates into a gain of 1.92 and 3.89 symptom-free months (SFM) after six months of treatment versus COC and PROG, respectively (which represents an increase of 33% and 60% of symptom-free time). Regarding costs, LNG-IUS produces savings of € 174.2-309.95 and € 230.54-577.61 versus COC and PROG, respectively, after 6 months-5 years. Apart from cost savings and gains in SFM, quality-adjusted life months (QALM) are also favourable to LNG-IUS in all scenarios, with a range of gains between 1 and 2 QALM compared to COC and PROG. CONCLUSIONS The results indicate that first-line use of the LNG-IUS is the dominant therapeutic option (less costly and more effective) in comparison with first-line use of COC or PROG for the treatment of DUB in Spain. LNG-IUS as first line is also the option that provides greatest health-related quality of life to patients.
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Affiliation(s)
- I Lete
- Gynaecology Department, Hospital Santiago Apóstol of Vitoria, Spain.
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Lete I, Dueñas J, Serrano I, Doval J, Pérez-Campos E, Martínez-Salmeán J, Coll C. Efectos beneficiosos no anticonceptivos de la píldora anticonceptiva. Semergen 2009. [DOI: 10.1016/s1138-3593(09)73109-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
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Lete I, Cabero L, Alvarez D, Olle C. Observational study on the use of emergency contraception in Spain: results of a national survey. EUR J CONTRACEP REPR 2009. [DOI: 10.1080/ejc.8.4.203.209] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Lete I, Bermejo R, Parrilla JJ, Dueñas JL, Coll C, Serrano I, Doval JL, Martínez-Salmeán J. Use of contraceptive methods and risk of unwanted pregnancy in Spanish women aged 40–50 years: results of a survey conducted in Spain. EUR J CONTRACEP REPR 2009; 12:46-50. [PMID: 17455044 DOI: 10.1080/13625180601141169] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
A survey intended to ascertain the rate of use and type of contraceptive methods applied by Spanish women aged 40 to 50 years, and to determine the proportion of women in this group at risk of an unwanted pregnancy, was designed and validated. To achieve representative national results for the study population, it was estimated that a sample size of 2000 women was required. Women were selected using probabilistic, stratified random sampling. The survey questionnaire was prepared by the research group with the collaboration of experts in the conduct of population studies of this type. Participants were interviewed face to face by qualified and trained staff from a specialised company external to the research group. Overall, 1039 women (52%) resorted to some contraceptive method, of which (male or female) sterilisation was the most common. We estimate that in Spain there are 840,000 women (31.8%) aged 40 to 50 years at risk of unwanted pregnancy.
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Affiliation(s)
- I Lete
- Department of Gynaecology, Santiago Apostol Hospital, Vitoria.
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Lete I, Obispo C, Izaguirre F, Orte T, Rivero B, Cornellana MJ, Bermejo I, on behalf of the Spanish Society of. The levonorgestrel intrauterine system (Mirena®) for treatment of idiopathic menorrhagia. Assessment of quality of life and satisfaction. EUR J CONTRACEP REPR 2009; 13:231-7. [DOI: 10.1080/13625180802075075] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
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Lete I, Bermejo R, Coll C, Dueñas JL, Doval JL, Martinez-Salmeán J, Parrilla JJ, Serrano I. Spanish population at risk of unwanted pregnancy: results of a national survey. EUR J CONTRACEP REPR 2009. [DOI: 10.1080/ejc.8.2.75.79] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Pumar JM, Lete I, Pardo MI, Vázquez-Herrero F, Blanco M. LEO stent monotherapy for the endovascular reconstruction of fusiform aneurysms of the middle cerebral artery. AJNR Am J Neuroradiol 2008; 29:1775-6. [PMID: 18583412 DOI: 10.3174/ajnr.a1155] [Citation(s) in RCA: 38] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
We present the case of a patient with a fusiform aneurysm of the M1 segment of the middle cerebral artery (MCA) in which endovascular stent placement without coiling was performed. A 3.5-mm x 25-mm LEO self-expanding stent was deployed along the fusiform aneurysm of the horizontal MCA M1 segment. Digital subtraction angiography showed progressive thrombosis at 6 months and complete thrombosis of the fusiform MCA aneurysm at 12 months.
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Affiliation(s)
- J M Pumar
- Department of Neuroradiology, Hospital Clínico Universitario, University of Santiago de Compostela, Santiago de Compostela, Spain.
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Lete I, Dueñas JL, Martínez-Salmeán J, Parrilla JJ, Serrano I, Bermejo R, Coll C, Doval JL. Contraceptive practices and trends in Spain: 1997-2003. Eur J Obstet Gynecol Reprod Biol 2007; 135:73-5. [PMID: 17537567 DOI: 10.1016/j.ejogrb.2006.11.025] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2005] [Revised: 11/06/2006] [Accepted: 11/27/2006] [Indexed: 10/23/2022]
Abstract
OBJECTIVE To know the contraceptive use and trends in the Spanish female population. STUDY DESIGN Since 1997, we have conducted a survey every 2 years on the use of contraceptive methods among a representative sample of Spanish women of childbearing potential (15-49 years). RESULTS In the period 1997-2003, the percentage of use of contraceptive methods in Spain rose from 55.6% to 71.2%. The most commonly used method was the condom (21% in 1997, 21.9% in 1999, 29.5% in 2001 and 35.7% in 2003), followed by the contraceptive pill (14.2%, 16.5%, 19.2% and 18.3%, respectively). Male or female sterilization remained stable with percentages of use of 5-7%. IUDs are used by about 5% of women. CONCLUSIONS The use of contraceptive methods among Spanish women of childbearing potential generally fits quite well the patterns found in other developed countries, and we observed a trend towards increased use of effective methods.
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Affiliation(s)
- I Lete
- Servicio de Ginecología, Hospital Santiago Apóstol, Vitoria, Alava, Spain.
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Lete I, López-Iglesias J, Dueñas A, Rodríguez M, Bermejo R, Coll C, Doval JL, Dueñas JL, Martínez-Salmeán J, Parrilla JJ, Serrano I. Contraception in the Spanish press: an analysis of the 1997-2002 period. EUR J CONTRACEP REPR 2006; 11:112-6. [PMID: 16854685 DOI: 10.1080/13625180600557522] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
OBJECTIVE Based on the hypothesis that the media represent an important source of information about contraceptive methods and sexuality, this paper reviews the news items about contraception published by four important Spanish newspapers and four women's magazines. MATERIALS AND METHODS All news items appearing from January 1, 1997 to December 31, 2002 in the following publications: El País, El Mundo, ABC, La Vanguardia, Mía, Clara, Ragazza, and Epoca were collected during the first 6 months of 2003. Results Seven hundred and ten news items about contraception were identified during the period analysed, of which 117 (16.5%) had a negative character. CONCLUSIONS Over 80% of news items appearing in the Spanish press in the 1997-2002 period give a positive information about contraceptive methods.
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Affiliation(s)
- I Lete
- The DAPHNE Team, Hospital Santiago, Olaguibel 29, 01004, Vitoria, Spain.
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Milsom I, Lete I, Bjertnaes A, Rokstad K, Lindh I, Gruber CJ, Birkhäuser MH, Aubeny E, Knudsen T, Bastianelli C. Effects on cycle control and bodyweight of the combined contraceptive ring, NuvaRing, versus an oral contraceptive containing 30 g ethinyl estradiol and 3 mg drospirenone. Hum Reprod 2006; 21:2304-11. [PMID: 16763008 DOI: 10.1093/humrep/del162] [Citation(s) in RCA: 84] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND The objective of this study was to compare cycle control, cycle-related characteristics and bodyweight effects of NuvaRing with those of a combined oral contraceptive (COC) containing 30 microg of ethinyl estradiol and 3 mg of drospirenone. METHODS A randomized, multicentre, open-label trial in which 983 women were treated (intent-to-treat population) with NuvaRing or the COC for 13 cycles. RESULTS Breakthrough bleeding or spotting during cycles 2-13 was in general less frequent with NuvaRing than that with the COC (4.7-10.4%) and showed a statistically significant odds ratio of 0.61 (95% confidence interval: 0.46, 0.80) with longitudinal analysis. Intended bleeding was significantly better for all cycles with NuvaRing (55.2-68.5%) than that with the COC (35.6-56.6%) (P < 0.01). Changes from baseline in mean bodyweight and body composition parameters were relatively small for both groups with no notable between-group differences. CONCLUSION NuvaRing was associated with better cycle control than the COC, and there was no clinically relevant difference between the two groups in bodyweight.
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Affiliation(s)
- I Milsom
- Department of Obstetrics and Gynaecology, Sahlgrenska Academy at Göteborg University, Göteborg, Sweden.
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Lete I, Cabero L, Alvarez D, Olle C. Observational study on the use of emergency contraception in Spain: results of a national survey. EUR J CONTRACEP REPR 2003; 8:203-9. [PMID: 15006267] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/29/2023]
Abstract
The Consensus Statement on Emergency Contraception recommends the collection of data within each country in order to facilitate the use of emergency contraception; this has led us to design a prospective observational study with a view to identifying the reality in Spain regarding emergency contraception. We have conducted a national observational study including 4390 cases of requests for the prescription of emergency contraception in the entire Spanish territory, collected by means of a questionnaire completed by the person prescribing the emergency contraception between April and December 2002. The mean age of the women requesting emergency contraception was 23 years, with 35.1% of these being adolescents and 71% of them under the age of 24 years. Of the applicants, 40% reported that they were students and 31.8% were working. The educational level of studies was medium or higher. Emergency contraception had previously been used by 19.8% of the women and, of these, 75% used it on a single occasion. The main reason put forward for requesting emergency contraception was condom breakage (68.7%), followed by the failure to use any contraceptive measures whatsoever (15.4%). The Spanish women requesting emergency contraception are young students and resort to this method on one occasion.
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Affiliation(s)
- I Lete
- Gynecology Department, Santiago Apóstol Hospital, Vitoria, Spain
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Lete I, Bermejo R, Coll C, Dueñas JL, Doval JL, Martinez-Salmeán J, Parrilla JJ, Serrano I. Spanish population at risk of unwanted pregnancy: results of a national survey. EUR J CONTRACEP REPR 2003; 8:75-9. [PMID: 12831604] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/03/2023]
Abstract
OBJECTIVE We performed a personal survey in 2218 Spanish women aged from 15 to 49 years to establish the contraceptive methods used by this population and to determine the number of Spanish women of childbearing age exposed to unwanted pregnancy. METHODS Stratified random sampling was performed to select the women to be interviewed; this sampling design ensured adequate representation of the sample in Spain. RESULTS At the time of the survey, 69.1% of the women were using some contraceptive method, but 5% of them used poorly effective contraceptive methods, and their exposure to the risk of an unwanted pregnancy was therefore high. Moreover, among the 30.9% not using any contraceptive method, 21.1% were at risk because they were having sexual intercourse, did not want to become pregnant and did not use a contraceptive method. CONCLUSIONS A little over one million Spanish women are exposed to the risk of having an unwanted pregnancy. Compiling the data on this significant problem is the first step in designing appropriate solutions.
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Affiliation(s)
- I Lete
- The Daphne team, Schering, Spain
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Lete I, Bermejo R, Coll C, Dueñas JL, Doval JL, Martínez-Salmeán J, Masset J, Parrilla JJ, Serrano I. Use of contraceptive methods in Spain: results of a national survey☆. Contraception 2001; 63:235-8. [PMID: 11376652 DOI: 10.1016/s0010-7824(01)00192-5] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
We conducted a personal interview of 2136 Spanish women aged 15 to 49 years with the aim of determining the contraceptive attitudes of this population. A stratified random sampling was performed to select the women who were to be interviewed, and this sampling design ensured adequate representation of the sample in Spain. At the time of the survey, only 1296 of the 2136 women used some type of contraceptive method (60.6%); the most commonly used method was the condom. The major reason given by the 840 women not using contraceptive methods was the absence of sexual intercourse. Nearly 25% of the Spanish women aged 15-49 years reported that they have no sexual relations.
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Lete I, Coll C, Bermejo R, Doval J, Dueñas J, Martínez-Salmean J, Masset J, Parrilla J, Serrano I. Fuentes de información sobre los métodos anticonceptivos (con especial referencia a la anticoncepción oral): resultados de una encuesta española. ACTA ACUST UNITED AC 2001. [DOI: 10.1016/s0304-5013(01)75609-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Abstract
OBJECTIVE To evaluate the use of intrauterine contraceptive devices (IUDs) in nulliparous women compared to their use in parous women. METHODS A comparative cross-sectional study was carried out to determine the reasons for removal of IUDs inserted between 1985 and 1996 in a sample of 227 nulliparous women and 2080 parous women. The statistical analysis was performed using the chi 2 test; the differences were considered to be significant when p < 0.05. RESULTS The reasons for removal of IUDs in the two groups were: expiry, 49.1% in the nulliparous group vs. 48.2% in the parous group; planned pregnancy, 21.7% vs. 15.4%; accidental pregnancy, 4.8% vs. 6.3%; expulsion, 1.6% vs. 5.1%; pelvic inflammatory disease, 1.6% vs. 1.1%; pain and/or bleeding, 14.5% vs. 10.2%; other, 6.4% vs. 6.3%; vasectomy or tubal sterilization, 0% vs. 7%. CONCLUSION Our data suggest that nulliparity is not a contraindication for the use of an IUD, and that the use of an IUD in nulliparous women is as safe and effective as in parous women.
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Affiliation(s)
- I Lete
- Department of Obstetrics and Gynecology, Hospital Txagorritxu, Vitoria, Spain
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Lete I, Morales P. Inhibition of follicular growth by two different oral contraceptives (monophasic and triphasic) containing ethinylestradiol and gestodene. EUR J CONTRACEP REPR 1997; 2:187-91. [PMID: 9678091 DOI: 10.3109/13625189709167475] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
OBJECTIVE To evaluate the inhibition level of ovarian follicular growth produced by a triphasic oral contraceptive (OC) containing ethinylestradiol and gestodene vs. the level produced by a monophasic OC containing the same components. METHODS A randomized, blind, cross-over trial was performed in a sample of 56 women. The follicular diameters were measured in 56 cycles under triphasic contraceptive treatment, and the other 56 under monophasic contraceptive treatment, using vaginal ultrasound. The statistical analysis was performed using the Student's t test. RESULTS The mean follicular diameter under monophasic OC treatment was found to be 8.16 mm (standard deviation 4.5), and while under triphasic OC treatment was found to be 7.44 mm (standard deviation 2.8) (p > 0.05). In 17 out of 112 cycles (15%), a certain degree of follicular activity was found (follicular diameter more than 10 mm), 10 cycles under monophasic OC and 7 cycles under triphasic OC. CONCLUSIONS The triphasic OC provides good inhibition of follicular growth and excellent contraceptive efficacy.
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Affiliation(s)
- I Lete
- Department of Obstetrics and Gynecology, Hospital Txagorritxu, Vitoria, Spain
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Nomdedéu JF, Lete I, Baiget M, Lasa A, Estivill C, Rubiol E, Badell I, Pardo N, Cubells J, Mateu R, Brunet S, Bordes R, Soler J. Mutational analysis of p53 in 16 cases of acute lymphoblastic leukemia and Burkitt's lymphoma. Haematologica 1997; 82:550-4. [PMID: 9407719] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
BACKGROUND AND OBJECTIVE Improvements in therapy for patients with B-cell acute lymphoblastic leukemia (ALL) and Burkitt's lymphoma (BL) depend on the identification of subsets of patients who require more intensive therapy. Abnormalities of the p53 gene are the most common molecular lesions in human cancer, and may be of prognostic significance in hematologic malignancies. In this study, we examined the p53 gene status in a group of patients with ALL/BL to determine whether some types of mutants were more frequent in this selected group of patients. METHODS We selected a group of 16 patients with acute lymphoblastic leukemia (ALL) and Burkitt's lymphoma (BL) in order to investigate the presence of p53 mutations. DNA obtained from affected organs (bone marrow, lymph node and a renal mass) was used for the molecular studies. Single-strand conformation polymorphism (SSCP) analysis of exons 5 to 9 of the gene was used to detect p53 mutants. After detecting an abnormal migration pattern on the SSCP, mutations were determined by direct sequencing. RESULTS Point mutations were found in eight patients; a misense mutation in seven cases and a non-sense mutation in one case. The normal allele was also identified in 7 mutated samples. The same mutation at codon 282 was identified in three different patients, in whom an identical conformer was detected after SSCP analysis. Mutation at codon 282 was present in an extramedular relapse (renal) appearing after a BMT. No such alteration was present in the bone marrow analyzed at the same time. INTERPRETATION AND CONCLUSIONS Our findings suggest that p53 mutations are quite frequent in recognized clinical groups. The criteria chosen in this study allowed us to identify a high percentage of the samples with mutation. Different malignant phenotypes could be determined by functional heterogeneity of p53 mutants.
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Affiliation(s)
- J F Nomdedéu
- Departament d'Hematologia, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
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Parrilla JJ, Coll C, Bajo JM, Balasch J, Calaf J, Cano A, Díez E, Dueñas JL, Lete I, Matínez J, Novo A, Rodriguez-Escudero F, Roncales JM, Serrano I. Analysis of compliance with oral contraception in Spain. EUR J CONTRACEP REPR 1996; 1:337-47. [PMID: 9678117 DOI: 10.3109/13625189609150680] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
OBJECTIVE The study was designed to analyze factors related to compliance in oral hormonal contraception in Spain. METHOD A review study and a multicenter analysis of experience of compliance by 300 doctors, by means of a questionnaire and discussion about the determinants of contraceptive use. RESULTS Compliance is a major problem in Spain, being influenced mainly by side-effects, the general perception of the method and personal factors. The different factors involved in non-compliance in Spain were analyzed, with regard to the perspective of the professionals. CONCLUSIONS Strategies to improve compliance in Spain aim mainly at improving the general perception of the method and the accessibility of family planning centers. Factors associated with compliance are still not well known in our country. Better knowledge of the determinants of non-compliance in Spain is needed. For this purpose, another research group was formed to conduct a national study among women.
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