Clinics (Sao Paulo, Brazil)

Clinics (Sao Paulo) · ISSN (e) 1980-5322 · 53 papers in corpus
2026
doi:10.1016/j.clinsp.2026.100870 ·PMID:41740528

IntroductionPreimplantation Genetic Testing (PGT-A) has been increasingly used in IVF to improve embryo selection. However, its clinical utility in patients with a good prognosis remains debated. There is a lack of robust scientific evidenc…

2026
doi:10.1016/j.clinsp.2026.101026 ·PMID:42361684

ObjectiveThe research focuses on understanding how GSDMD and Caspase-1, key regulators of pyroptosis, influence postoperative recurrence in Endometrial Polyps (EPs) and examines whether a combined biomarker can effectively predict recurrenc…

other 2026
doi:10.1016/j.clinsp.2026.100895 ·PMID:41780295

OBJECTIVE: Chronic Pelvic Pain (CPP) presents significant diagnostic challenges, often involving multiple pathologies, including endometriosis and pelvic venous disorders. This study examined the prevalence of endometriosis among women with…

article 2026
doi:10.1016/j.clinsp.2026.100884 ·PMID:41762529

• Study found 53.15% prevalence of IBS in women with Chronic Pelvic Pain (CPP). • No significant differences in sociodemographic factors between IBS and non-IBS patients. • IBS patients had higher rates of myofascial pain, neuropathic pain,…

2026
doi:10.1016/j.clinsp.2026.100927 ·PMID:41955969

BackgroundOvarian cancer is a leading cause of mortality among women globally. This study aimed to evaluate the diagnostic value of CA-125, HE4, and the ROMA index in identifying ovarian cancer in patients in Bangladesh.MethodsThis case-con…

article 2025
doi:10.1016/j.clinsp.2025.100760 ·PMID:40915181

BACKGROUND: Endometriosis diagnosis is challenging due to non-specific symptoms that overlap with other gynaecological conditions. This study proposes a non-invasive Machine Learning (ML) ‒ based urine test using Attenuated Total Reflection…

2025
doi:10.1016/j.clinsp.2025.100608 ·PMID:40064136

ObjectiveTo provide a protocol for the diagnosis and management of Acute Abnormal Uterine Bleeding (AUB) during menacme, addressing common causes, clinical evaluation, and treatment options.MethodsA review of current evidence and guidelines…

article 2025
doi:10.1016/j.clinsp.2025.100700 ·PMID:40517681

OBJECTIVE: To investigate the incidence of postoperative venous thromboembolism in women with uterine adenomyosis treated using different surgical methods, and to evaluate the associated clinical and laboratory parameters, including thrombo…

meta-analysis 2025
doi:10.1016/j.clinsp.2025.100654 ·PMID:40273491

OBJECTIVE: This study aimed to evaluate the effect of Omega-3 Fatty Acids (ω-3 PUFAs) on endometriosis. DESIGN: The authors conducted a comprehensive search of the PubMed, Embase, Cochrane Library and Web of Science databases, focusing exc…

2025
doi:10.1016/j.clinsp.2025.100676 ·PMID:40354754

Background This study aimed to investigate the effects of LDE-MTX on acute cerebral infarction. The study focuses on how LDE-MTX can influence the outcomes of ischemic stroke in a rat model, specifically examining its neuroprotective proper…

2025
doi:10.1016/j.clinsp.2025.100656 ·PMID:40228434

BackgroundTo investigate the combined effect of transperineal ultrasound and Shear Wave Elastography (SWE) in the evaluation and monitoring of pelvic floor functions after total hysterectomy.MethodsFifty-two women who planned to undergo tot…

2025
doi:10.1016/j.clinsp.2025.100819 ·PMID:41205479

BackgroundThe relationship between negative emotions and chronic respiratory diseases remains largely unexplored. In this study, we employ Mendelian Randomization (MR) to investigate the potential causal relationship between negative emotio…

2025
doi:10.1016/j.clinsp.2025.100598 ·PMID:39978215

The incorporation of long-acting reversible contraceptives (LARCs) into reproductive health strategies is crucial for enhancing access to effective contraception and reducing unplanned pregnancies (UPs). Evidence shows that even a modest sh…

article 2024
doi:10.1016/j.clinsp.2023.100317 ·PMID:38432123

OBJECTIVE: To evaluate the relationship between genetic haplotypes associated with celiac disease (Human Leucocyte Antigen [HLA] DQ2 and DQ8) with the diagnosis, clinical presentation, and location of endometriosis in Brazilian women. METH…

2024
doi:10.1016/j.clinsp.2024.100327 ·PMID:38330788

AimmiR-141-5p expression in patients with Early Spontaneous Abortion (ESA) and its correlation with hormone levels during pregnancy were investigated.MethodsA total of 70 pregnant women with ESA were selected as the research group, and 70 n…

article 2024
doi:10.1016/j.clinsp.2024.100390 ·PMID:38781760

Endometriosis's pathophysiology remains incompletely understood, with evidence pointing towards a dysregulated immune response. Regulatory T (Treg) cells, pivotal in maintaining self-tolerance, may facilitate the survival of ectopic endomet…

editorial 2024
doi:10.1016/j.clinsp.2024.100326 ·PMID:38325019

It is time to change the definition: Endometriosis is no longer a pelvic disease Endometriosis is a chronic, inflammatory, hormone-dependent gynecologic condition characterized by the presence of endometrial-like tissue outside the uterine …

editorial 2024
doi:10.1016/j.clinsp.2024.100514 ·PMID:39471531
2024
doi:10.1016/j.clinsp.2024.100511 ·PMID:39388739

Studies regarding serum Progesterone (P4) concentration and Clinical Pregnancy Rates (CPR) in fresh Embryo Transfer (ET) after Controlled Ovarian Stimulation Cycles (COS) remain inconclusive. To find a P4 cutoff point on fresh ET day associ…

other 2023
doi:10.1016/j.clinsp.2023.100176 ·PMID:36893562
2023
doi:10.1016/j.clinsp.2023.100279 ·PMID:37783171

ObjectivesAd fontes, the status of the thyroid gland, and metabolic disturbance lead to the alteration of oxygenation. In pregnancy, it is particularly crucial to possess all predictive parameters.MethodsThis cross-sectional study was condu…

other 2023
doi:10.1016/j.clinsp.2023.100224 ·PMID:37331213

BACKGROUND: Endometriosis is a chronic inflammatory disease affecting about 10% of women of reproductive age. Endometrioma is the most common presentation of endometriosis in ovaries. OBJECTIVES: Herein, the authors study the effect of the…

article 2023
doi:10.1016/j.clinsp.2023.100235 ·PMID:37392565

Recent studies have found that lncRNA-MEG3(MEG3) plays an important role in the development of EMs (Endometriosis), but the specific mechanism needs to be further explored. This study aimed to investigate the effect of MEG3 on the prolifera…

2023
doi:10.1016/j.clinsp.2023.100255 ·PMID:37499427
2023
doi:10.1016/j.clinsp.2023.100261 ·PMID:37515928

BackgroundInfertility is caused by heterogeneous risks, but most of them are unexplained. The sperm DNA Fragmentation Index (DFI) was increasingly acknowledged as a parameter for the evaluation of male infertility. This study aimed to inves…