The methodology presented in this chapter is the first systematic approach at a national scale to... more The methodology presented in this chapter is the first systematic approach at a national scale to develop, test and implement a methodology and tools for inventorying sacred natural sites based on an ecosystem and habitat types approach. The methodology has been developed based on data from around Mexico and is currently being tested in the states of Sinaloa, Sonora and Chihuahua in northwestern Mexico. This chapter presents the methodology in steps and also introduces the tools to accompany and implement each of them. The steps include guidance on the identification of the main stakeholders involved, the time frame suggested and the benchmarks to monitor a progress leading to a successful implementation of the proposed methodological framework. The chapter closes with the main findings drawn from implementation of the initial part of the methodology illustrated by two emblematic case studies of indigenous sacred natural sites. These examples can assist with making recommendations f...
Hysteroscopy is the best approach for the management of Asherman syndrome with reproductive purpo... more Hysteroscopy is the best approach for the management of Asherman syndrome with reproductive purposes, since it allows a quick diagnosis and treatment of partial or total uterine adhesions. However, there are a few studies on the reproductive outcome in patients with Asherman's syndrome. Evaluate the results of adherenciolisis hysteroscopy in women with Asherman's syndrome. We performed a cohort study of thirty-nine patients diagnosed with Asherman's syndrome and who underwent surgical hysteroscopic adherenciolisis by bipolar energy through the period from 2006 to June 2011. Thirty-nine cases were reviewed. All patients restored their menstrual cycle in the course of the first three months after surgery. The pregnancy rate after hysteroscopic treatment was 71.7% (28/39), with a son living at home in 28.2% of the cases (11/39). There was no statistical difference to achieve term pregnancy based on a cut-off point at 35 years of age. A history of menstrual pattern before hy...
The increase of endometrial cancer survivors' incidence let the question if the management of... more The increase of endometrial cancer survivors' incidence let the question if the management of postmenopausal hormone therapy will increase the risk of carcinogenesis. To determine the recurrence rate, in postmenopausal patients managed with hormonal therapy (HT) compared with patients without HT treated in El Instituto Nacional de Perinatologia Isidro Espinosa de los Reyes. Retrospective, analytical, historical cohort. We analyzed 29 patients who met the inclusion criteria from January 1, 2000 to December 31, 2008 RESULTS: The average age for diagnosis of endometrial cancer was 45 years. 100% of the patients had surgical treatment (82.8% routine endometrial open approach, laparoscopic 17.2%). The 93% of patients had criteria to begin HT, however, was administered alone to 37% due to medical criteria, 36% received tibolona, 64% received estrogen with an average administration time of 39 and 54 months for each one without affecting disease-free period. Patients who received hormon...
Progestins have been used in the treatment of advanced and metastatic endometrial cancer since th... more Progestins have been used in the treatment of advanced and metastatic endometrial cancer since the early 1960s. There is evidence that progestins can be used in fertility-preserving treatments in young women diagnosed with well-differentiated clinical stage 1A(EC1A) endometrioid type endometrial carcinoma. Describe a fertility preservation treatment in women with primary infertility and EC1A endometrioid type endometrial carcinoma. A historical cohort study. We analyzed 6 cases of women under 35 years assisted at the Oncology and Reproductive Medicine Department of the Instituto Nacional de Perinatologia of Mexico who met our inclusion criteria. Five women were treated with 500 mg medroxyprogesterone acetate (MPA) every other day; one woman was treated with 40 mg/day megestrol acetate (MGA). The treatment was continued to a maximum period of 11 months, provided that women gave good response to the treatment. The change in endometrial histology was assessed at four and six months of ...
The methodology presented in this chapter is the first systematic approach at a national scale to... more The methodology presented in this chapter is the first systematic approach at a national scale to develop, test and implement a methodology and tools for inventorying sacred natural sites based on an ecosystem and habitat types approach. The methodology has been developed based on data from around Mexico and is currently being tested in the states of Sinaloa, Sonora and Chihuahua in northwestern Mexico. This chapter presents the methodology in steps and also introduces the tools to accompany and implement each of them. The steps include guidance on the identification of the main stakeholders involved, the time frame suggested and the benchmarks to monitor a progress leading to a successful implementation of the proposed methodological framework. The chapter closes with the main findings drawn from implementation of the initial part of the methodology illustrated by two emblematic case studies of indigenous sacred natural sites. These examples can assist with making recommendations f...
The methodology presented in this chapter is the first systematic approach at a national scale to... more The methodology presented in this chapter is the first systematic approach at a national scale to develop, test and implement a methodology and tools for inventorying sacred natural sites based on an ecosystem and habitat types approach. The methodology has been developed based on data from around Mexico and is currently being tested in the states of Sinaloa, Sonora and Chihuahua in northwestern Mexico. This chapter presents the methodology in steps and also introduces the tools to accompany and implement each of them. The steps include guidance on the identification of the main stakeholders involved, the time frame suggested and the benchmarks to monitor a progress leading to a successful implementation of the proposed methodological framework. The chapter closes with the main findings drawn from implementation of the initial part of the methodology illustrated by two emblematic case studies of indigenous sacred natural sites. These examples can assist with making recommendations f...
Hysteroscopy is the best approach for the management of Asherman syndrome with reproductive purpo... more Hysteroscopy is the best approach for the management of Asherman syndrome with reproductive purposes, since it allows a quick diagnosis and treatment of partial or total uterine adhesions. However, there are a few studies on the reproductive outcome in patients with Asherman's syndrome. Evaluate the results of adherenciolisis hysteroscopy in women with Asherman's syndrome. We performed a cohort study of thirty-nine patients diagnosed with Asherman's syndrome and who underwent surgical hysteroscopic adherenciolisis by bipolar energy through the period from 2006 to June 2011. Thirty-nine cases were reviewed. All patients restored their menstrual cycle in the course of the first three months after surgery. The pregnancy rate after hysteroscopic treatment was 71.7% (28/39), with a son living at home in 28.2% of the cases (11/39). There was no statistical difference to achieve term pregnancy based on a cut-off point at 35 years of age. A history of menstrual pattern before hy...
The increase of endometrial cancer survivors' incidence let the question if the management of... more The increase of endometrial cancer survivors' incidence let the question if the management of postmenopausal hormone therapy will increase the risk of carcinogenesis. To determine the recurrence rate, in postmenopausal patients managed with hormonal therapy (HT) compared with patients without HT treated in El Instituto Nacional de Perinatologia Isidro Espinosa de los Reyes. Retrospective, analytical, historical cohort. We analyzed 29 patients who met the inclusion criteria from January 1, 2000 to December 31, 2008 RESULTS: The average age for diagnosis of endometrial cancer was 45 years. 100% of the patients had surgical treatment (82.8% routine endometrial open approach, laparoscopic 17.2%). The 93% of patients had criteria to begin HT, however, was administered alone to 37% due to medical criteria, 36% received tibolona, 64% received estrogen with an average administration time of 39 and 54 months for each one without affecting disease-free period. Patients who received hormon...
Progestins have been used in the treatment of advanced and metastatic endometrial cancer since th... more Progestins have been used in the treatment of advanced and metastatic endometrial cancer since the early 1960s. There is evidence that progestins can be used in fertility-preserving treatments in young women diagnosed with well-differentiated clinical stage 1A(EC1A) endometrioid type endometrial carcinoma. Describe a fertility preservation treatment in women with primary infertility and EC1A endometrioid type endometrial carcinoma. A historical cohort study. We analyzed 6 cases of women under 35 years assisted at the Oncology and Reproductive Medicine Department of the Instituto Nacional de Perinatologia of Mexico who met our inclusion criteria. Five women were treated with 500 mg medroxyprogesterone acetate (MPA) every other day; one woman was treated with 40 mg/day megestrol acetate (MGA). The treatment was continued to a maximum period of 11 months, provided that women gave good response to the treatment. The change in endometrial histology was assessed at four and six months of ...
The methodology presented in this chapter is the first systematic approach at a national scale to... more The methodology presented in this chapter is the first systematic approach at a national scale to develop, test and implement a methodology and tools for inventorying sacred natural sites based on an ecosystem and habitat types approach. The methodology has been developed based on data from around Mexico and is currently being tested in the states of Sinaloa, Sonora and Chihuahua in northwestern Mexico. This chapter presents the methodology in steps and also introduces the tools to accompany and implement each of them. The steps include guidance on the identification of the main stakeholders involved, the time frame suggested and the benchmarks to monitor a progress leading to a successful implementation of the proposed methodological framework. The chapter closes with the main findings drawn from implementation of the initial part of the methodology illustrated by two emblematic case studies of indigenous sacred natural sites. These examples can assist with making recommendations f...
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