25Jun, 2018

Testosterone And Body Fat

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Leptin, insulin, estrogens, androgens, cortisol and growth hormone hormones influence our appetite, metabolism and fat corporal.Las people who are obese have levels of hormones that promote the accumulation of body fat. Hormones are chemical messengers that regulate metabolic processes in the body. They are one factor in causing obesity. The hormones leptin and insulin, sex hormones, cortisol and growth hormone influence appetite, metabolism (the rate at which our body burns calories for energy), and the distribution of body fat. People who are obese have lower levels of these hormones that […]
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25Jun, 2018

Non-functioning pituitary tumors:

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– DEFINITION They are pituitary adenomas that do not secrete any excess pituitary hormone. The etiology of these tumors remains unclear, although most of these are possibly derived from a cellular mutation with the consequent monoclonal expansion. Possible manifestations due to tumor growth: Compression of normal pituitary tissue, Pituitary adenomas account for at least 10-15% of primary intracranial neoplasms Non-functioning pituitary adenomas (AHNF) represent 14-28% of all clinically relevant pituitary adenomas and half of all pituitary macroadenomas. They are a heterogeneous group of tumors with clinical and biochemical characteristics different […]
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25Jun, 2018

The New Antidepressants and Sexual Dysfunction

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-MECHANISMS OF ANTIDEPRESSIVE ACTION The several dozen antidepressant drugs can be classified according to 10 mechanisms of action, two classic types: tricyclic and inhibitors of monoamine oxidase (MAOI) with the old irreversible subtype, and 8 new ones, of which the best known are the selective inhibitors of the serotonin reuptake (SSRI), another new serotonin receptor agonist and a recent one that is a stimulator (agonist) of the melatonin system. Classical antidepressants dominated the psychopharmacological treatment of depression from the late 1950s to the late 1980s, when SSRIs appeared. Traditional drugs […]
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25Jun, 2018

Gender Dysphoria

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CONSENSUS DOCUMENT: Clinical practice guidelines for the assessment and treatment of transsexuality. Group Identity and Sexual Differentiation SEEN (GIDSEEN) * (Annex 1) The diagnostic and therapeutic approach transsexual patients can only develop into functional units Gender Identity, with the provision of high quality healthcare services, development of clinical practice guidelines and interdisciplinary working groups. The therapeutic process: The therapeutic process consists of 3 pillars: Psychological initial diagnostic assessment and psychotherapy, endocrinological evaluation and hormonal therapy and sex reassignment surgeries. Hormonal treatment crossover is an important process anatomical and psychological transition […]
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25Jun, 2018

Los Nuevos Antidepresivos y Disfunción Sexual

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-MECANISMOS DE ACCIÓN ANTIDEPRESIVA Las varias docenas de fármacos antidepresivos pueden ser clasificados según 10 mecanismos de acción, dos tipos clásicos: tricíclicos e inhibidores de la monoaminooxidasa (IMAO) con el antiguo subtipo irreversible, y 8 nuevos, de los cuales los más conocidos son los inhibidores selectivos de la recaptación de serotonina (ISRS), otro nuevo que agonista del receptor de serotonina y otro reciente que es estimulador (agonista) del sistema melatonina. Los antidepresivos clásicos dominaron el tratamiento psicofarmacológico de la depresión desde fines de los años cincuenta hasta los últimos años […]
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25Jun, 2018

Tumores Hipofisarios No Funcionantes

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– DEFINICIÓN Son adenomas hipofisarios que no segregan ninguna hormona hipofisaria en exceso, La etiología de estos tumores sigue sin estar aclarada, aunque la mayoría de estos posiblemente sean derivados de una mutación celular con la consiguiente expansión monoclonal. Posibles manifestaciones por crecimiento del tumor: Compresión del tejido hipofisario normal, Los adenomas hipofisarios suponen al menos el 10-15% de las neoplasias intracraneales primarias Los adenomas hipofisarios no funcionantes (AHNF) representan el 14-28% de todos los adenomas de hipófisis clínicamente relevantes y la mitad de todos los macroadenomas hipofisarios. Son un […]
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9Jun, 2018

What are androgens?

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Androgens are male sex hormones: testosterone, androsterone and androstenedione. Androgens are steroid hormones of cyclopentaneperhydrophenanthrene, whose main function is to stimulate the development of male sexual characteristics. Androgens, basically testosterone, are secreted by the testes, but also by the ovaries in women (androstenedione) and by the adrenal cortex of the adrenal glands (mainly dihydroepiandrosterone). In man only 10% of androgens have an adrenal origin. All natural androgens come from androstane steroids (a tetracyclic hydrocarbon nucleus of 19 carbon atoms). It is also the precursor of all estrogens, the female sex […]
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9Jun, 2018

Nódulo Tiroideo Una Actualización

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Los nódulos tiroideos pueden clasificarse: -Por número: Único: se considera un nódulo solitario, o único, cuando una palpación minuciosa no pone de manifiesto la existencia de otros nódulos tiroideos. Su trascendencia clínica reside en la posible existencia de un cáncer tiroideo, que ocurre en el 5% de los nódulos solitarios.Si tenemos en cuenta que más del 50% de la población adulta, puede tener un nódulo tiroideo y la posibilidad de que sea maligno es de alrededor del 5%,el riesgo es bajo. Múltiple: mayormente asociados al Bocio Multinodular -Por actividad funcional: […]
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9Jun, 2018

Cosideraciones a tener en cuenta en la obesidad

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Se deben modificar una serie de actitudes que redundarán en un cambio del estilo de vida del paciente, cuando se enfrenta a si mismo y presenta obesidad, para conseguir las metas deseadas, al igual que para modificar el estilo de vida del obeso, para que una vez conseguido el objetivo de adelgazar no se produzcan contínuas recaidas, que nos conducen al mismo punto de partida, ó en el peor de los casos la situación se hace crónica. Como puede observarse en el mismo, el Programa de Tratamiento, se basa en […]
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9Jun, 2018

Considerations to take into account in obesity

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A series of attitudes must be modified that will result in a change in the patient’s lifestyle, when faced with obesity, to achieve the desired goals, as well as to modify the lifestyle of the obese, so that once the goal of losing weight has been achieved, there are no continuous relapses, which lead us to the same starting point, or in the worst case, the situation becomes chronic. As can be observed in the same, the Treatment Program, is based on five basic principles: Education, Motivation, Irrational Thoughts, Exercise […]
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