1.The Modified Ferriman-Gallwey Score and Hirsutism among Filipino Women
Ma. Karen Celine C. ILAGAN ; Elizabeth PAZ-PACHECO ; Darwin Z TOTESORA ; Lyra Ruth CLEMENTE-CHUA ; Jundelle Romulo K JALIQUE
Endocrinology and Metabolism 2019;34(4):374-381
BACKGROUND: The modified Ferriman-Gallwey (mFG) score is the gold standard for the clinical evaluation of hirsutism. However, racial variations in terminal hair growth limit this tool. This study aimed to determine the mFG cut-off score among Filipino women and its association with biochemical hyperandrogenism.METHODS: A total of 128 Filipino women were included in this prospective cross-sectional study and were divided into two groups: a polycystic ovary syndrome (PCOS) group (n=28) and a non-PCOS group (n=100). The participants underwent mFG score determination, ovarian ultrasound conducted by a single sonographer, and hormone testing. The mFG cut-off score was determined based on the 95th percentile of the non-PCOS group. Logistic regression was used to analyze the relationship between mFG score and biochemical hyperandrogenism.RESULTS: Although the mFG score was generally low in both the PCOS and non-PCOS groups, the former exhibited a higher mean score than the latter (4.3±3.0 vs. 2.0±2.2, P<0.001). Normal values for the total mFG score ranged from 0 to 7. Using a cut-off score of 7, a higher proportion of hirsute women (mFG score ≥7) was observed in the PCOS group versus the non-PCOS group (17.9% vs. 5.0%, P=0.025). Elevated calculated free testosterone (FT) was also found to be significantly associated with hirsutism (odds ratio, 6.2; 95% confidence interval, 1.2 to 32.4 pmol/L; P=0.030).CONCLUSION: A score of 7 and above constitutes hirsutism in this population of Filipino women. Hirsute women are more likely than non-hirsute women to have elevated calculated FT.
Cross-Sectional Studies
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Female
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Gonadal Disorders
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Hair
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Hirsutism
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Humans
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Hyperandrogenism
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Logistic Models
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Polycystic Ovary Syndrome
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Prospective Studies
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Reference Values
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Testosterone
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Ultrasonography
2.Knowledge, attitudes, and practices of male partners on antenatal human immunodeficiency virus screening for the prevention of mother-to-child human immunodeficiency virus transmission in a private tertiary hospital
Ann Janelle M. Sangalang ; Lyra Ruth T. Clemente-Chua
Philippine Journal of Obstetrics and Gynecology 2021;45(2):55-60
Background:
Human immunodeficiency virus (HIV) transmission remains to be a significant problem in the country despite preventive efforts in the past years. In children, mother-to-child vertical transmission during pregnancy is the most common route. The World Health Organization has implemented the Prevention of Mother-to-Child HIV Transmission (PMTCT) program, which promotes a comprehensive approach in addressing this problem. Male partner involvement in antenatal voluntary HIV counseling and testing has been proposed to be a vital part of this approach. Their role in the process has not been studied in depth in the local setting.
Objectives:
The study aimed to describe the knowledge, attitudes, and practices of male partners of pregnant women toward antenatal HIV screening in a local private tertiary hospital using a survey created by Belato et al. in 2016.
Methodology:
A descriptive analysis was done to present the sociodemographic and clinical characteristics of the participants. The association between the level of male partner involvement and independent variables was also tested.
Results and Conclusions
The results of the study revealed a high level of male partner involvement in the PMTCT of HIV services at 69.1%. Age of the male partner and the duration of the couple living together were significant factors associated with male partner involvement. However, there was lack of knowledge regarding HIV transmission, antenatal HIV testing, and PMTCT services among majority of the male partners. Community sensitization of men about the benefits of antenatal HIV testing and PMTCT services need to be prioritized to improve their awareness and their involvement in the program.
HIV
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Infectious Disease Transmission, Vertical
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HIV Testing