A b s t r a c t Women's Mental Health in Brazil remains underserved due to the lack of specialized clinical centers and poor research training or productivity. Nonetheless, there have been some promising initiatives over the last two decades to integrate gynecologic and mental health services and provide more multidisciplinary clinical care. This paper reviews such initiatives and discusses their strengths and pitfalls.Keywords: Women's health; Mental health; Brazil Resumo O atendimento da saúde mental da mulher no Brasil permanece limitado pela falta de serviços especializados e pouco treinamento ou produtividade em pesquisa. Apesar disso, nos últimos vinte anos houve uma série de iniciativas promissoras para a integração de serviços ginecológicos e de saúde mental, visando oferecer um atendimento clínico multidisciplinar. Este artigo revê algumas destas iniciativas e discute seus pontos fortes e deficiências.Descritores: Saúde da mulher; Saúde mental; Brasil
Adnexal torsion may occur in girls and adolescents. Often it is associated with ovarian diseases resulting in ovarian enlargement. Adnexal torsion may involve the ovary, fallopian tube or both, and the main sympton is acute pelvic pain. An 8-year-old girl complaining of acute pelvic and abdominal pain, who was previously diagnosed with precocious puberty and who received treatment with a GnRH analog, is reported. Ultrasound demonstrated a normal-sized uterus and bilaterally enlarged ovaries with multiple internal cysts. At laparotomy, we found a complete torsion in the right adnexa. The histological examination revealed massive edema associated with multiple antral follicles and reduction of the follicular reserve.
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