Comment diagnostiquer un trouble gonadique ?

Le diagnostic repose sur des tests hormonaux, échographies et examens cliniques.

Quels tests sont utilisés pour évaluer la fonction gonadique ?

Les tests incluent les dosages de testostérone, d'œstrogènes et d'autres hormones.

Les imageries sont-elles nécessaires pour le diagnostic ?

Oui, des échographies ou IRM peuvent aider à visualiser les anomalies des gonades.

Quels signes cliniques indiquent un trouble gonadique ?

Des signes comme l'infertilité, des irrégularités menstruelles ou des changements de libido.

Les antécédents médicaux sont-ils importants ?

Oui, les antécédents familiaux et personnels peuvent orienter le diagnostic.

Quels sont les symptômes courants des troubles gonadiques ?

Les symptômes incluent fatigue, infertilité, dysfonction érectile et changements hormonaux.

Comment les troubles gonadiques affectent-ils la libido ?

Ils peuvent entraîner une diminution de la libido due à des déséquilibres hormonaux.

Les troubles menstruels sont-ils liés aux troubles gonadiques ?

Oui, des irrégularités menstruelles peuvent signaler un dysfonctionnement gonadique.

Peut-on observer des changements physiques ?

Oui, des changements comme l'acné, la pilosité excessive ou la gynécomastie peuvent survenir.

Les troubles de l'humeur sont-ils fréquents ?

Oui, des troubles de l'humeur comme l'anxiété et la dépression peuvent être présents.

Comment prévenir les troubles gonadiques ?

Maintenir un mode de vie sain, éviter les toxines et gérer le stress sont essentiels.

L'alimentation joue-t-elle un rôle ?

Oui, une alimentation équilibrée peut soutenir la santé hormonale et reproductive.

Le tabagisme influence-t-il la santé gonadique ?

Oui, le tabagisme peut nuire à la fonction gonadique et à la fertilité.

L'exercice physique est-il bénéfique ?

Oui, l'exercice régulier aide à réguler les hormones et à maintenir un poids santé.

Les examens médicaux réguliers sont-ils importants ?

Oui, des bilans réguliers peuvent aider à détecter précocement des troubles gonadiques.

Quels traitements sont disponibles pour les troubles gonadiques ?

Les traitements incluent des thérapies hormonales, des médicaments et parfois la chirurgie.

La thérapie hormonale est-elle efficace ?

Oui, elle peut restaurer les niveaux hormonaux et améliorer les symptômes associés.

Quand la chirurgie est-elle nécessaire ?

La chirurgie est envisagée en cas de tumeurs, malformations ou autres anomalies structurelles.

Les traitements sont-ils personnalisés ?

Oui, les traitements sont adaptés en fonction des besoins individuels et des causes sous-jacentes.

Y a-t-il des effets secondaires aux traitements ?

Oui, des effets secondaires peuvent inclure des changements d'humeur, des nausées ou des douleurs.

Quelles complications peuvent survenir ?

Les complications incluent l'infertilité, des troubles métaboliques et des maladies cardiovasculaires.

Les troubles gonadiques augmentent-ils le risque de cancer ?

Oui, certains troubles peuvent augmenter le risque de cancers hormonodépendants.

Comment les troubles gonadiques affectent-ils la santé mentale ?

Ils peuvent entraîner des troubles de l'humeur, de l'anxiété et des problèmes d'estime de soi.

Les complications sont-elles réversibles ?

Certaines complications peuvent être réversibles avec un traitement approprié et précoce.

Les troubles gonadiques peuvent-ils affecter la qualité de vie ?

Oui, ils peuvent réduire la qualité de vie en raison de symptômes physiques et émotionnels.

Quels sont les facteurs de risque des troubles gonadiques ?

Les facteurs incluent l'âge, les antécédents familiaux, l'obésité et les maladies chroniques.

Le stress peut-il influencer les troubles gonadiques ?

Oui, le stress chronique peut perturber l'équilibre hormonal et aggraver les troubles.

Les infections peuvent-elles être un facteur de risque ?

Oui, certaines infections sexuellement transmissibles peuvent affecter la fonction gonadique.

L'exposition à des toxines est-elle préoccupante ?

Oui, l'exposition à des produits chimiques et toxines peut nuire à la santé gonadique.

Les habitudes alimentaires influencent-elles le risque ?

Oui, une mauvaise alimentation peut contribuer à des déséquilibres hormonaux et à des troubles.

Troubles gonadiques - Informations médicales vérifiées

Extracapsular cataract extraction in Europe prior to Jacques Daviel.

May 2023

DOI: 10.1111/aos.15282 PMID: 36344465

The first successful planned extracapsular cataract extraction was reported by Jacques Daviel in 1752. The history of European cataract surgery in the first half of the 18th century, immediately prece...

Humans Lens, Crystalline Cataract Europe Cataract Extraction +1 autres

Zonulopathy Identified During Cataract Extraction in Patients With Primary Angle Closure Disease.

01 09 2023

DOI: 10.1097/IJG.0000000000002247 PMID: 37311010

The proportion, clinical characteristics, and risk factors of zonulopathy in primary angle closure disease (PACD) were analyzed. Zonulopathy is an underrecognized common finding in PACD, especially in... To examine the proportion and risk factors associated with intraoperative zonulopathy in PACD.... This is a retrospective analysis of 88 consecutive patients with PACD who underwent bilateral cataract extraction at Beijing Tongren Hospital from August 1, 2020 to August 1, 2022. Zonulopathy was dia... Of 88 patients with PACD (67.3 ± 6.9 y old, 19 males and 69 females), the overall proportion of zonulopathy was 45.5% of patients (40/88) and 30.1% of eyes (53/176). Among the PACD subtypes, the propo... Zonulopathy is common in PACD, especially in patients with AAC. Shallow anterior chamber depth and thick lens thickness were associated with an increased proportion of zonulopathy....

Male Female Humans Intraocular Pressure Retrospective Studies +3 autres

Trifocal versus extended depth of focus (EDOF) intraocular lenses after cataract extraction.

10 Jul 2024

DOI: 10.1002/14651858.CD014891.pub2 PMID: 38984608

Cataract, defined as an opacity of the lens in one or both eyes, is the leading cause of blindness worldwide. Cataract may initially be treated with new spectacles, but often surgery is required, whic... To compare visual outcomes after implantation of trifocal intraocular lenses (IOLs) to those of extended depth of focus (EDOF) IOLs. To produce a brief economic commentary summarising recent economic ... We searched CENTRAL (which contains the Cochrane Eyes and Vision Trials Register), MEDLINE, Embase, and three trial registries on 15 June 2022. For our economic evaluation, we also searched MEDLINE an... We included studies comparing trifocal and EDOF IOLs in adults undergoing cataract surgery. We did not include studies involving people receiving IOLs for correction of refractive error alone (or refr... We used standard Cochrane methods. Two review authors working independently selected studies for inclusion and extracted data from the reports. We assessed the risk of bias in the studies, and we asse... We included five studies that compared trifocal and EDOF lenses in people undergoing cataract surgery. Three trifocal lenses (AcrySof IQ PanOptix, ATLISA Tri 839MP, FineVision Micro F) and one EDOF le... Distance visual acuity after cataract surgery may be similar whether the lenses implanted are trifocal IOLs or EDOF (TECNIS Symfony) IOLs. People receiving trifocal IOLs may achieve better near vision...

Humans Visual Acuity Randomized Controlled Trials as Topic Cataract Extraction Multifocal Intraocular Lenses +3 autres

Cataracts.

04 02 2023

DOI: 10.1016/S0140-6736(22)01839-6 PMID: 36565712

94 million people are blind or visually impaired globally, and cataract is the most common cause of blindness worldwide. However, most cases of blindness are avoidable. Cataract is associated with dec...

Humans Quality of Life Cataract Cataract Extraction Phacoemulsification +1 autres

Trifocal intraocular lenses versus bifocal intraocular lenses after cataract extraction among participants with presbyopia.

27 01 2023

DOI: 10.1002/14651858.CD012648.pub3 PMID: 36705482

Presbyopia occurs when the lens of the eyes loses its elasticity leading to loss of accommodation. The lens may also progress to develop cataract, affecting visual acuity and contrast sensitivity. One... To assess the effectiveness and safety of implantation with trifocal versus bifocal IOLs during cataract surgery among people with presbyopia.... We searched the Cochrane Central Register of Controlled Trials (CENTRAL) (which contains the Cochrane Eyes and Vision Trials Register) (2022, Issue 3); Ovid MEDLINE; Embase.com; PubMed; ClinicalTrials... We used standard Cochrane methodology and graded the certainty of the body of evidence according to the GRADE classification.... We identified seven studies conducted in Europe and Turkey with a total of 331 participants. All included studies assessed visual acuity using a logarithm of the minimum angle of resolution (LogMAR ch... We found low-certainty of evidence that compared with bifocal IOL, implantation of trifocal IOL may improve uncorrected intermediate visual acuity at one year. However, there was no evidence of a diff...

Aged Female Humans Male Middle Aged +6 autres

Inadvertent filtering bleb due to extracapsular cataract extraction wound reopening after mitomycin C use: a case report.

18 Feb 2023

DOI: 10.1186/s13256-023-03784-6 PMID: 36800977

Mitomycin C has been used adjunctively in various procedures, including pterygium excision. Delayed wound healing, the long-term complication of mitomycin C, can occur several years later and may rare... A 91-year-old Thai woman had undergone pterygium excision 26 years ago, with adjunctive mitomycin C, as well as an uneventful extracapsular cataract extraction in the same year. The patient developed ... This is a case report of a rare novel complication of mitomycin C application. Conjunctival bleb formation from the reopening of surgical wound, which was related to the previous mitomycin C use, coul...

Aged, 80 and over Female Humans Cataract Extraction Glaucoma +5 autres

Ontario Cataract Quality Outcome Initiative: appropriateness and prioritization of cataract surgery.

08 2023

DOI: 10.1016/j.jcjo.2022.05.010 PMID: 35792177

To explore the utility of the Catquest 9SF visual function (VF) questionnaire along with visual acuity (VA) for determining appropriateness and priority for cataract surgery. To evaluate the feasibili... Prospective multicentred interventional observational study.... Subjects undergoing sequential cataract surgery in both eyes at 4 sites in Ontario.... We recorded best-corrected VA (BCVA) and VA with current correction (CCVA) in each eye and both eyes (OU) and Catquest-9SF responses on a tablet before and after cataract surgery. Linear regression mo... Preoperative BCVA and CCVA in the worse eye were significant predictors of change in VF (p = 0.006 and p = 0.008, respectively); subjects with worse VA had a greater improvement in VF after surgery. T... For patient groups with equal VA, the Catquest-9SF score can help determine priority for surgery. Web-based data capture and interpretation allow for efficient virtual assessments of VF. A BCVA in the...

Humans Ontario Prospective Studies Quality of Life Cataract Extraction +2 autres

Comparison of combined gonioscopy-assisted transluminal trabeculotomy and cataract extraction with gonioscopy-assisted transluminal trabeculotomy surgery alone on macular thickness.

Jan 2023

DOI: 10.1007/s10792-022-02392-5 PMID: 35792973

To evaluate the effect of Gonioscopy-assisted transluminal trabeculotomy (GATT) on macular thickness and to compare the combined GATT and cataract extraction (CE) with GATT surgery alone regarding mac... A retrospective, comparative study was designed. The patients who underwent GATT or combined GATT and CE with preoperative and regular postoperative spectral domain optic coherence tomography analysis... Fifty-four eyes fulfilled the inclusion criteria and were enrolled in this study, (Group 1 = 29 eyes, Group 2 = 25 eyes). The mean thicknesses of central macula (CM), superior inner macula (SIM), and ... GATT can be a safe procedure with minimal and transient adverse effect on macular thickness and structure. Performing GATT together with CE caused no additional increase in the risk of macular thicken...

Humans Trabeculectomy Intraocular Pressure Tonometry, Ocular Glaucoma, Open-Angle +6 autres

Outcomes of cataract surgery in children who present with cataract at uveitis diagnosis.

06 2023

DOI: 10.1016/j.jaapos.2023.02.010 PMID: 37187405

To describe the clinical and demographic characteristics of patients presenting with cataract at uveitis diagnosis treated at a single institution between 2005 and 2019 and to analyze postoperative ou... We retrospectively reviewed the medical records of children (<18 years of age) diagnosed with cataract at their initial uveitis presentation who subsequently underwent cataract extraction. Outcome mea... A total of 14 children (17 eyes) were included. Mean patient age was 7.2 ± 3.9 years. Methotrexate was initiated preoperatively in 11 patients; adalimumab, in 3. Primary intraocular lens was implanted... In our study cohort, surgery for preexisting cataract at uveitis diagnosis resulted in improved visual acuity. Postoperative uveitis flare-ups were relatively uncommon, occurring in 4 of 17 eyes. Glau...

Humans Child Child, Preschool Retrospective Studies Cataract Extraction +4 autres

Gonioscopy-Assisted Transluminal Trabeculotomy and Goniotomy, With or Without Concomitant Cataract Extraction, in Steroid-Induced and Uveitic Glaucoma: 24-Month Outcomes.

01 06 2023

DOI: 10.1097/IJG.0000000000002183 PMID: 36795532

Gonioscopy-assisted transluminal trabeculotomy (GATT) and goniotomy with Kahook Dual Blade both achieved sustained reductions in intraocular pressure (IOP) and medication burden in eyes with steroid-i... To characterize the 24-month surgical outcomes of GATT and excisional goniotomy in eyes with steroid-induced or uveitic glaucoma.... A retrospective chart review was performed of eyes with steroid-induced or uveitic glaucoma that underwent GATT or excisional goniotomy, either standalone or combined with phacoemulsification cataract... Forty eyes of 33 patients underwent GATT, and 24 eyes of 22 patients underwent goniotomy, of which 88% and 75%, respectively, had 24-months' follow-up. Concomitant phacoemulsification cataract surgery... Both GATT and goniotomy demonstrate favorable efficacy and safety in steroid-induced and uveitic glaucoma eyes. Both procedures achieved sustained reductions in IOP and glaucoma medication burden at 2...

Humans Trabeculectomy Intraocular Pressure Gonioscopy Retrospective Studies +7 autres

Troubles gonadiques : Questions médicales fréquentes

Termes MeSH sélectionnés :

Questions fréquentes et termes MeSH associés

Diagnostic 5

Symptômes 5

Prévention 5

Traitements 5

Complications 5

Facteurs de risque 5

Contenu validé par Dr Olivier Menir

Sous-catégories

Troubles du développement sexuel

Hypogonadisme

Maladies ovariennes

Retard pubertaire

Puberté précoce

Maladies testiculaires

Troubles du développement sexuel de sujets 46, XX

Syndrome génitosurrénal

Troubles du développement sexuel de sujets 46, XY

Dysgénésie gonadique

Troubles ovotesticulaires du développement sexuel

Troubles du développement sexuel avec anomalie des gonosomes

Eunuchisme

Syndrome de Kallmann

Syndrome de Klinefelter

Infantilisme sexuel

Ovarite

Kystes de l'ovaire

Syndrome d'hyperstimulation ovarienne

Tumeurs de l'ovaire

Insuffisance ovarienne primitive

Cryptorchidie

Orchite

Tumeurs du testicule

Syndrome du mâle XX

Hyperplasie congénitale des surrénales

Hyperandrogénie

Syndrome d'insensibilité aux androgènes

Syndrome de Denys-Drash

Syndrome WAGR

Dysgénésie gonadique 46, XX

Dysgénésie gonadique 46, XY

Dysgénésie gonadique mixte

Syndrome de Turner

Syndrome des ovaires polykystiques

Tumeur de Brenner

Carcinome endométrioïde

Carcinome épithélial de l'ovaire

Tumeur de la granulosa

Syndrome héréditaire de cancer du sein et de l'ovaire

Lutéome

Syndrome de Meigs

Thécome

Tumeur à cellules de Sertoli et de Leydig

Gonadoblastome

Tumeur à cellules de Leydig

Tumeur à cellules de Sertoli

Auteurs principaux

Sources (10000 au total)