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<h2 style="text-align: center;" class="art-PostHeader">Amenorr�ia</h2>
<br>
<p style="text-align: justify;">Amenorr�ia
significa
aus�ncia de menstrua��o. O conceito de
amenorr�ia na adolesc�ncia �
significativamente
diverso daquele adotado para a mulher na menacne. A menarca ocorre em
nosso meio, com maior freq��ncia, entre 12 e 14
anos. O
limite de idade para o aparecimento da primeira
menstrua��o � 18 anos. A falta de
menarca
ap�s esta idade indica amenorr�ia
prim�ria.
Admitindo-se que a adolesc�ncia vai at� os 16
anos, fica
prejudicado o conceito de amenorr�ia prim�ria
neste
per�odo. � prefer�vel considerar-se
menarca
tardia, a aus�ncia da primeira
menstrua��o entre 14
e 18 anos. Se, por�m, forem firmados os
diagn�sticos de
agenesia uterina e o de �tero rudimentar s�lido,
o
progn�stico de amenorr�ia definitiva pode ser
tra�ado. Quanto � amenorr�ia
secund�ria,
sua conceitua��o � tamb�m
diferente daquela
admitida para mulher em fase de maturidade sexual. Na puberdade, os
ciclos de intervalos longos s�o comuns, havendo necessidade
de
estabelecer se um crit�rio para se determinar quando uma
adolescente se encontra em amenorr�ia. Adotamos o conceito
de
que amenorr�ia secund�ria � a falta da
menstrua��o por, no m�nimo, seis
ciclos
consecutivos.<span id="more-1681"></span></p>
<p style="text-align: justify;"><strong>Etiopatogenia</strong></p>
<p style="text-align: justify;"><strong>
</strong>Amenorr�ia
fisiol�gica � que se instala durante a gravidez e
perdura
no puerp�rio. Embora os ciclos gr�vido-puerperais
n�o sejam comumente encontrados na adolesc�ncia, a
possibilidade de sua ocorr�ncia precisa ser cogitada.
Amenorr�ia patol�gica � resultante de
qualquer
dist�rbio funcional ou de doen�a
org�nica,
localizados no eixo neuro-end�crino, ou em outros
�rg�os relacionados com a
fun��o gonadal.
Acresce o fato de que o endom�trio participar ativamente do
mecanismo da menstrua��o, podendo nele
localizar-se a
causa da amenorr�ia.</p>
<p style="text-align: justify;"><strong>Causas
hipot�lamo-hipofis�rias</strong></p>
<p style="text-align: justify;"><strong>
</strong>O hipot�lamo
� o �rg�o receptor dos
est�mulos emocionais
que lhe s�o trazidos pelo sistema l�mbico, e
produz o
fator de libera��o das gonadotrofinas
hipofis�rias. O fator emocional interfere no comportamento
do
hipot�lamo, determinando altera�es do
ciclo
menstrual, entre as quais est� a aus�ncia de
menstrua��o. Adolescentes portadoras de
dist�rbios
ps�quicos apresentam freq�entemente
amenorr�ia
prim�ria ou secund�ria. O eixo
hipot�lamo-hipofis�rio responde a
a��o dos
horm�nios da tire�ide e das adrenais e, se for
inibido
pelos horm�nios daquelas gl�ndulas, instala-se a
amenorr�ia. Tumores intracranianos e estados
org�nicos
carenciais causam preju�zo funcional ao
hipot�lamo e a
hip�fise, resultando decr�scimo acentuado ou
aus�ncia de secre��o do fator de
libera��o das gonadotrofinas. A
hip�fise pode
apresentar insufici�ncia espec�fica da
produ��o de gonadotrofinas: � a
s�ndrome de
Kallman, na qual o hipogonadismo hipogonadotr�fico se
associa
� amenorr�ia e a anosmia.</p>
<p style="text-align: justify;"><strong>Causas
ovarianas</strong></p>
<p style="text-align: justify;"><strong></strong>Agenesia
gonadal
� causa de amenorr�ia prim�ria. Em
certos casos,
as g�nadas, embora presentes, n�o respondem
�
a��o estimuladora das gonadotrofinas,
possivelmente por
falha da a��o enzim�tica. Sabe-se que
a
mol�cula de gonadotrofinas, de grande peso molecular,
n�o
penetra na c�lula alvo para exercer sua
fun��o.
� preciso que se combine com a adenil-ciclase, enzima
situada na
membrana celular, e o utilize, depois, o AMP c�clico,
segundo
mensageiro encarregado de atuar sobre o n�cleo. Atribui-se
consider�vel import�ncia ao mecanismo
enzim�tico
referido, e tamb�m �quele respons�vel
pela
bioss�ntese dos ester�ides ovarianos. Assim, as
transforma�es que se processam a partir do
acetato e do
colesterol podem alterar-se. Outra poss�vel causa de
amenorr�ia secund�ria � a
s�ndrome de
Stein-Leventhal. No final da adolesc�ncia,
amenorr�ia,
obesidade e hirsutismo levam a suspeitar daquela s�ndrome,
que
se acompanha de ov�rios polic�sticos.</p>
<p style="text-align: justify;"><strong>Causas
uterinas<br>
</strong><br>
Na adolesc�ncia, o endom�trio come�a a
responder
� a��o do estrog�nio e a
tornar-se
proliferativo. O crescimento endometrial se processa at� o
momento em que uma queda brusca no n�vel
estrog�nico
promove a elimina��o de fragmentos da mucosa, de
mistura
com sangue. A resposta do endom�trio �
a��o
dos estrog�nios decorre da presen�a de receptores
hormonais espec�ficos situados no citoplasma celular. Em
alguns
casos, o n�vel de horm�nio � normal, e
o
endom�trio n�o responde, permanecendo
atr�fico.
Tal fato seria explicado pela falta de receptores hormonais que,
normalmente, come�am a desenvolver-se por ocasi�o
da
puberdade. Outra causa de amenorr�ia � a
tuberculose
genital, se a infec��o comprometer a mucosa
uterina.</p>
<p style="text-align: justify;"><strong>Diagn�stico</strong></p>
<p style="text-align: justify;"><strong></strong>Adolescentes
que, com
mais de 14 anos ainda n�o apresentaram a menarca, devem ser
submetidas ao exame f�sico geral. Observa-se,
ent�o, se o
desenvolvimento dos caracteres sexuais secund�rios
�
compat�vel com a idade. A aus�ncia de tais
caracteres
indica puberdade tardia, e se eles est�o presentes,
caracteriza-se a menarca tardia. Pela anamnese, obt�m-se
dados a
respeito da idade em que ocorreu a menarca da m�e e das
irm�s da paciente. V�rios membros de uma
fam�lia
podem apresentar menarca retardada, fato n�o acompanhado de
qualquer anormalidade. Ao exame f�sico geral, devem ser
registrados: estatura, peso, desenvolvimento muscular,
distribui��o pilosa e pan�culo
adiposo. O exame
ginecol�gico informa sobre o volume das mamas e do abdome,
dos
�rg�os genitais internos e externos. Quanto
�
conforma��o da vulva,
aten��o especial deve
ser dada ao h�men e ao clit�ris. H�men
imperfurado
� obst�culo � sa�da do
sangue menstrual,
caracterizando a criptomenorr�ia. Clit�ris
hipertrofiado
pode denunciar a a��o androg�nica.
�tero e
anexos devem ser examinados pelo toque retal. A colpovirgoscopia
� obrigat�ria, permitindo observar-se a
permeabilidade da
vagina e a conforma��o do colo do
�tero. Se os
exames f�sico geral e ginecol�gico n�o
revelar
qualquer anormalidade, deve-se adotar conduta expectante,
aguardando-se
a menarca at� os 16 anos. Se for constatada qualquer
altera��o morfofuncional, lan�a-se
m�o dos
seguintes exames complementares para elucidar o diagn�stico:</p>
<ul style="text-align: justify;">
<li>teste de gravidez.</li>
<li>Raios-X do cr�nio,
especialmente com imagem da sela t�rcica.</li>
<li>Eletroencefalograma.</li>
<li>Rea��o
de Mantoux.</li>
<li>Ecografia da pelve.</li>
<li>Pneumopelvigrafia e/ou
laparoscopia.</li>
<li>Colpocitologia hormonal.</li>
<li>Determina��o
da
cromatina sexual.</li>
<li>Cari�tipo.</li>
</ul>
<p style="text-align: justify;">Podem
ser realizados testes
farmacol�gicos, valiosos colaboradores do
diagn�stico,
tais como: Teste de progesterona, ministrando-se um composto
sint�tico de progesterona durante cinco dias. Se a paciente
menstruar dentro de cinco dias ap�s o teste, fica
demonstrado
que o n�vel estrog�nico � bom e,
tamb�m, que
n�o se trata de causa uterina. Caso contr�rio, o
n�vel estrog�nico � baixo,
n�o permitindo a
a��o complementar da progesterona.</p>
<p style="text-align: justify;">-
Teste de estrog�nio associado a
progesterona: administrado por via intramuscular, durante dois dias
seguidos. A resposta a esse teste de associa��o
hormonal
revela boa resposta endometrial.</p>
<p style="text-align: justify;"><strong>Tratamento</strong></p>
<p style="text-align: justify;">Sendo
amenorr�ia simplesmente um
sintoma, n�o prejudicando, portanto, o estado geral das
pacientes, a conduta expectante � a mais
aconselh�vel.
Nos casos de labilidade emocional manifesta, recomenda-se
psicoterapia.
Os casos de desnutri��o e de mol�stias
consuntivas
dever�o ser tratados por medidas cl�nicas gerais.
Dist�rbios da tire�ide e das adrenais devem ser
corrigidos, com a colabora��o do
endocrinologista. Se o
n�vel estrog�nico for baixo e o �tero
hipopl�sico, os estrog�nios e a progesterona
est�o
indicados. O tratamento da amenorr�ia decorrente de tumores
intracranianos compete ao neurocirurgi�o. Os tumores
masculinizantes do ov�rio devem ser tratados pelo
ginecologista,
a quem cabe decidir sobre a cirurgia conservadora ou radical, de
acordo
com o achado cir�rgico. No caso da s�ndrome de
Stein-Leventhal, a institui��o de tratamento na
adolesc�ncia dever� ser devidamente ponderada.
�
prefer�vel guardar a idade de 18 anos para realizar-se a
ressec��o parcial dos ov�rios.</p>
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Coment�rios</p>
<ol class="commentlist" style="list-style: none; margin: 0px; padding: 0px; color: rgb(0, 0, 0); font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 12px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); text-decoration-style: initial; text-decoration-color: initial;">
<li id="comment-2711" class="commentbody" style="color: rgb(0, 0, 0); font-size: 12px; list-style-type: none; margin: 0px 0px 10px; padding: 0px 5px; border: 1px solid rgb(0, 113, 156); background: rgb(255, 255, 255);">
<div class="commenthead" style="color: rgb(0, 0, 0); padding: 5px 0px 10px; margin: 0px 0px 10px; border-bottom: 1px dashed rgb(0, 113, 156); background: rgb(255, 255, 255);"><img
alt="" src="http://1.gravatar.com/avatar/7145f04f356c1fad26b34f1d7ba1b862?s=32&d=identicon&r=g"
srcset="http://1.gravatar.com/avatar/7145f04f356c1fad26b34f1d7ba1b862?s=64&d=identicon&r=g 2x"
class="avatar avatar-32 photo" style="border: 0px; padding: 0px; float: left; margin: 0px 5px 0px 0px; background: rgb(255, 255, 255);"
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<div class="commentcount" style="float: right; color: rgb(170, 170, 170); font-size: 20px; margin: 0px; padding: 5px 0px 0px; font-family: Georgia, Times, "Times New Roman", serif;">1</div>
<span class="authorlink" style="color: rgb(0, 0, 0); font-size: 12px; font-weight: bold; line-height: 1.5em;"><a
href="http://amenorreia/" rel="external nofollow" class="url"
style="color: rgb(0, 0, 0); text-decoration: none; font-size: 12px; font-weight: bold; line-height: 1.5em;">meire</a></span>
<span class=""></span><br>
<a class="commentlink" href="http://cienciasdasaude.med.br/?p=1681#comment-2711"
title="" style="color: rgb(0, 0, 0); text-decoration: none; font-size: 10px;"></a></div>
<p style="margin: 0px 0px 12px;">tenho amenorreia frequente nao
consigo engravidar o que pode ser</p>
</li>
<li id="comment-2712" class="commentbody" style="color: rgb(0, 0, 0); font-size: 12px; list-style-type: none; margin: 0px 0px 10px; padding: 0px 5px; border: 1px solid rgb(0, 113, 156); background: rgb(255, 255, 255);">
<div class="commenthead" style="color: rgb(0, 0, 0); padding: 5px 0px 10px; margin: 0px 0px 10px; border-bottom: 1px dashed rgb(0, 113, 156); background: rgb(255, 255, 255);"><img
alt="" src="http://1.gravatar.com/avatar/1f139cd64e6320ede4ab857222e33b2a?s=32&d=identicon&r=g"
srcset="http://1.gravatar.com/avatar/1f139cd64e6320ede4ab857222e33b2a?s=64&d=identicon&r=g 2x"
class="avatar avatar-32 photo" style="border: 0px; padding: 0px; float: left; margin: 0px 5px 0px 0px; background: rgb(255, 255, 255);"
width="32" height="32">
<div class="commentcount" style="float: right; color: rgb(170, 170, 170); font-size: 20px; margin: 0px; padding: 5px 0px 0px; font-family: Georgia, Times, "Times New Roman", serif;">2</div>
<span class="authorlink" style="color: rgb(0, 0, 0); font-size: 12px; font-weight: bold; line-height: 1.5em;">heinz</span>
<span class=""></span><br>
<a class="commentlink" href="http://cienciasdasaude.med.br/?p=1681#comment-2712"
title="" style="color: rgb(0, 0, 0); text-decoration: none; font-size: 10px;"></a></div>
<p style="margin: 0px 0px 12px;">Pode ser dist�rbio da tire�ide ou
fal�ncia folicuar. Consulte um endocrinologista e um
ginecologista especializado em reprodu��o humana/assistida.</p>
</li>
<li id="comment-2713" class="commentbody" style="color: rgb(0, 0, 0); font-size: 12px; list-style-type: none; margin: 0px 0px 10px; padding: 0px 5px; border: 1px solid rgb(0, 113, 156); background: rgb(255, 255, 255);">
<div class="commenthead" style="color: rgb(0, 0, 0); padding: 5px 0px 10px; margin: 0px 0px 10px; border-bottom: 1px dashed rgb(0, 113, 156); background: rgb(255, 255, 255);"><img
alt="" src="http://1.gravatar.com/avatar/1afd9be49e51011744e6544c850f3ad2?s=32&d=identicon&r=g"
srcset="http://1.gravatar.com/avatar/1afd9be49e51011744e6544c850f3ad2?s=64&d=identicon&r=g 2x"
class="avatar avatar-32 photo" style="border: 0px; padding: 0px; float: left; margin: 0px 5px 0px 0px; background: rgb(255, 255, 255);"
width="32" height="32">
<div class="commentcount" style="float: right; color: rgb(170, 170, 170); font-size: 20px; margin: 0px; padding: 5px 0px 0px; font-family: Georgia, Times, "Times New Roman", serif;">3</div>
<span class="authorlink" style="color: rgb(0, 0, 0); font-size: 12px; font-weight: bold; line-height: 1.5em;">Cleberth</span>
<span class=""></span><br>
<a class="commentlink" href="http://cienciasdasaude.med.br/?p=1681#comment-2713"
title="" style="color: rgb(0, 0, 0); text-decoration: none; font-size: 10px;"></a></div>
<p style="margin: 0px 0px 12px;">Uma mulher com Amenorreia
prim�ria pode ter orgasmo ?<br>
ou n�o ?</p>
</li>
<li id="comment-2714" class="commentbody" style="color: rgb(0, 0, 0); font-size: 12px; list-style-type: none; margin: 0px 0px 10px; padding: 0px 5px; border: 1px solid rgb(0, 113, 156); background: rgb(255, 255, 255);">
<div class="commenthead" style="color: rgb(0, 0, 0); padding: 5px 0px 10px; margin: 0px 0px 10px; border-bottom: 1px dashed rgb(0, 113, 156); background: rgb(255, 255, 255);"><img
alt="" src="http://2.gravatar.com/avatar/5aca9c3a7c5f08b515809c0c7116af32?s=32&d=identicon&r=g"
srcset="http://2.gravatar.com/avatar/5aca9c3a7c5f08b515809c0c7116af32?s=64&d=identicon&r=g 2x"
class="avatar avatar-32 photo" style="border: 0px; padding: 0px; float: left; margin: 0px 5px 0px 0px; background: rgb(255, 255, 255);"
width="32" height="32">
<div class="commentcount" style="float: right; color: rgb(170, 170, 170); font-size: 20px; margin: 0px; padding: 5px 0px 0px; font-family: Georgia, Times, "Times New Roman", serif;">4</div>
<span class="authorlink" style="color: rgb(0, 0, 0); font-size: 12px; font-weight: bold; line-height: 1.5em;">Vladimir
Antonini</span> <span class=""></span><br>
<a class="commentlink" href="http://cienciasdasaude.med.br/?p=1681#comment-2714"
title="" style="color: rgb(0, 0, 0); text-decoration: none; font-size: 10px;"></a></div>
<p style="margin: 0px 0px 12px;">Cleberth:<br>
Amenorr�ia prim�ria � o estado no qual a mulher NUNCA menstruou
e por isso, ou � uma menina (menor de 12 ou 11 anos), ou tem
alguma anomalia ou s�ndrome de origem gen�tica e, portanto,
muito provavelmente ela n�o sentir� orgasmos como as mulheres
normais. Voc� tem certeza de que � amenorr�ia prim�ria? N�o �
secund�ria? Amenorr�ia secund�ria � a falta de menstrua��o
quando a mulher j� menstruou normalmente e pode ser causada por
diversos fatores, como ansiedade, tireoidismo, amamenta��o,
fal�ncia folicular, e etc.</p>
</li>
<li id="comment-2715" class="commentbody" style="color: rgb(0, 0, 0); font-size: 12px; list-style-type: none; margin: 0px 0px 10px; padding: 0px 5px; border: 1px solid rgb(0, 113, 156); background: rgb(255, 255, 255);">
<div class="commenthead" style="color: rgb(0, 0, 0); padding: 5px 0px 10px; margin: 0px 0px 10px; border-bottom: 1px dashed rgb(0, 113, 156); background: rgb(255, 255, 255);"><img
alt="" src="http://1.gravatar.com/avatar/1afd9be49e51011744e6544c850f3ad2?s=32&d=identicon&r=g"
srcset="http://1.gravatar.com/avatar/1afd9be49e51011744e6544c850f3ad2?s=64&d=identicon&r=g 2x"
class="avatar avatar-32 photo" style="border: 0px; padding: 0px; float: left; margin: 0px 5px 0px 0px; background: rgb(255, 255, 255);"
width="32" height="32">
<div class="commentcount" style="float: right; color: rgb(170, 170, 170); font-size: 20px; margin: 0px; padding: 5px 0px 0px; font-family: Georgia, Times, "Times New Roman", serif;">5</div>
<span class="authorlink" style="color: rgb(0, 0, 0); font-size: 12px; font-weight: bold; line-height: 1.5em;">Cleberth</span>
<span class=""></span><br>
<a class="commentlink" href="http://cienciasdasaude.med.br/?p=1681#comment-2715"
title="" style="color: rgb(0, 0, 0); text-decoration: none; font-size: 10px;"></a></div>
<p style="margin: 0px 0px 12px;">� primeira sim � pois ela nunca
mestruou� gostaria de saber se ela pode obter orgasmo�</p>
</li>
<li id="comment-2717" class="commentbody" style="color: rgb(0, 0, 0); font-size: 12px; list-style-type: none; margin: 0px 0px 10px; padding: 0px 5px; border: 1px solid rgb(0, 113, 156); background: rgb(255, 255, 255);">
<div class="commenthead" style="color: rgb(0, 0, 0); padding: 5px 0px 10px; margin: 0px 0px 10px; border-bottom: 1px dashed rgb(0, 113, 156); background: rgb(255, 255, 255);"><img
alt="" src="http://2.gravatar.com/avatar/5aca9c3a7c5f08b515809c0c7116af32?s=32&d=identicon&r=g"
srcset="http://2.gravatar.com/avatar/5aca9c3a7c5f08b515809c0c7116af32?s=64&d=identicon&r=g 2x"
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width="32" height="32">
<div class="commentcount" style="float: right; color: rgb(170, 170, 170); font-size: 20px; margin: 0px; padding: 5px 0px 0px; font-family: Georgia, Times, "Times New Roman", serif;">6</div>
<span class="authorlink" style="color: rgb(0, 0, 0); font-size: 12px; font-weight: bold; line-height: 1.5em;">Vladimir
Antonini</span> <span class=""></span><br>
<a class="commentlink" href="http://cienciasdasaude.med.br/?p=1681#comment-2717"
title="" style="color: rgb(0, 0, 0); text-decoration: none; font-size: 10px;"></a></div>
<p style="margin: 0px 0px 12px;">Essa � a t�pica pergunta que
ningu�m tem como responder, mas eu n�o arriscaria. Leve-a a um
gineco e a um endocrinologista e tente descobrir o porque dessa
amenorr�ia prim�ria.</p>
</li>
<li id="comment-2716" class="commentbody" style="color: rgb(0, 0, 0); font-size: 12px; list-style-type: none; margin: 0px 0px 10px; padding: 0px 5px; border: 1px solid rgb(0, 113, 156); background: rgb(255, 255, 255);">
<div class="commenthead" style="color: rgb(0, 0, 0); padding: 5px 0px 10px; margin: 0px 0px 10px; border-bottom: 1px dashed rgb(0, 113, 156); background: rgb(255, 255, 255);"><img
alt="" src="http://1.gravatar.com/avatar/1afd9be49e51011744e6544c850f3ad2?s=32&d=identicon&r=g"
srcset="http://1.gravatar.com/avatar/1afd9be49e51011744e6544c850f3ad2?s=64&d=identicon&r=g 2x"
class="avatar avatar-32 photo" style="border: 0px; padding: 0px; float: left; margin: 0px 5px 0px 0px; background: rgb(255, 255, 255);"
width="32" height="32">
<div class="commentcount" style="float: right; color: rgb(170, 170, 170); font-size: 20px; margin: 0px; padding: 5px 0px 0px; font-family: Georgia, Times, "Times New Roman", serif;">7</div>
<span class="authorlink" style="color: rgb(0, 0, 0); font-size: 12px; font-weight: bold; line-height: 1.5em;">Cleberth</span>
<span class=""></span><br>
<a class="commentlink" href="http://cienciasdasaude.med.br/?p=1681#comment-2716"
title="" style="color: rgb(0, 0, 0); text-decoration: none; font-size: 10px;"></a></div>
<p style="margin: 0px 0px 12px;">e se pode ter rela�es sexuais</p>
</li>
<li id="comment-2718" class="commentbody" style="color: rgb(0, 0, 0); font-size: 12px; list-style-type: none; margin: 0px 0px 10px; padding: 0px 5px; border: 1px solid rgb(0, 113, 156); background: rgb(255, 255, 255);">
<div class="commenthead" style="color: rgb(0, 0, 0); padding: 5px 0px 10px; margin: 0px 0px 10px; border-bottom: 1px dashed rgb(0, 113, 156); background: rgb(255, 255, 255);"><img
alt="" src="http://2.gravatar.com/avatar/5aca9c3a7c5f08b515809c0c7116af32?s=32&d=identicon&r=g"
srcset="http://2.gravatar.com/avatar/5aca9c3a7c5f08b515809c0c7116af32?s=64&d=identicon&r=g 2x"
class="avatar avatar-32 photo" style="border: 0px; padding: 0px; float: left; margin: 0px 5px 0px 0px; background: rgb(255, 255, 255);"
width="32" height="32">
<div class="commentcount" style="float: right; color: rgb(170, 170, 170); font-size: 20px; margin: 0px; padding: 5px 0px 0px; font-family: Georgia, Times, "Times New Roman", serif;">8</div>
<span class="authorlink" style="color: rgb(0, 0, 0); font-size: 12px; font-weight: bold; line-height: 1.5em;">Vladimir
Antonini</span> <span class=""></span><br>
<a class="commentlink" href="http://cienciasdasaude.med.br/?p=1681#comment-2718"
title="" style="color: rgb(0, 0, 0); text-decoration: none; font-size: 10px;"></a></div>
<p style="margin: 0px 0px 12px;">Melhor evitar, at� descobrir o
motivo da amenorr�ia prim�ria.</p>
</li>
<li id="comment-2719" class="commentbody" style="color: rgb(0, 0, 0); font-size: 12px; list-style-type: none; margin: 0px 0px 10px; padding: 0px 5px; border: 1px solid rgb(0, 113, 156); background: rgb(255, 255, 255);">
<div class="commenthead" style="color: rgb(0, 0, 0); padding: 5px 0px 10px; margin: 0px 0px 10px; border-bottom: 1px dashed rgb(0, 113, 156); background: rgb(255, 255, 255);"><img
alt="" src="http://1.gravatar.com/avatar/1afd9be49e51011744e6544c850f3ad2?s=32&d=identicon&r=g"
srcset="http://1.gravatar.com/avatar/1afd9be49e51011744e6544c850f3ad2?s=64&d=identicon&r=g 2x"
class="avatar avatar-32 photo" style="border: 0px; padding: 0px; float: left; margin: 0px 5px 0px 0px; background: rgb(255, 255, 255);"
width="32" height="32">
<div class="commentcount" style="float: right; color: rgb(170, 170, 170); font-size: 20px; margin: 0px; padding: 5px 0px 0px; font-family: Georgia, Times, "Times New Roman", serif;">9</div>
<span class="authorlink" style="color: rgb(0, 0, 0); font-size: 12px; font-weight: bold; line-height: 1.5em;">Cleberth</span>
<span class=""></span><br>
<a class="commentlink" href="http://cienciasdasaude.med.br/?p=1681#comment-2719"
title="" style="color: rgb(0, 0, 0); text-decoration: none; font-size: 10px;"></a></div>
<p style="margin: 0px 0px 12px;">sim,mais ela ja tem
acompanhamento m�dico�e na barriga da m�e ela �parou� de
desenvolver desde ent�o ela vem tendo acompanhamento m�dico�</p>
</li>
<li id="comment-2720" class="commentbody" style="color: rgb(0, 0, 0); font-size: 12px; list-style-type: none; margin: 0px 0px 10px; padding: 0px 5px; border: 1px solid rgb(0, 113, 156); background: rgb(255, 255, 255);">
<div class="commenthead" style="color: rgb(0, 0, 0); padding: 5px 0px 10px; margin: 0px 0px 10px; border-bottom: 1px dashed rgb(0, 113, 156); background: rgb(255, 255, 255);"><img
alt="" src="http://2.gravatar.com/avatar/5aca9c3a7c5f08b515809c0c7116af32?s=32&d=identicon&r=g"
srcset="http://2.gravatar.com/avatar/5aca9c3a7c5f08b515809c0c7116af32?s=64&d=identicon&r=g 2x"
class="avatar avatar-32 photo" style="border: 0px; padding: 0px; float: left; margin: 0px 5px 0px 0px; background: rgb(255, 255, 255);"
width="32" height="32">
<div class="commentcount" style="float: right; color: rgb(170, 170, 170); font-size: 20px; margin: 0px; padding: 5px 0px 0px; font-family: Georgia, Times, "Times New Roman", serif;">10</div>
<span class="authorlink" style="color: rgb(0, 0, 0); font-size: 12px; font-weight: bold; line-height: 1.5em;">Vladimir
Antonini</span> <span class=""></span><br>
<a class="commentlink" href="http://cienciasdasaude.med.br/?p=1681#comment-2720"
title="" style="color: rgb(0, 0, 0); text-decoration: none; font-size: 10px;"></a></div>
<p style="margin: 0px 0px 12px;">Eu n�o faria, a menos que ela
queira de fato e, de prefer�ncia, fa�a ela consentir por
escrito, evitando complica�es at� judiciais depois, pois seria
como ter uma rela��o com uma crian�a, e poderia pesar uma
acusa��o de manter ato libidinoso com pessoa comparada � crian�a
ou com anomalia que induza a parecer comparativo.</p>
</li>
<li id="comment-2721" class="commentbody" style="color: rgb(0, 0, 0); font-size: 12px; list-style-type: none; margin: 0px 0px 10px; padding: 0px 5px; border: 1px solid rgb(0, 113, 156); background: rgb(255, 255, 255);">
<div class="commenthead" style="color: rgb(0, 0, 0); padding: 5px 0px 10px; margin: 0px 0px 10px; border-bottom: 1px dashed rgb(0, 113, 156); background: rgb(255, 255, 255);"><img
alt="" src="http://1.gravatar.com/avatar/1afd9be49e51011744e6544c850f3ad2?s=32&d=identicon&r=g"
srcset="http://1.gravatar.com/avatar/1afd9be49e51011744e6544c850f3ad2?s=64&d=identicon&r=g 2x"
class="avatar avatar-32 photo" style="border: 0px; padding: 0px; float: left; margin: 0px 5px 0px 0px; background: rgb(255, 255, 255);"
width="32" height="32">
<div class="commentcount" style="float: right; color: rgb(170, 170, 170); font-size: 20px; margin: 0px; padding: 5px 0px 0px; font-family: Georgia, Times, "Times New Roman", serif;">11</div>
<span class="authorlink" style="color: rgb(0, 0, 0); font-size: 12px; font-weight: bold; line-height: 1.5em;">Cleberth</span>
<span class=""></span><br>
<a class="commentlink" href="http://cienciasdasaude.med.br/?p=1681#comment-2721"
title="" style="color: rgb(0, 0, 0); text-decoration: none; font-size: 10px;"></a></div>
<p style="margin: 0px 0px 12px;">mesmo ela sendo maior de idade ?</p>
</li>
<li id="comment-2722" class="commentbody" style="color: rgb(0, 0, 0); font-size: 12px; list-style-type: none; margin: 0px 0px 10px; padding: 0px 5px; border: 1px solid rgb(0, 113, 156); background: rgb(255, 255, 255);">
<div class="commenthead" style="color: rgb(0, 0, 0); padding: 5px 0px 10px; margin: 0px 0px 10px; border-bottom: 1px dashed rgb(0, 113, 156); background: rgb(255, 255, 255);"><img
alt="" src="http://2.gravatar.com/avatar/5aca9c3a7c5f08b515809c0c7116af32?s=32&d=identicon&r=g"
srcset="http://2.gravatar.com/avatar/5aca9c3a7c5f08b515809c0c7116af32?s=64&d=identicon&r=g 2x"
class="avatar avatar-32 photo" style="border: 0px; padding: 0px; float: left; margin: 0px 5px 0px 0px; background: rgb(255, 255, 255);"
width="32" height="32">
<div class="commentcount" style="float: right; color: rgb(170, 170, 170); font-size: 20px; margin: 0px; padding: 5px 0px 0px; font-family: Georgia, Times, "Times New Roman", serif;">12</div>
<span class="authorlink" style="color: rgb(0, 0, 0); font-size: 12px; font-weight: bold; line-height: 1.5em;">Vladimir
Antonini</span> <span class=""></span><br>
<a class="commentlink" href="http://cienciasdasaude.med.br/?p=1681#comment-2722"
title="" style="color: rgb(0, 0, 0); text-decoration: none; font-size: 10px;"></a></div>
<p style="margin: 0px 0px 12px;">Mesmo!<br>
O grande problema � que, por um acaso descobre-se que ela seja
portadora de um s�ndrome de Turner, por exemplo, algu�m poder�
alegar, em ju�zo, que ela n�o � capaz de decidir sobre si mesma,
mesmo tendo ela plena consci�ncia de tudo . Existe gente mal
intencionada para tudo e existe advogado disposto � qualquer
coisa para ganhar dinheiro. Ent�o, na d�vida, � melhor seguir
aquele velho ditadinho mineiro, corrigido, � claro: �cautela e
canja de galinha� S� faz mal para a galinha�.<br>
Existe uma tend�ncia em direito a considerar como crian�a, uma
pessoal com anomalias no desenvolvimento, criando-se, � sua
volta, todas as redes e pr�ticas protecionistas, encarando como
abuso, qualquer ato sexual consumado ou n�o, mesmo que o afetado
(a pessoa que tenha o problema) tenha consentido no ato e tenha
desejado sua consuma��o. Essa tend�ncia n�o � brasileira, �
mundial.</p>
</li>
<li id="comment-2723" class="commentbody" style="color: rgb(0, 0, 0); font-size: 12px; list-style-type: none; margin: 0px 0px 10px; padding: 0px 5px; border: 1px solid rgb(0, 113, 156); background: rgb(255, 255, 255);">
<div class="commenthead" style="color: rgb(0, 0, 0); padding: 5px 0px 10px; margin: 0px 0px 10px; border-bottom: 1px dashed rgb(0, 113, 156); background: rgb(255, 255, 255);"><img
alt="" src="http://2.gravatar.com/avatar/838097c209551cc6fd98d07661201e00?s=32&d=identicon&r=g"
srcset="http://2.gravatar.com/avatar/838097c209551cc6fd98d07661201e00?s=64&d=identicon&r=g 2x"
class="avatar avatar-32 photo" style="border: 0px; padding: 0px; float: left; margin: 0px 5px 0px 0px; background: rgb(255, 255, 255);"
width="32" height="32">
<div class="commentcount" style="float: right; color: rgb(170, 170, 170); font-size: 20px; margin: 0px; padding: 5px 0px 0px; font-family: Georgia, Times, "Times New Roman", serif;">13</div>
<span class="authorlink" style="color: rgb(0, 0, 0); font-size: 12px; font-weight: bold; line-height: 1.5em;">Caroline</span>
<span class=""></span><br>
<a class="commentlink" href="http://cienciasdasaude.med.br/?p=1681#comment-2723"
title="" style="color: rgb(0, 0, 0); text-decoration: none; font-size: 10px;"></a></div>
<p style="margin: 0px 0px 12px;">ol� bom dia!<br>
Estou com alguns problemas�<br>
sou menor de 16 anos, e venho tendo rela��o sexual com meu
namorado h� 5 meses. Por�m esse m�s, que a menstrua��o era pra
vir dia 7, no m�ximo 8, ainda n�o veio, estamos no dia 9. Ontem
senti v�rias c�licas, muito fortes, dif�ceis de aguentar. Nas
rela�es sexuais, a gente sempre come�ou sem prote��o, e no
m�ximo 1 minuto depois, ele colocava a camisinha para dar
continuidade. Nunca chegou a ejacular dentro de mim, e eu tenho
essa certeza. Na sexta feira, dia 05, desceu um leve l�quido,
que n�o era sangue, mas parecido com o liquido que sempre desce
antes de vir a menstrua��o, por isso comecei a usar o
absorvente, mas at� agora, at� AGORA, nada da minha menstrua��o!<br>
O que pode t� acontecendo comigo Dr? eu n�o posso estar gr�vida,
n�o mesmo, n�o tenho condi�es de criar um filho e meus pais
jamais aceitariam. S� pra constar, n�o uso anticoncepcional.<br>
Aguardo respostas urgente, estou muito nervosa. Aguardo e
obrigado.</p>
</li>
<li id="comment-2724" class="commentbody" style="color: rgb(0, 0, 0); font-size: 12px; list-style-type: none; margin: 0px 0px 10px; padding: 0px 5px; border: 1px solid rgb(0, 113, 156); background: rgb(255, 255, 255);">
<div class="commenthead" style="color: rgb(0, 0, 0); padding: 5px 0px 10px; margin: 0px 0px 10px; border-bottom: 1px dashed rgb(0, 113, 156); background: rgb(255, 255, 255);"><img
alt="" src="http://2.gravatar.com/avatar/e6d56f81edfb4d428b3776923d30f261?s=32&d=identicon&r=g"
srcset="http://2.gravatar.com/avatar/e6d56f81edfb4d428b3776923d30f261?s=64&d=identicon&r=g 2x"
class="avatar avatar-32 photo" style="border: 0px; padding: 0px; float: left; margin: 0px 5px 0px 0px; background: rgb(255, 255, 255);"
width="32" height="32">
<div class="commentcount" style="float: right; color: rgb(170, 170, 170); font-size: 20px; margin: 0px; padding: 5px 0px 0px; font-family: Georgia, Times, "Times New Roman", serif;">14</div>
<span class="authorlink" style="color: rgb(0, 0, 0); font-size: 12px; font-weight: bold; line-height: 1.5em;">Heinz</span>
<span class=""></span><br>
<a class="commentlink" href="http://cienciasdasaude.med.br/?p=1681#comment-2724"
title="" style="color: rgb(0, 0, 0); text-decoration: none; font-size: 10px;"></a></div>
<p style="margin: 0px 0px 12px;">Caroline:<br>
Um ou dois dias de atraso na menstrua��o n�o � sinal de
gravidez. Acima de 15 dias de atraso � de come�ar a co�ar a
cabe�a, o que ainda n�o � o seu caso. Como voc� est� com
c�licas, � bem prov�vel que seja apenas um atraso, mas em todo
caso, espere os 15 dias �regulamentares�. Caso persista a dor,
procure uma unidade de sa�de. Sua m�e n�o precisa ir junto. Voc�
pode ir sozinha que o(a) ginecologista te atender�, pois ele n�o
pode se negar a te atender e ainda, ele est� obrigado a guardar
sigilo, n�o podendo contar para ningu�m que voc� esteve l� e o
que foi fazer.</p>
</li>
<li id="comment-2725" class="commentbody" style="color: rgb(0, 0, 0); font-size: 12px; list-style-type: none; margin: 0px 0px 10px; padding: 0px 5px; border: 1px solid rgb(0, 113, 156); background: rgb(255, 255, 255);">
<div class="commenthead" style="color: rgb(0, 0, 0); padding: 5px 0px 10px; margin: 0px 0px 10px; border-bottom: 1px dashed rgb(0, 113, 156); background: rgb(255, 255, 255);"><img
alt="" src="http://2.gravatar.com/avatar/838097c209551cc6fd98d07661201e00?s=32&d=identicon&r=g"
srcset="http://2.gravatar.com/avatar/838097c209551cc6fd98d07661201e00?s=64&d=identicon&r=g 2x"
class="avatar avatar-32 photo" style="border: 0px; padding: 0px; float: left; margin: 0px 5px 0px 0px; background: rgb(255, 255, 255);"
width="32" height="32">
<div class="commentcount" style="float: right; color: rgb(170, 170, 170); font-size: 20px; margin: 0px; padding: 5px 0px 0px; font-family: Georgia, Times, "Times New Roman", serif;">15</div>
<span class="authorlink" style="color: rgb(0, 0, 0); font-size: 12px; font-weight: bold; line-height: 1.5em;">Caroline</span>
<span class=""></span><br>
<a class="commentlink" href="http://cienciasdasaude.med.br/?p=1681#comment-2725"
title="" style="color: rgb(0, 0, 0); text-decoration: none; font-size: 10px;"></a></div>
<p style="margin: 0px 0px 12px;">Meu Deus Dr�acabou de me passar
uma tranquilidade imensa!<br>
Hoje j� � dia 10, n�o desceu minha menstrua��o ainda, n�o tenho
mais c�licas, s� estou com os seios um pouco sens�veis. Isso �
normal n�?<br>
Eu to muito preocupada, to come�ando a pensar que a menstrua��o
n�o vai mais descer�tive as c�licas fortes na segunda feira, o
correto seria vir a menstrua��o hoje ou ontem! E eu estou muito
nervosa com isso, pensando nisso direto, e isso prejudica a
descida da menstrua��o n�?<br>
Estou muito agoniada, denovo�Aguardo respostas Dr..</p>
</li>
<li id="comment-2726" class="commentbody" style="color: rgb(0, 0, 0); font-size: 12px; list-style-type: none; margin: 0px 0px 10px; padding: 0px 5px; border: 1px solid rgb(0, 113, 156); background: rgb(255, 255, 255);">
<div class="commenthead" style="color: rgb(0, 0, 0); padding: 5px 0px 10px; margin: 0px 0px 10px; border-bottom: 1px dashed rgb(0, 113, 156); background: rgb(255, 255, 255);"><img
alt="" src="http://2.gravatar.com/avatar/e6d56f81edfb4d428b3776923d30f261?s=32&d=identicon&r=g"
srcset="http://2.gravatar.com/avatar/e6d56f81edfb4d428b3776923d30f261?s=64&d=identicon&r=g 2x"
class="avatar avatar-32 photo" style="border: 0px; padding: 0px; float: left; margin: 0px 5px 0px 0px; background: rgb(255, 255, 255);"
width="32" height="32">
<div class="commentcount" style="float: right; color: rgb(170, 170, 170); font-size: 20px; margin: 0px; padding: 5px 0px 0px; font-family: Georgia, Times, "Times New Roman", serif;">16</div>
<span class="authorlink" style="color: rgb(0, 0, 0); font-size: 12px; font-weight: bold; line-height: 1.5em;">Heinz</span>
<span class=""></span><br>
<a class="commentlink" href="http://cienciasdasaude.med.br/?p=1681#comment-2726"
title="" style="color: rgb(0, 0, 0); text-decoration: none; font-size: 10px;"></a></div>
<p style="margin: 0px 0px 12px;">Caroline:<br>
Um dos fatores que mais perturba o ciclo mestrual � justamente o
nervosismo. Quanto mais nervosa, mais complica. Se voc� n�o se
acalmar, a sua menstrua��o via �encalacrar� (brincadeira) e n�o
vai descer. Acalme-se. � muito dif�cil pedir isso mas tenha
calma e paci�ncia, sen�o n�o vem, caso n�o seja gravidez.</p>
</li>
<li id="comment-2727" class="commentbody" style="color: rgb(0, 0, 0); font-size: 12px; list-style-type: none; margin: 0px 0px 10px; padding: 0px 5px; border: 1px solid rgb(0, 113, 156); background: rgb(255, 255, 255);">
<div class="commenthead" style="color: rgb(0, 0, 0); padding: 5px 0px 10px; margin: 0px 0px 10px; border-bottom: 1px dashed rgb(0, 113, 156); background: rgb(255, 255, 255);"><img
alt="" src="http://2.gravatar.com/avatar/838097c209551cc6fd98d07661201e00?s=32&d=identicon&r=g"
srcset="http://2.gravatar.com/avatar/838097c209551cc6fd98d07661201e00?s=64&d=identicon&r=g 2x"
class="avatar avatar-32 photo" style="border: 0px; padding: 0px; float: left; margin: 0px 5px 0px 0px; background: rgb(255, 255, 255);"
width="32" height="32">
<div class="commentcount" style="float: right; color: rgb(170, 170, 170); font-size: 20px; margin: 0px; padding: 5px 0px 0px; font-family: Georgia, Times, "Times New Roman", serif;">17</div>
<span class="authorlink" style="color: rgb(0, 0, 0); font-size: 12px; font-weight: bold; line-height: 1.5em;">Caroline</span>
<span class=""></span><br>
<a class="commentlink" href="http://cienciasdasaude.med.br/?p=1681#comment-2727"
title="" style="color: rgb(0, 0, 0); text-decoration: none; font-size: 10px;"></a></div>
<p style="margin: 0px 0px 12px;">Ol� Dr. boa noite..<br>
pois�, hoje eu tive um dia muito estressante, briguei com meu
namorado e tudo mais�esse atraso da menstrua��o ta complicando
at� minha vida e no dia a dia�<br>
eu me lembrei, que na sexta feira, dia 05, desceu logo de manh�
um tipo de �borra de caf� mas bem fraquinha, at� pensei que
fosse menstrua��o, mas n�o foi. Na segunda feira estava com
muitas c�licas, fortes mesmo, e com os seios sens�veis, dor de
cabe�a�todos os sintomas que sempre tive antes de menstruar.
Hoje ainda estou tendo dores de cabe�a, irrita��o demasiada e
estou com os seios sens�veis, mas NADAAA da bendita menstrua��o
descer.<br>
O que me preocupa, � que eu e meu namorado sempre tivemos
rela��o sexual meio termo, ou seja, inici�vamos a rela��o sem
camisinha ap�s ele ter ido ao banheiro urinar e lavar o penis
(n�o tomo anticoncepcional), e depois de uns 3,4 minutos de
rela�ao, ele colocava a camisinha e assim sempre se ocorreu, ele
NUNCA, NUNCA ejaculou dentro de mim, eu tenho a certeza
absoluta.<br>
O Sr. acha que por eu ter mantido esse tipo de rela��o sexual
meio termo, iniciar sem camisinha e finalizar e ele ejacular com
a camisinha colocada, pode ter acontecido de eu engravidar? Eu
lhe escrevo ainda, porque essas s�o as minhas d�vidas
maiores�Espero que o Sr possa continuar respondendo e me
ajudando!! Eu preciso! estou muito nervosa! Obrigado, e aguardo.
Caroline</p>
</li>
<li id="comment-2728" class="commentbody" style="color: rgb(0, 0, 0); font-size: 12px; list-style-type: none; margin: 0px 0px 10px; padding: 0px 5px; border: 1px solid rgb(0, 113, 156); background: rgb(255, 255, 255);">
<div class="commenthead" style="color: rgb(0, 0, 0); padding: 5px 0px 10px; margin: 0px 0px 10px; border-bottom: 1px dashed rgb(0, 113, 156); background: rgb(255, 255, 255);"><img
alt="" src="http://2.gravatar.com/avatar/e6d56f81edfb4d428b3776923d30f261?s=32&d=identicon&r=g"
srcset="http://2.gravatar.com/avatar/e6d56f81edfb4d428b3776923d30f261?s=64&d=identicon&r=g 2x"
class="avatar avatar-32 photo" style="border: 0px; padding: 0px; float: left; margin: 0px 5px 0px 0px; background: rgb(255, 255, 255);"
width="32" height="32">
<div class="commentcount" style="float: right; color: rgb(170, 170, 170); font-size: 20px; margin: 0px; padding: 5px 0px 0px; font-family: Georgia, Times, "Times New Roman", serif;">18</div>
<span class="authorlink" style="color: rgb(0, 0, 0); font-size: 12px; font-weight: bold; line-height: 1.5em;">Heinz</span>
<span class=""></span><br>
<a class="commentlink" href="http://cienciasdasaude.med.br/?p=1681#comment-2728"
title="" style="color: rgb(0, 0, 0); text-decoration: none; font-size: 10px;"></a></div>
<p style="margin: 0px 0px 12px;">Caroline:<br>
Existe, sim, a possibilidade de voc� estar gr�vida, pois no
come�o da rela��o sexual o homem pode expedir dentro da vagina,
a secre��o da gl�ndula bulbouretral de cowper que � um l�quido
viscoso, com um pH fortemente b�sico, cujo objetivo �
neutralizar o pH �cido da vagina, impedindo que os
espermatoz�ides morram �fritos�, mas que cont�m alguns milh�es
de espermatoz�ides e estes podem chegar ao s�tio de fecunda��o e
fecundar algum ov�cito que esteja por ali �dando bobeira�. Se
voc� tem rela�es da maneira como voc� escreveu, existe o risco,
mas n�o tem cara de gravidez. Parece estresse, mas, em todo
caso, procure um ginecologista.</p>
</li>
<li id="comment-2729" class="commentbody" style="color: rgb(0, 0, 0); font-size: 12px; list-style-type: none; margin: 0px 0px 10px; padding: 0px 5px; border: 1px solid rgb(0, 113, 156); background: rgb(255, 255, 255);">
<div class="commenthead" style="color: rgb(0, 0, 0); padding: 5px 0px 10px; margin: 0px 0px 10px; border-bottom: 1px dashed rgb(0, 113, 156); background: rgb(255, 255, 255);"><img
alt="" src="http://2.gravatar.com/avatar/838097c209551cc6fd98d07661201e00?s=32&d=identicon&r=g"
srcset="http://2.gravatar.com/avatar/838097c209551cc6fd98d07661201e00?s=64&d=identicon&r=g 2x"
class="avatar avatar-32 photo" style="border: 0px; padding: 0px; float: left; margin: 0px 5px 0px 0px; background: rgb(255, 255, 255);"
width="32" height="32">
<div class="commentcount" style="float: right; color: rgb(170, 170, 170); font-size: 20px; margin: 0px; padding: 5px 0px 0px; font-family: Georgia, Times, "Times New Roman", serif;">19</div>
<span class="authorlink" style="color: rgb(0, 0, 0); font-size: 12px; font-weight: bold; line-height: 1.5em;">Caroline</span>
<span class=""></span><br>
<a class="commentlink" href="http://cienciasdasaude.med.br/?p=1681#comment-2729"
title="" style="color: rgb(0, 0, 0); text-decoration: none; font-size: 10px;"></a></div>
<p style="margin: 0px 0px 12px;">11/11/2010 �s 14:28</p>
<p style="margin: 0px 0px 12px;">Dr.!!! Obrigado por toda a
aten��o que o Sr me deu, inclusive, por me acalmar�hoje de manh�
bemn cedinho antes de ir pra aula, desceu minha menstrua��o,
muito mesmo, e eu estou MUITO aliviada agora, por saber que n�o
estou gr�vida! Apartir de hoje conversarei com meu namorado, pra
gente n�o ter mais rela��o sem camisinha, e sim, somente com
camisinha do in�cio ao fim�<br>
Obrigado por tudo Dr. tenha um bom dia!</p>
</li>
<li id="comment-2730" class="commentbody" style="color: rgb(0, 0, 0); font-size: 12px; list-style-type: none; margin: 0px 0px 10px; padding: 0px 5px; border: 1px solid rgb(0, 113, 156); background: rgb(255, 255, 255);">
<div class="commenthead" style="color: rgb(0, 0, 0); padding: 5px 0px 10px; margin: 0px 0px 10px; border-bottom: 1px dashed rgb(0, 113, 156); background: rgb(255, 255, 255);"><img
alt="" src="http://2.gravatar.com/avatar/e6d56f81edfb4d428b3776923d30f261?s=32&d=identicon&r=g"
srcset="http://2.gravatar.com/avatar/e6d56f81edfb4d428b3776923d30f261?s=64&d=identicon&r=g 2x"
class="avatar avatar-32 photo" style="border: 0px; padding: 0px; float: left; margin: 0px 5px 0px 0px; background: rgb(255, 255, 255);"
width="32" height="32">
<div class="commentcount" style="float: right; color: rgb(170, 170, 170); font-size: 20px; margin: 0px; padding: 5px 0px 0px; font-family: Georgia, Times, "Times New Roman", serif;">20</div>
<span class="authorlink" style="color: rgb(0, 0, 0); font-size: 12px; font-weight: bold; line-height: 1.5em;">Heinz</span>
<span class=""></span><br>
<a class="commentlink" href="http://cienciasdasaude.med.br/?p=1681#comment-2730"
title="" style="color: rgb(0, 0, 0); text-decoration: none; font-size: 10px;"></a></div>
<p style="margin: 0px 0px 12px;">Caroline:<br>
Boa sorte e estou � disposi��o no caso de d�vidas.</p>
</li>
<li id="comment-2731" class="commentbody" style="color: rgb(0, 0, 0); font-size: 12px; list-style-type: none; margin: 0px 0px 10px; padding: 0px 5px; border: 1px solid rgb(0, 113, 156); background: rgb(255, 255, 255);">
<div class="commenthead" style="color: rgb(0, 0, 0); padding: 5px 0px 10px; margin: 0px 0px 10px; border-bottom: 1px dashed rgb(0, 113, 156); background: rgb(255, 255, 255);"><img
alt="" src="http://0.gravatar.com/avatar/c66be35b1682527ecd7a8e57228f356b?s=32&d=identicon&r=g"
srcset="http://0.gravatar.com/avatar/c66be35b1682527ecd7a8e57228f356b?s=64&d=identicon&r=g 2x"
class="avatar avatar-32 photo" style="border: 0px; padding: 0px; float: left; margin: 0px 5px 0px 0px; background: rgb(255, 255, 255);"
width="32" height="32">
<div class="commentcount" style="float: right; color: rgb(170, 170, 170); font-size: 20px; margin: 0px; padding: 5px 0px 0px; font-family: Georgia, Times, "Times New Roman", serif;">21</div>
<span class="authorlink" style="color: rgb(0, 0, 0); font-size: 12px; font-weight: bold; line-height: 1.5em;">fatima
pereira</span> <span class=""></span><br>
<a class="commentlink" href="http://cienciasdasaude.med.br/?p=1681#comment-2731"
title="" style="color: rgb(0, 0, 0); text-decoration: none; font-size: 10px;"></a></div>
<p style="margin: 0px 0px 12px;">Tenho 29 anos e estou a tentar
engravidar desde inicios de abril deste ano, fiz todos os exames
recomendados e tava tudo ok e deixei de tomar a pilula. A
menstrua��o s� desceu passados 4 meses, fui � GEO. recomendou-me
tomar PROVERA (medroxiprogesterona)durante 5 dias durante 3
ciclos e desceu normalmente. Parei com a medica��o � 2 meses e
nao voltou a descer. Estou a ficar preocupada.Ser� que tenho
algum problema grave e nunca poderei ter filhos? Marquei nova
consulta para meados de janeiro com outra GEO. para analisarem o
que se passa comigo. Ser� que fa�o ovula��o mesmo sem a
menstrua��o descer? Me ajude , por favor.</p>
</li>
<li id="comment-2732" class="commentbody" style="color: rgb(0, 0, 0); font-size: 12px; list-style-type: none; margin: 0px 0px 10px; padding: 0px 5px; border: 1px solid rgb(0, 113, 156); background: rgb(255, 255, 255);">
<div class="commenthead" style="color: rgb(0, 0, 0); padding: 5px 0px 10px; margin: 0px 0px 10px; border-bottom: 1px dashed rgb(0, 113, 156); background: rgb(255, 255, 255);"><img
alt="" src="http://0.gravatar.com/avatar/9db73e0047af3082f2c230f7cbda1677?s=32&d=identicon&r=g"
srcset="http://0.gravatar.com/avatar/9db73e0047af3082f2c230f7cbda1677?s=64&d=identicon&r=g 2x"
class="avatar avatar-32 photo" style="border: 0px; padding: 0px; float: left; margin: 0px 5px 0px 0px; background: rgb(255, 255, 255);"
width="32" height="32">
<div class="commentcount" style="float: right; color: rgb(170, 170, 170); font-size: 20px; margin: 0px; padding: 5px 0px 0px; font-family: Georgia, Times, "Times New Roman", serif;">22</div>
<span class="authorlink" style="color: rgb(0, 0, 0); font-size: 12px; font-weight: bold; line-height: 1.5em;">heinz</span>
<span class=""></span><br>
<a class="commentlink" href="http://cienciasdasaude.med.br/?p=1681#comment-2732"
title="" style="color: rgb(0, 0, 0); text-decoration: none; font-size: 10px;"></a></div>
<p style="margin: 0px 0px 12px;">fatima pereira:<br>
Pode haver ovula��o sem menstrua��o, e isso � at� comum, pois
muitas mulheres que, ap�s terem filhos e no per�odo de
amamenta��o, acabam engravidando novamente sem ter vindo a
menstrua��o, mas como este n�o � o seu caso, talvez seja melhor
voc� procurar, al�m do seu ginecologista, tamb�m um
end�crinologista, pois altera�es de tire�ide podem quebrar o
sincronismo do eixo hip�fise-tire�ide-ov�rio e causar, al�m da
amenorr�ia (falta de mentrua��o), esterilidade transit�ria.
Tamb�m pode ter acontecido condicionamento dos seus ov�rios pelo
uso do anticoncepcional e eles acabaram ficando pregui�osos e
n�o querendo liberar o ov�cito. No seu caso, pode ser v�rias
dessas coisas e possibilidades.</p>
</li>
<li id="comment-2733" class="commentbody" style="color: rgb(0, 0, 0); font-size: 12px; list-style-type: none; margin: 0px 0px 10px; padding: 0px 5px; border: 1px solid rgb(0, 113, 156); background: rgb(255, 255, 255);">
<div class="commenthead" style="color: rgb(0, 0, 0); padding: 5px 0px 10px; margin: 0px 0px 10px; border-bottom: 1px dashed rgb(0, 113, 156); background: rgb(255, 255, 255);"><img
alt="" src="http://0.gravatar.com/avatar/c66be35b1682527ecd7a8e57228f356b?s=32&d=identicon&r=g"
srcset="http://0.gravatar.com/avatar/c66be35b1682527ecd7a8e57228f356b?s=64&d=identicon&r=g 2x"
class="avatar avatar-32 photo" style="border: 0px; padding: 0px; float: left; margin: 0px 5px 0px 0px; background: rgb(255, 255, 255);"
width="32" height="32">
<div class="commentcount" style="float: right; color: rgb(170, 170, 170); font-size: 20px; margin: 0px; padding: 5px 0px 0px; font-family: Georgia, Times, "Times New Roman", serif;">23</div>
<span class="authorlink" style="color: rgb(0, 0, 0); font-size: 12px; font-weight: bold; line-height: 1.5em;">fatima
pereira</span> <span class=""></span><br>
<a class="commentlink" href="http://cienciasdasaude.med.br/?p=1681#comment-2733"
title="" style="color: rgb(0, 0, 0); text-decoration: none; font-size: 10px;"></a></div>
<p style="margin: 0px 0px 12px;">Bom dia, disseram-me que o
PROVERA era abortivo, ser�? Por isso deixei-o de tomar.</p>
</li>
<li id="comment-2734" class="commentbody" style="color: rgb(0, 0, 0); font-size: 12px; list-style-type: none; margin: 0px 0px 10px; padding: 0px 5px; border: 1px solid rgb(0, 113, 156); background: rgb(255, 255, 255);">
<div class="commenthead" style="color: rgb(0, 0, 0); padding: 5px 0px 10px; margin: 0px 0px 10px; border-bottom: 1px dashed rgb(0, 113, 156); background: rgb(255, 255, 255);"><img
alt="" src="http://0.gravatar.com/avatar/9db73e0047af3082f2c230f7cbda1677?s=32&d=identicon&r=g"
srcset="http://0.gravatar.com/avatar/9db73e0047af3082f2c230f7cbda1677?s=64&d=identicon&r=g 2x"
class="avatar avatar-32 photo" style="border: 0px; padding: 0px; float: left; margin: 0px 5px 0px 0px; background: rgb(255, 255, 255);"
width="32" height="32">
<div class="commentcount" style="float: right; color: rgb(170, 170, 170); font-size: 20px; margin: 0px; padding: 5px 0px 0px; font-family: Georgia, Times, "Times New Roman", serif;">24</div>
<span class="authorlink" style="color: rgb(0, 0, 0); font-size: 12px; font-weight: bold; line-height: 1.5em;">heinz</span>
<span class=""></span><br>
<a class="commentlink" href="http://cienciasdasaude.med.br/?p=1681#comment-2734"
title="" style="color: rgb(0, 0, 0); text-decoration: none; font-size: 10px;"></a></div>
<p style="margin: 0px 0px 12px;">fatima pereira:<br>
Al�m de n�o ser abortivo, se a mulher estiver gr�vida, a crian�a
poder� nascer com malforma�es. O provera s� provoca menstrua��o
se a mulher n�o estiver gr�vida.</p>
</li>
<li id="comment-2735" class="commentbody" style="color: rgb(0, 0, 0); font-size: 12px; list-style-type: none; margin: 0px 0px 10px; padding: 0px 5px; border: 1px solid rgb(0, 113, 156); background: rgb(255, 255, 255);">
<div class="commenthead" style="color: rgb(0, 0, 0); padding: 5px 0px 10px; margin: 0px 0px 10px; border-bottom: 1px dashed rgb(0, 113, 156); background: rgb(255, 255, 255);"><img
alt="" src="http://0.gravatar.com/avatar/c66be35b1682527ecd7a8e57228f356b?s=32&d=identicon&r=g"
srcset="http://0.gravatar.com/avatar/c66be35b1682527ecd7a8e57228f356b?s=64&d=identicon&r=g 2x"
class="avatar avatar-32 photo" style="border: 0px; padding: 0px; float: left; margin: 0px 5px 0px 0px; background: rgb(255, 255, 255);"
width="32" height="32">
<div class="commentcount" style="float: right; color: rgb(170, 170, 170); font-size: 20px; margin: 0px; padding: 5px 0px 0px; font-family: Georgia, Times, "Times New Roman", serif;">25</div>
<span class="authorlink" style="color: rgb(0, 0, 0); font-size: 12px; font-weight: bold; line-height: 1.5em;">fatima
pereira</span> <span class=""></span><br>
<a class="commentlink" href="http://cienciasdasaude.med.br/?p=1681#comment-2735"
title="" style="color: rgb(0, 0, 0); text-decoration: none; font-size: 10px;"></a></div>
<p style="margin: 0px 0px 12px;">Fiquei confusa. Se nao � abortivo
posso continuar a tomar para provocar a menstrua��o, � qual nao
deixo de frisar que a inten��o � de engravidar. obrigada</p>
</li>
<li id="comment-2736" class="commentbody" style="color: rgb(0, 0, 0); font-size: 12px; list-style-type: none; margin: 0px 0px 10px; padding: 0px 5px; border: 1px solid rgb(0, 113, 156); background: rgb(255, 255, 255);">
<div class="commenthead" style="color: rgb(0, 0, 0); padding: 5px 0px 10px; margin: 0px 0px 10px; border-bottom: 1px dashed rgb(0, 113, 156); background: rgb(255, 255, 255);"><img
alt="" src="http://0.gravatar.com/avatar/9db73e0047af3082f2c230f7cbda1677?s=32&d=identicon&r=g"
srcset="http://0.gravatar.com/avatar/9db73e0047af3082f2c230f7cbda1677?s=64&d=identicon&r=g 2x"
class="avatar avatar-32 photo" style="border: 0px; padding: 0px; float: left; margin: 0px 5px 0px 0px; background: rgb(255, 255, 255);"
width="32" height="32">
<div class="commentcount" style="float: right; color: rgb(170, 170, 170); font-size: 20px; margin: 0px; padding: 5px 0px 0px; font-family: Georgia, Times, "Times New Roman", serif;">26</div>
<span class="authorlink" style="color: rgb(0, 0, 0); font-size: 12px; font-weight: bold; line-height: 1.5em;">heinz</span>
<span class=""></span><br>
<a class="commentlink" href="http://cienciasdasaude.med.br/?p=1681#comment-2736"
title="" style="color: rgb(0, 0, 0); text-decoration: none; font-size: 10px;"></a></div>
<p style="margin: 0px 0px 12px;">fatima pereira:<br>
Voc� pode continuar a tomar, pois se voc� engravidar, quando
tomar novamente para provocar amenstrua��o, ele falhar� e n�o
vir� a mentrua��o. � assim que ele funciona. Se n�o existir
gravidez, ele �faz a parte dele�. Se houver gravidez, ele �entra
em greve� e n�o faz nada. O �nico problema � que se voc�
engravidar de uma menina, ao nascer ela poder� apresentar um
epis�dio de menstrua��o, que assusta, mas n�o se repete e, ao
longo do tempo, ter um desenvolvimento secund�rio mais
acelerado.</p>
</li>
<li id="comment-2737" class="commentbody" style="color: rgb(0, 0, 0); font-size: 12px; list-style-type: none; margin: 0px 0px 10px; padding: 0px 5px; border: 1px solid rgb(0, 113, 156); background: rgb(255, 255, 255);">
<div class="commenthead" style="color: rgb(0, 0, 0); padding: 5px 0px 10px; margin: 0px 0px 10px; border-bottom: 1px dashed rgb(0, 113, 156); background: rgb(255, 255, 255);"><img
alt="" src="http://0.gravatar.com/avatar/c66be35b1682527ecd7a8e57228f356b?s=32&d=identicon&r=g"
srcset="http://0.gravatar.com/avatar/c66be35b1682527ecd7a8e57228f356b?s=64&d=identicon&r=g 2x"
class="avatar avatar-32 photo" style="border: 0px; padding: 0px; float: left; margin: 0px 5px 0px 0px; background: rgb(255, 255, 255);"
width="32" height="32">
<div class="commentcount" style="float: right; color: rgb(170, 170, 170); font-size: 20px; margin: 0px; padding: 5px 0px 0px; font-family: Georgia, Times, "Times New Roman", serif;">27</div>
<span class="authorlink" style="color: rgb(0, 0, 0); font-size: 12px; font-weight: bold; line-height: 1.5em;">fatima
pereira</span> <span class=""></span><br>
<a class="commentlink" href="http://cienciasdasaude.med.br/?p=1681#comment-2737"
title="" style="color: rgb(0, 0, 0); text-decoration: none; font-size: 10px;"></a></div>
<p style="margin: 0px 0px 12px;">DR. muito obrigada pela sua
aten��o, vou aguardar pela consulta da proxima ter�a e logo se
ver�. Muito obrigada mesmo. Boas festas</p>
</li>
<li id="comment-2738" class="commentbody" style="color: rgb(0, 0, 0); font-size: 12px; list-style-type: none; margin: 0px 0px 10px; padding: 0px 5px; border: 1px solid rgb(0, 113, 156); background: rgb(255, 255, 255);">
<div class="commenthead" style="color: rgb(0, 0, 0); padding: 5px 0px 10px; margin: 0px 0px 10px; border-bottom: 1px dashed rgb(0, 113, 156); background: rgb(255, 255, 255);"><img
alt="" src="http://0.gravatar.com/avatar/c66be35b1682527ecd7a8e57228f356b?s=32&d=identicon&r=g"
srcset="http://0.gravatar.com/avatar/c66be35b1682527ecd7a8e57228f356b?s=64&d=identicon&r=g 2x"
class="avatar avatar-32 photo" style="border: 0px; padding: 0px; float: left; margin: 0px 5px 0px 0px; background: rgb(255, 255, 255);"
width="32" height="32">
<div class="commentcount" style="float: right; color: rgb(170, 170, 170); font-size: 20px; margin: 0px; padding: 5px 0px 0px; font-family: Georgia, Times, "Times New Roman", serif;">28</div>
<span class="authorlink" style="color: rgb(0, 0, 0); font-size: 12px; font-weight: bold; line-height: 1.5em;">fatima
pereira</span> <span class=""></span><br>
<a class="commentlink" href="http://cienciasdasaude.med.br/?p=1681#comment-2738"
title="" style="color: rgb(0, 0, 0); text-decoration: none; font-size: 10px;"></a></div>
<p style="margin: 0px 0px 12px;">bom dia, Sr. Dr. estou muito
feliz. Ultimamente andava com uns sintomas esquesitos e peito
dorido e a temperatura basal sempre alta, fiz o teste e deu
positivo. Vou sexta feira � minha GO. espero que esteja tudo
bem. Visto que engravidei sem menstrua��o posso abortar com mais
facilidade, ou o embri�o ter problemas?</p>
</li>
<li id="comment-2739" class="commentbody" style="color: rgb(0, 0, 0); font-size: 12px; list-style-type: none; margin: 0px 0px 10px; padding: 0px 5px; border: 1px solid rgb(0, 113, 156); background: rgb(255, 255, 255);">
<div class="commenthead" style="color: rgb(0, 0, 0); padding: 5px 0px 10px; margin: 0px 0px 10px; border-bottom: 1px dashed rgb(0, 113, 156); background: rgb(255, 255, 255);"><img
alt="" src="http://2.gravatar.com/avatar/e6d56f81edfb4d428b3776923d30f261?s=32&d=identicon&r=g"
srcset="http://2.gravatar.com/avatar/e6d56f81edfb4d428b3776923d30f261?s=64&d=identicon&r=g 2x"
class="avatar avatar-32 photo" style="border: 0px; padding: 0px; float: left; margin: 0px 5px 0px 0px; background: rgb(255, 255, 255);"
width="32" height="32">
<div class="commentcount" style="float: right; color: rgb(170, 170, 170); font-size: 20px; margin: 0px; padding: 5px 0px 0px; font-family: Georgia, Times, "Times New Roman", serif;">29</div>
<span class="authorlink" style="color: rgb(0, 0, 0); font-size: 12px; font-weight: bold; line-height: 1.5em;">Heinz</span>
<span class=""></span><br>
<a class="commentlink" href="http://cienciasdasaude.med.br/?p=1681#comment-2739"
title="" style="color: rgb(0, 0, 0); text-decoration: none; font-size: 10px;"></a></div>
<p style="margin: 0px 0px 12px;">F�tima:<br>
S�o perguntas dif�ceis de responder, pois tudo depende de uma
por��o de fatores. O melhor e voc� se cuidar bastante. N�o se
expor a movimentos bruscos (montanha russa, solavancos de carro,
etc). Cuidar com a alimenta��o, n�o se estressar e deixar a
natureza fazer o papel dela, ou seja, deixar o tempo passar
naturalmente �curtir� a gravidez.</p>
</li>
<li id="comment-2740" class="commentbody" style="color: rgb(0, 0, 0); font-size: 12px; list-style-type: none; margin: 0px 0px 10px; padding: 0px 5px; border: 1px solid rgb(0, 113, 156); background: rgb(255, 255, 255);">
<div class="commenthead" style="color: rgb(0, 0, 0); padding: 5px 0px 10px; margin: 0px 0px 10px; border-bottom: 1px dashed rgb(0, 113, 156); background: rgb(255, 255, 255);"><img
alt="" src="http://0.gravatar.com/avatar/c66be35b1682527ecd7a8e57228f356b?s=32&d=identicon&r=g"
srcset="http://0.gravatar.com/avatar/c66be35b1682527ecd7a8e57228f356b?s=64&d=identicon&r=g 2x"
class="avatar avatar-32 photo" style="border: 0px; padding: 0px; float: left; margin: 0px 5px 0px 0px; background: rgb(255, 255, 255);"
width="32" height="32">
<div class="commentcount" style="float: right; color: rgb(170, 170, 170); font-size: 20px; margin: 0px; padding: 5px 0px 0px; font-family: Georgia, Times, "Times New Roman", serif;">30</div>
<span class="authorlink" style="color: rgb(0, 0, 0); font-size: 12px; font-weight: bold; line-height: 1.5em;">fatima
pereira</span> <span class=""></span><br>
<a class="commentlink" href="http://cienciasdasaude.med.br/?p=1681#comment-2740"
title="" style="color: rgb(0, 0, 0); text-decoration: none; font-size: 10px;"></a></div>
<p style="margin: 0px 0px 12px;">Bom dia, como engravidei sem
menstrua��o ando um pouco baralhada nas semanas da minha
gesta��o. Por acaso andava a tirar a minha temperatura basal
direitinha, bem como a marca��o das rela�oes(lol), desde o dia
01 de Dezembro at� o dia 10 a temperatura andava nos
36.4/36.6/36.5 nada de grandes oscila�es, no dia 11 desceu para
36.2 e depois come�ou a subir, subir at� que manteve. Os dias
das minhas rela�es foram dia 3,4,8,9e12 de dezembro. Gostaria
de saber de quantas semanas me encontro. obrigadissima.</p>
</li>
<li id="comment-2741" class="commentbody" style="color: rgb(0, 0, 0); font-size: 12px; list-style-type: none; margin: 0px 0px 10px; padding: 0px 5px; border: 1px solid rgb(0, 113, 156); background: rgb(255, 255, 255);">
<div class="commenthead" style="color: rgb(0, 0, 0); padding: 5px 0px 10px; margin: 0px 0px 10px; border-bottom: 1px dashed rgb(0, 113, 156); background: rgb(255, 255, 255);"><img
alt="" src="http://2.gravatar.com/avatar/e6d56f81edfb4d428b3776923d30f261?s=32&d=identicon&r=g"
srcset="http://2.gravatar.com/avatar/e6d56f81edfb4d428b3776923d30f261?s=64&d=identicon&r=g 2x"
class="avatar avatar-32 photo" style="border: 0px; padding: 0px; float: left; margin: 0px 5px 0px 0px; background: rgb(255, 255, 255);"
width="32" height="32">
<div class="commentcount" style="float: right; color: rgb(170, 170, 170); font-size: 20px; margin: 0px; padding: 5px 0px 0px; font-family: Georgia, Times, "Times New Roman", serif;">31</div>
<span class="authorlink" style="color: rgb(0, 0, 0); font-size: 12px; font-weight: bold; line-height: 1.5em;">Heinz</span>
<span class=""></span><br>
<a class="commentlink" href="http://cienciasdasaude.med.br/?p=1681#comment-2741"
title="" style="color: rgb(0, 0, 0); text-decoration: none; font-size: 10px;"></a></div>
<p style="margin: 0px 0px 12px;">F�tima:<br>
Pelo que voc� escreveu, voc� deve ter engravidado no dia 12,
isso se a sua temperatura corporal, naquele, dia estava entre
37� e 37,4�C. Se foi naquele dia, voc� est� com 10 semanas,
aproximadamente. Considere entre 9 e 11 semanas. Na primeira
ecografia j� ser� poss�vel verificar exatamente com quantas
semanas de gesta��o voc� est�.</p>
</li>
<li id="comment-2742" class="commentbody" style="color: rgb(0, 0, 0); font-size: 12px; list-style-type: none; margin: 0px 0px 10px; padding: 0px 5px; border: 1px solid rgb(0, 113, 156); background: rgb(255, 255, 255);">
<div class="commenthead" style="color: rgb(0, 0, 0); padding: 5px 0px 10px; margin: 0px 0px 10px; border-bottom: 1px dashed rgb(0, 113, 156); background: rgb(255, 255, 255);"><img
alt="" src="http://0.gravatar.com/avatar/93cebc4ac2e9f72e073384d42dfc570b?s=32&d=identicon&r=g"
srcset="http://0.gravatar.com/avatar/93cebc4ac2e9f72e073384d42dfc570b?s=64&d=identicon&r=g 2x"
class="avatar avatar-32 photo" style="border: 0px; padding: 0px; float: left; margin: 0px 5px 0px 0px; background: rgb(255, 255, 255);"
width="32" height="32">
<div class="commentcount" style="float: right; color: rgb(170, 170, 170); font-size: 20px; margin: 0px; padding: 5px 0px 0px; font-family: Georgia, Times, "Times New Roman", serif;">32</div>
<span class="authorlink" style="color: rgb(0, 0, 0); font-size: 12px; font-weight: bold; line-height: 1.5em;">tisa</span>
<span class=""></span><br>
<a class="commentlink" href="http://cienciasdasaude.med.br/?p=1681#comment-2742"
title="" style="color: rgb(0, 0, 0); text-decoration: none; font-size: 10px;"></a></div>
<p style="margin: 0px 0px 12px;">ola!no fim de janeiro desceu um
tipo menstrua��o ficou ate a proxima menstrua��o,mas antes de
descer fiquei muito nervosa tensa e logo desceu essa borra,e
parou agora fiquei novamente nervosa e desceu a borra de novo,�
uns 2 anos atras eu trabalha em um posto de sa�de e ficava
constatemente nervosa estressada cansada e as vezes descia essa
borra quando parei de trabalhar parou e agora quando fico muito
nervosa desce sem cheiro sem dor,procuro ficar calma mas n�o
consigo o que pode ser? por favor me ajudem</p>
</li>
<li id="comment-2745" class="commentbody" style="color: rgb(0, 0, 0); font-size: 12px; list-style-type: none; margin: 0px 0px 10px; padding: 0px 5px; border: 1px solid rgb(0, 113, 156); background: rgb(255, 255, 255);">
<div class="commenthead" style="color: rgb(0, 0, 0); padding: 5px 0px 10px; margin: 0px 0px 10px; border-bottom: 1px dashed rgb(0, 113, 156); background: rgb(255, 255, 255);"><img
alt="" src="http://2.gravatar.com/avatar/539e8edec3101772a88f371faff50c8d?s=32&d=identicon&r=g"
srcset="http://2.gravatar.com/avatar/539e8edec3101772a88f371faff50c8d?s=64&d=identicon&r=g 2x"
class="avatar avatar-32 photo" style="border: 0px; padding: 0px; float: left; margin: 0px 5px 0px 0px; background: rgb(255, 255, 255);"
width="32" height="32">
<div class="commentcount" style="float: right; color: rgb(170, 170, 170); font-size: 20px; margin: 0px; padding: 5px 0px 0px; font-family: Georgia, Times, "Times New Roman", serif;">33</div>
<span class="authorlink" style="color: rgb(0, 0, 0); font-size: 12px; font-weight: bold; line-height: 1.5em;">Heinz</span>
<span class=""></span><br>
<a class="commentlink" href="http://cienciasdasaude.med.br/?p=1681#comment-2745"
title="" style="color: rgb(0, 0, 0); text-decoration: none; font-size: 10px;"></a></div>
<p style="margin: 0px 0px 12px;">tisa:<br>
Menstrua��o em forma de borra n�o � doen�a. Trata-se apenas da
concentra��o do fluxo por perda de plasma e coagula��o e o
escuro deve-se a oxida��o do ferro da hemoglobina e isso pode
ser, sim, causado por estresse. S� um conselho poss�vel e o mais
dif�cil: ACALME-SE, sen�o voc� continuar� com estes sintomas.</p>
</li>
<li id="comment-2743" class="commentbody" style="color: rgb(0, 0, 0); font-size: 12px; list-style-type: none; margin: 0px 0px 10px; padding: 0px 5px; border: 1px solid rgb(0, 113, 156); background: rgb(255, 255, 255);">
<div class="commenthead" style="color: rgb(0, 0, 0); padding: 5px 0px 10px; margin: 0px 0px 10px; border-bottom: 1px dashed rgb(0, 113, 156); background: rgb(255, 255, 255);"><img
alt="" src="http://0.gravatar.com/avatar/058348feb4c059d39dd7439115ce31cd?s=32&d=identicon&r=g"
srcset="http://0.gravatar.com/avatar/058348feb4c059d39dd7439115ce31cd?s=64&d=identicon&r=g 2x"
class="avatar avatar-32 photo" style="border: 0px; padding: 0px; float: left; margin: 0px 5px 0px 0px; background: rgb(255, 255, 255);"
width="32" height="32">
<div class="commentcount" style="float: right; color: rgb(170, 170, 170); font-size: 20px; margin: 0px; padding: 5px 0px 0px; font-family: Georgia, Times, "Times New Roman", serif;">34</div>
<span class="authorlink" style="color: rgb(0, 0, 0); font-size: 12px; font-weight: bold; line-height: 1.5em;">Joana</span>
<span class=""></span><br>
<a class="commentlink" href="http://cienciasdasaude.med.br/?p=1681#comment-2743"
title="" style="color: rgb(0, 0, 0); text-decoration: none; font-size: 10px;"></a></div>
<p style="margin: 0px 0px 12px;">Boa Noite</p>
<p style="margin: 0px 0px 12px;">Tenho uma d�vida. Eu e meu
namorado tivemos rela�es desprotegidas e fizemos coito
interrompido, acontece � que cada vez que fizemos, eram duas
vezes seguidas, ele vinha-se fora e depois voltava a entrar
passado uns minutos sem se ter lavado, apenas limpo com
papel.Isso durou de dia 16 a dia 22 e no dia 21, tive um pequeno
sangramento, que durou alguns 3 dias, mas vinha e parava,era
mais quando ia � casa de banho me limpar.E esse leve sangramento
come�ou numa das nossas �ltimas rela�es. Gostaria de saber se
posso estar gr�vida. O meu �ltimo per�odo foi dia 19 de Jan. e
ultimamente n�o tenho tido ciclos regulares, pois atrasa uns
dias. O que devo fazer e quando?<br>
Obrigada pela aten��o</p>
</li>
<li id="comment-2744" class="commentbody" style="color: rgb(0, 0, 0); font-size: 12px; list-style-type: none; margin: 0px 0px 10px; padding: 0px 5px; border: 1px solid rgb(0, 113, 156); background: rgb(255, 255, 255);">
<div class="commenthead" style="color: rgb(0, 0, 0); padding: 5px 0px 10px; margin: 0px 0px 10px; border-bottom: 1px dashed rgb(0, 113, 156); background: rgb(255, 255, 255);"><img
alt="" src="http://2.gravatar.com/avatar/539e8edec3101772a88f371faff50c8d?s=32&d=identicon&r=g"
srcset="http://2.gravatar.com/avatar/539e8edec3101772a88f371faff50c8d?s=64&d=identicon&r=g 2x"
class="avatar avatar-32 photo" style="border: 0px; padding: 0px; float: left; margin: 0px 5px 0px 0px; background: rgb(255, 255, 255);"
width="32" height="32">
<div class="commentcount" style="float: right; color: rgb(170, 170, 170); font-size: 20px; margin: 0px; padding: 5px 0px 0px; font-family: Georgia, Times, "Times New Roman", serif;">35</div>
<span class="authorlink" style="color: rgb(0, 0, 0); font-size: 12px; font-weight: bold; line-height: 1.5em;">Heinz</span>
<span class=""></span><br>
<a class="commentlink" href="http://cienciasdasaude.med.br/?p=1681#comment-2744"
title="" style="color: rgb(0, 0, 0); text-decoration: none; font-size: 10px;"></a></div>
<p style="margin: 0px 0px 12px;">Joana:<br>
� meio dif�cil voc� estar gr�vida, mas na d�vida, procure um
ginecologista e um endocrinologista, pois estes atrasos parecem
dist�rbios end�crinos.</p>
</li>
<li id="comment-2746" class="commentbody" style="color: rgb(0, 0, 0); font-size: 12px; list-style-type: none; margin: 0px 0px 10px; padding: 0px 5px; border: 1px solid rgb(0, 113, 156); background: rgb(255, 255, 255);">
<div class="commenthead" style="color: rgb(0, 0, 0); padding: 5px 0px 10px; margin: 0px 0px 10px; border-bottom: 1px dashed rgb(0, 113, 156); background: rgb(255, 255, 255);"><img
alt="" src="http://1.gravatar.com/avatar/415a64a98b192c730ff6e84abeaaefaa?s=32&d=identicon&r=g"
srcset="http://1.gravatar.com/avatar/415a64a98b192c730ff6e84abeaaefaa?s=64&d=identicon&r=g 2x"
class="avatar avatar-32 photo" style="border: 0px; padding: 0px; float: left; margin: 0px 5px 0px 0px; background: rgb(255, 255, 255);"
width="32" height="32">
<div class="commentcount" style="float: right; color: rgb(170, 170, 170); font-size: 20px; margin: 0px; padding: 5px 0px 0px; font-family: Georgia, Times, "Times New Roman", serif;">36</div>
<span class="authorlink" style="color: rgb(0, 0, 0); font-size: 12px; font-weight: bold; line-height: 1.5em;">Amanda</span>
<span class=""></span><br>
<a class="commentlink" href="http://cienciasdasaude.med.br/?p=1681#comment-2746"
title="" style="color: rgb(0, 0, 0); text-decoration: none; font-size: 10px;"></a></div>
<p style="margin: 0px 0px 12px;">Dr. Heinz, primeiramente parab�ns
pelo site, voc� n�o faz id�ia da ajuda que faz.<br>
Tenho 21 anos, nunca mentruei naturalmente (s� com uso de
hormonios), foi constatado que tenho um �tero hipoplasico e
minha m�dica afirma que n�o posso engravidar.<br>
Tenho o corpo pouco desenvolvido e minha idade ossea � de 14
anos, a que se deve esse retardo em meu desenvolvimento?<br>
Al�m disso, tive rela�es sexuais mas n�o sinto prazer e d�i
muito, ser� que existe alguma rela��o?</p>
<p style="margin: 0px 0px 12px;">Obrigada.</p>
</li>
<li id="comment-2749" class="commentbody" style="color: rgb(0, 0, 0); font-size: 12px; list-style-type: none; margin: 0px 0px 10px; padding: 0px 5px; border: 1px solid rgb(0, 113, 156); background: rgb(255, 255, 255);">
<div class="commenthead" style="color: rgb(0, 0, 0); padding: 5px 0px 10px; margin: 0px 0px 10px; border-bottom: 1px dashed rgb(0, 113, 156); background: rgb(255, 255, 255);"><img
alt="" src="http://2.gravatar.com/avatar/e6d56f81edfb4d428b3776923d30f261?s=32&d=identicon&r=g"
srcset="http://2.gravatar.com/avatar/e6d56f81edfb4d428b3776923d30f261?s=64&d=identicon&r=g 2x"
class="avatar avatar-32 photo" style="border: 0px; padding: 0px; float: left; margin: 0px 5px 0px 0px; background: rgb(255, 255, 255);"
width="32" height="32">
<div class="commentcount" style="float: right; color: rgb(170, 170, 170); font-size: 20px; margin: 0px; padding: 5px 0px 0px; font-family: Georgia, Times, "Times New Roman", serif;">37</div>
<span class="authorlink" style="color: rgb(0, 0, 0); font-size: 12px; font-weight: bold; line-height: 1.5em;">Heinz</span>
<span class=""></span><br>
<a class="commentlink" href="http://cienciasdasaude.med.br/?p=1681#comment-2749"
title="" style="color: rgb(0, 0, 0); text-decoration: none; font-size: 10px;"></a></div>
<p style="margin: 0px 0px 12px;">Uma coisa est� relacionada �
outra. O �tero hipopl�sico n�o � um achado isolado. No seu caso
pode existir tamb�m falta de lubrifica��o vaginal, consequente
da falta de gl�ndulas secretoras localizadas no colo do �tero e
na vagina e, por isso, voc� n�o sente prazer na rela��o. Seu
quadro parece ser de diminui��o de produ��o de horm�nios por
falha enzim�tica ou de fatores de libera��o.</p>
</li>
<li id="comment-2747" class="commentbody" style="color: rgb(0, 0, 0); font-size: 12px; list-style-type: none; margin: 0px 0px 10px; padding: 0px 5px; border: 1px solid rgb(0, 113, 156); background: rgb(255, 255, 255);">
<div class="commenthead" style="color: rgb(0, 0, 0); padding: 5px 0px 10px; margin: 0px 0px 10px; border-bottom: 1px dashed rgb(0, 113, 156); background: rgb(255, 255, 255);"><img
alt="" src="http://2.gravatar.com/avatar/e5cbd9752fbe1416c7665804328b6a52?s=32&d=identicon&r=g"
srcset="http://2.gravatar.com/avatar/e5cbd9752fbe1416c7665804328b6a52?s=64&d=identicon&r=g 2x"
class="avatar avatar-32 photo" style="border: 0px; padding: 0px; float: left; margin: 0px 5px 0px 0px; background: rgb(255, 255, 255);"
width="32" height="32">
<div class="commentcount" style="float: right; color: rgb(170, 170, 170); font-size: 20px; margin: 0px; padding: 5px 0px 0px; font-family: Georgia, Times, "Times New Roman", serif;">38</div>
<span class="authorlink" style="color: rgb(0, 0, 0); font-size: 12px; font-weight: bold; line-height: 1.5em;">D�bora</span>
<span class=""></span><br>
<a class="commentlink" href="http://cienciasdasaude.med.br/?p=1681#comment-2747"
title="" style="color: rgb(0, 0, 0); text-decoration: none; font-size: 10px;"></a></div>
<p style="margin: 0px 0px 12px;">oi, dr. dia 5/3 tive uma c�lica,
n�o sei se pode ser chamada de c�lica, um dor horr�vel, muito
forte mesmo, passei a noite inteira com essa dor, ai no dia
seguinte, tive um corrimento branco meio encardido, ai quando
foi dia 10/03 minha menstrua��o desceu, s� que hoje j� � dia
16/03 e ainda ta vindo, so que ainda ta vindo normal, com muito
sangue, n�o com pouco sangue, como deveria ser nos �ltimos dias
de menstrua��o, ai hoje fui no banheiro e tinha um peda�o meio
durinho de sangue, ai me assustei bastante gostaria de saber o
que poderia ser, s� lembrando que a minha menstrua��o sempre
dura 5 dias, e era pra ter vindo dia 02/02 e veio com mais de um
mes de atraso, e ja ta com um tempo que tento engravidar e n�o
consigo. esperando resposta urgente!</p>
</li>
<li id="comment-2748" class="commentbody" style="color: rgb(0, 0, 0); font-size: 12px; list-style-type: none; margin: 0px 0px 10px; padding: 0px 5px; border: 1px solid rgb(0, 113, 156); background: rgb(255, 255, 255);">
<div class="commenthead" style="color: rgb(0, 0, 0); padding: 5px 0px 10px; margin: 0px 0px 10px; border-bottom: 1px dashed rgb(0, 113, 156); background: rgb(255, 255, 255);"><img
alt="" src="http://2.gravatar.com/avatar/e6d56f81edfb4d428b3776923d30f261?s=32&d=identicon&r=g"
srcset="http://2.gravatar.com/avatar/e6d56f81edfb4d428b3776923d30f261?s=64&d=identicon&r=g 2x"
class="avatar avatar-32 photo" style="border: 0px; padding: 0px; float: left; margin: 0px 5px 0px 0px; background: rgb(255, 255, 255);"
width="32" height="32">
<div class="commentcount" style="float: right; color: rgb(170, 170, 170); font-size: 20px; margin: 0px; padding: 5px 0px 0px; font-family: Georgia, Times, "Times New Roman", serif;">39</div>
<span class="authorlink" style="color: rgb(0, 0, 0); font-size: 12px; font-weight: bold; line-height: 1.5em;">Heinz</span>
<span class=""></span><br>
<a class="commentlink" href="http://cienciasdasaude.med.br/?p=1681#comment-2748"
title="" style="color: rgb(0, 0, 0); text-decoration: none; font-size: 10px;"></a></div>
<p style="margin: 0px 0px 12px;">D�bora:<br>
Parece ser alguma altera��o end�crina. Procure um
endocrinologista. Quanto ao peda�o de sangue duro, isso � um
co�gulo e n�o � nada grave.</p>
</li>
<li id="comment-2750" class="commentbody" style="color: rgb(0, 0, 0); font-size: 12px; list-style-type: none; margin: 0px 0px 10px; padding: 0px 5px; border: 1px solid rgb(0, 113, 156); background: rgb(255, 255, 255);">
<div class="commenthead" style="color: rgb(0, 0, 0); padding: 5px 0px 10px; margin: 0px 0px 10px; border-bottom: 1px dashed rgb(0, 113, 156); background: rgb(255, 255, 255);"><img
alt="" src="http://2.gravatar.com/avatar/e5cbd9752fbe1416c7665804328b6a52?s=32&d=identicon&r=g"
srcset="http://2.gravatar.com/avatar/e5cbd9752fbe1416c7665804328b6a52?s=64&d=identicon&r=g 2x"
class="avatar avatar-32 photo" style="border: 0px; padding: 0px; float: left; margin: 0px 5px 0px 0px; background: rgb(255, 255, 255);"
width="32" height="32">
<div class="commentcount" style="float: right; color: rgb(170, 170, 170); font-size: 20px; margin: 0px; padding: 5px 0px 0px; font-family: Georgia, Times, "Times New Roman", serif;">40</div>
<span class="authorlink" style="color: rgb(0, 0, 0); font-size: 12px; font-weight: bold; line-height: 1.5em;">D�bora</span>
<span class=""></span><br>
<a class="commentlink" href="http://cienciasdasaude.med.br/?p=1681#comment-2750"
title="" style="color: rgb(0, 0, 0); text-decoration: none; font-size: 10px;"></a></div>
<p style="margin: 0px 0px 12px;">andei conversando com meu esposo
e ele acho que poderia ter sido um feto, e que eu teria sofrido
um aborto espont�neo, � poss�vel ?</p>
</li>
<li id="comment-2751" class="commentbody" style="color: rgb(0, 0, 0); font-size: 12px; list-style-type: none; margin: 0px 0px 10px; padding: 0px 5px; border: 1px solid rgb(0, 113, 156); background: rgb(255, 255, 255);">
<div class="commenthead" style="color: rgb(0, 0, 0); padding: 5px 0px 10px; margin: 0px 0px 10px; border-bottom: 1px dashed rgb(0, 113, 156); background: rgb(255, 255, 255);"><img
alt="" src="http://2.gravatar.com/avatar/e6d56f81edfb4d428b3776923d30f261?s=32&d=identicon&r=g"
srcset="http://2.gravatar.com/avatar/e6d56f81edfb4d428b3776923d30f261?s=64&d=identicon&r=g 2x"
class="avatar avatar-32 photo" style="border: 0px; padding: 0px; float: left; margin: 0px 5px 0px 0px; background: rgb(255, 255, 255);"
width="32" height="32">
<div class="commentcount" style="float: right; color: rgb(170, 170, 170); font-size: 20px; margin: 0px; padding: 5px 0px 0px; font-family: Georgia, Times, "Times New Roman", serif;">41</div>
<span class="authorlink" style="color: rgb(0, 0, 0); font-size: 12px; font-weight: bold; line-height: 1.5em;">Heinz</span>
<span class=""></span><br>
<a class="commentlink" href="http://cienciasdasaude.med.br/?p=1681#comment-2751"
title="" style="color: rgb(0, 0, 0); text-decoration: none; font-size: 10px;"></a></div>
<p style="margin: 0px 0px 12px;">D�bora:<br>
Dificilmente, pois um embri�o de menos de um m�s � t�o pequeno
que dificilmente voc� consegue v�-lo no meio do fluxo menstrual.
Ele n�o passa de um pontinho menor que um gr�o de arroz.</p>
</li>
<li id="comment-2752" class="commentbody" style="color: rgb(0, 0, 0); font-size: 12px; list-style-type: none; margin: 0px 0px 10px; padding: 0px 5px; border: 1px solid rgb(0, 113, 156); background: rgb(255, 255, 255);">
<div class="commenthead" style="color: rgb(0, 0, 0); padding: 5px 0px 10px; margin: 0px 0px 10px; border-bottom: 1px dashed rgb(0, 113, 156); background: rgb(255, 255, 255);"><img
alt="" src="http://2.gravatar.com/avatar/e5cbd9752fbe1416c7665804328b6a52?s=32&d=identicon&r=g"
srcset="http://2.gravatar.com/avatar/e5cbd9752fbe1416c7665804328b6a52?s=64&d=identicon&r=g 2x"
class="avatar avatar-32 photo" style="border: 0px; padding: 0px; float: left; margin: 0px 5px 0px 0px; background: rgb(255, 255, 255);"
width="32" height="32">
<div class="commentcount" style="float: right; color: rgb(170, 170, 170); font-size: 20px; margin: 0px; padding: 5px 0px 0px; font-family: Georgia, Times, "Times New Roman", serif;">42</div>
<span class="authorlink" style="color: rgb(0, 0, 0); font-size: 12px; font-weight: bold; line-height: 1.5em;">D�bora</span>
<span class=""></span><br>
<a class="commentlink" href="http://cienciasdasaude.med.br/?p=1681#comment-2752"
title="" style="color: rgb(0, 0, 0); text-decoration: none; font-size: 10px;"></a></div>
<p style="margin: 0px 0px 12px;">aah obrigado por tirar minhas
duvidas, agora mesmo vou procurar um endocrinologista pra ver
essas quest�es dos atrasos menstruais.</p>
</li>
<li id="comment-2753" class="commentbody" style="color: rgb(0, 0, 0); font-size: 12px; list-style-type: none; margin: 0px 0px 10px; padding: 0px 5px; border: 1px solid rgb(0, 113, 156); background: rgb(255, 255, 255);">
<div class="commenthead" style="color: rgb(0, 0, 0); padding: 5px 0px 10px; margin: 0px 0px 10px; border-bottom: 1px dashed rgb(0, 113, 156); background: rgb(255, 255, 255);"><img
alt="" src="http://1.gravatar.com/avatar/ae5855f063f7a75f2d1c741c528f200e?s=32&d=identicon&r=g"
srcset="http://1.gravatar.com/avatar/ae5855f063f7a75f2d1c741c528f200e?s=64&d=identicon&r=g 2x"
class="avatar avatar-32 photo" style="border: 0px; padding: 0px; float: left; margin: 0px 5px 0px 0px; background: rgb(255, 255, 255);"
width="32" height="32">
<div class="commentcount" style="float: right; color: rgb(170, 170, 170); font-size: 20px; margin: 0px; padding: 5px 0px 0px; font-family: Georgia, Times, "Times New Roman", serif;">43</div>
<span class="authorlink" style="color: rgb(0, 0, 0); font-size: 12px; font-weight: bold; line-height: 1.5em;">valdilene</span>
<span class=""></span><br>
<a class="commentlink" href="http://cienciasdasaude.med.br/?p=1681#comment-2753"
title="" style="color: rgb(0, 0, 0); text-decoration: none; font-size: 10px;"></a></div>
<p style="margin: 0px 0px 12px;">mim ajude por favor tenho 24 anos
e a 2 meses que n�o mestrou fiz uma viagem em janeiro e
realmente fiquei muito anciosa mas ja passou, fiz o texte de
farmacia e deu negativo o que fa�o?</p>
</li>
<li id="comment-2754" class="commentbody" style="color: rgb(0, 0, 0); font-size: 12px; list-style-type: none; margin: 0px 0px 10px; padding: 0px 5px; border: 1px solid rgb(0, 113, 156); background: rgb(255, 255, 255);">
<div class="commenthead" style="color: rgb(0, 0, 0); padding: 5px 0px 10px; margin: 0px 0px 10px; border-bottom: 1px dashed rgb(0, 113, 156); background: rgb(255, 255, 255);"><img
alt="" src="http://0.gravatar.com/avatar/9db73e0047af3082f2c230f7cbda1677?s=32&d=identicon&r=g"
srcset="http://0.gravatar.com/avatar/9db73e0047af3082f2c230f7cbda1677?s=64&d=identicon&r=g 2x"
class="avatar avatar-32 photo" style="border: 0px; padding: 0px; float: left; margin: 0px 5px 0px 0px; background: rgb(255, 255, 255);"
width="32" height="32">
<div class="commentcount" style="float: right; color: rgb(170, 170, 170); font-size: 20px; margin: 0px; padding: 5px 0px 0px; font-family: Georgia, Times, "Times New Roman", serif;">44</div>
<span class="authorlink" style="color: rgb(0, 0, 0); font-size: 12px; font-weight: bold; line-height: 1.5em;">heinz</span>
<span class=""></span><br>
<a class="commentlink" href="http://cienciasdasaude.med.br/?p=1681#comment-2754"
title="" style="color: rgb(0, 0, 0); text-decoration: none; font-size: 10px;"></a></div>
<p style="margin: 0px 0px 12px;">Valdirene:<br>
V� ao m�dico, pois pode ser um problema emocional ou end�crino e
ainda, se voc� teve rela�es sexuais no per�odo, pode ser
gravidez, pois os testes de farm�cia n�o s�o confi�veis.</p>
</li>
</ol>
</div>
<span style="font-weight: bold;"></span></div>
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