• Kátia de Vasconcelos, Oliveira Acary Souza Bulle ASB http://orcid.org/0000-0002-6986-4937 Departamento de Neurologia e Neurocirurgia, Escola Paulista de Medicina/Universida, Fuchs Luiz Fernando Portugal LFP http://orcid.org/0000-0002-2323-1368 Departamento de Ginecologia, Escola Paulista de Medicina/Universidade Federal de, Ricardo Santos Simões, Manuel de Jesus Simoes, Girão Manoel João Batista Castello MJBC http://orcid.org/0000-0002-1206-9377 Departamento de Ginecologia, Escola Paulista de Medicina/Universidade Fed, Jose Maria Soares Júnior, and Edmund Chada Baracat.
• Departamento de Ginecologia, Escola Paulista de Medicina/Universidade Federal de São Paulo; São Paulo, SP, Brasil.
• Rev Assoc Med Bras (1992). 2020 Nov 1; 66 (11): 1589-1594.

AbstractAmyotrophic Lateral Sclerosis (ALS) is a fatal disease characterized by muscle weakness, atrophy, fasciculations, and decreased reflexes due to upper and lower motor neurons death. It can be present in both sexes (55-65 years), but with predominance in males. However, in female patients, ALS presents its first symptoms when they are already postmenopausal, when then the incidence ratio of the disease is practically equal between the sexes, which leads to a probable involvement of sex hormones in the development and protection against ALS. The aim of this systematic review, which used the PRISMA consensus and NOS (New Castle-Ottawa Scale) score, was to evaluate the evidence of the action of hormone therapy in women with ALS. The Medline and Cochrane databases were accessed from March 2019 to June 2019, and only full-text articles in Spanish, English, and Portuguese were included. Only four articles matched our inclusion criteria. Postmenopausal women who used exogenous estrogen did not have the same protective factor as women still under the action of endogenous estrogen in the same age group. There was also no increase in the survival of these women.

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