Pub Date : 2021-06-22DOI: 10.15406/ogij.2021.12.00575
Jonathan Ramsarran, B. Bassaw, J. Chinnia, Falima Ali-Bassaw, D. Singh, S. Harry, Shane Khan
A 28-year-old gravida 1 para 0 was referred to the Mt. Hope Maternity Hospital, a tertiary teaching institution at 8 weeks of gestation with excessive vomiting in pregnancy secondary to a sextuplet pregnancy. She was given empirical clomiphene citrate 100mg for 10 days after having difficulty conceiving with know polycystic ovarian syndrome. She conceived after the first course of clomiphene citrate. After being counseled on the many maternal and fetal complications with higher-order pregnancy and a clear road-map for the management of the pregnancy, which included multifetal pregnancy reduction (MFPR), this was declined due to socio-cultural and ethical grounds. Cervical cerclage was inserted at 12 weeks gestation and thromboprophylaxis commenced. Urgent Caesarean delivery was arranged at 31 weeks of pregnancy secondary to worsening symptoms of overdistension. This study aims to outline management of a higher order pregnancy when the standard approach of MFPR is unacceptable to the patient. Central to this cause was circumventing risks of higher order gestations such as preterm labor, pre-eclampsia, thrombosis and anaemia.
{"title":"Sextuplets: management of a higher order pregnancy in a medium-resource setting","authors":"Jonathan Ramsarran, B. Bassaw, J. Chinnia, Falima Ali-Bassaw, D. Singh, S. Harry, Shane Khan","doi":"10.15406/ogij.2021.12.00575","DOIUrl":"https://doi.org/10.15406/ogij.2021.12.00575","url":null,"abstract":"A 28-year-old gravida 1 para 0 was referred to the Mt. Hope Maternity Hospital, a tertiary teaching institution at 8 weeks of gestation with excessive vomiting in pregnancy secondary to a sextuplet pregnancy. She was given empirical clomiphene citrate 100mg for 10 days after having difficulty conceiving with know polycystic ovarian syndrome. She conceived after the first course of clomiphene citrate. After being counseled on the many maternal and fetal complications with higher-order pregnancy and a clear road-map for the management of the pregnancy, which included multifetal pregnancy reduction (MFPR), this was declined due to socio-cultural and ethical grounds. Cervical cerclage was inserted at 12 weeks gestation and thromboprophylaxis commenced. Urgent Caesarean delivery was arranged at 31 weeks of pregnancy secondary to worsening symptoms of overdistension. This study aims to outline management of a higher order pregnancy when the standard approach of MFPR is unacceptable to the patient. Central to this cause was circumventing risks of higher order gestations such as preterm labor, pre-eclampsia, thrombosis and anaemia.","PeriodicalId":19389,"journal":{"name":"Obstetrics & Gynecology International Journal","volume":"52 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89814025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-21DOI: 10.15406/ogij.2021.12.00574
Ruquiya Afrose, K. Malhotra, S. Agarwal, M. Kotru
Mixed ovarian tumors are of common occurrence. In this category are placed rare novelties displaying composite granulosa cell and mucinous tumor elements. Such a combination of stromal and epithelial elements may be a chance association of two discrete tumors. Intriguing still is the intimate admixture of these two elements which has been reported only in two cases till date. (1,2) We report the third such case and review the previous cases with an effort to elucidate their enigmatic histogenesis.
{"title":"Adult granulosa cell tumor with Mucinous cystadenoma of ovary: a unique case with insight into histogenesis","authors":"Ruquiya Afrose, K. Malhotra, S. Agarwal, M. Kotru","doi":"10.15406/ogij.2021.12.00574","DOIUrl":"https://doi.org/10.15406/ogij.2021.12.00574","url":null,"abstract":"Mixed ovarian tumors are of common occurrence. In this category are placed rare novelties displaying composite granulosa cell and mucinous tumor elements. Such a combination of stromal and epithelial elements may be a chance association of two discrete tumors. Intriguing still is the intimate admixture of these two elements which has been reported only in two cases till date. (1,2) We report the third such case and review the previous cases with an effort to elucidate their enigmatic histogenesis.","PeriodicalId":19389,"journal":{"name":"Obstetrics & Gynecology International Journal","volume":"52 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90259653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-05-27DOI: 10.15406/ogij.2021.12.00572
Elga López González, Escribano Cobalea María, Peña Salas María Soledad
Epithelioid leiomyomas of the vagina are extremely rare benign smooth muscle tumors. Leiomyomas are located in uterus in 70%; however, paravaginal leiomyomas are rare, which frequency is 0.1% in adults women. They can be asymptomatic, but if they are, may cause signs of compression, dyspareunia, urinary disorders,… The diagnosis is made by histologic and immunohistochemical examination, helped by imaging tests such as RMN and ultrasound. The first treatment option is the resection by enucleation. Search of information was carried out in the PubMed/Medline, Cochrane, SciELO databases and references from articles in journals and recent published texts. This is a case report of a 29-years-old female who is derived to Gynecologic Emergencies because of a Bartholinitis refractory to antibiotic treatment. The gynecological exploration reports a vaginal mass which extends to left paravaginal space. The biopsy of this mass suggests the diagnosis of leiomyoma. MRI study reports a 49mm mass in left ischiorectal space which seems to depend on puborectal muscle. The resection is made by enucleation, with a histopathological examination that confirms the diagnostic suspicion.
{"title":"Leiomyoma of levator ani muscle","authors":"Elga López González, Escribano Cobalea María, Peña Salas María Soledad","doi":"10.15406/ogij.2021.12.00572","DOIUrl":"https://doi.org/10.15406/ogij.2021.12.00572","url":null,"abstract":"Epithelioid leiomyomas of the vagina are extremely rare benign smooth muscle tumors. Leiomyomas are located in uterus in 70%; however, paravaginal leiomyomas are rare, which frequency is 0.1% in adults women. They can be asymptomatic, but if they are, may cause signs of compression, dyspareunia, urinary disorders,… The diagnosis is made by histologic and immunohistochemical examination, helped by imaging tests such as RMN and ultrasound. The first treatment option is the resection by enucleation. Search of information was carried out in the PubMed/Medline, Cochrane, SciELO databases and references from articles in journals and recent published texts. This is a case report of a 29-years-old female who is derived to Gynecologic Emergencies because of a Bartholinitis refractory to antibiotic treatment. The gynecological exploration reports a vaginal mass which extends to left paravaginal space. The biopsy of this mass suggests the diagnosis of leiomyoma. MRI study reports a 49mm mass in left ischiorectal space which seems to depend on puborectal muscle. The resection is made by enucleation, with a histopathological examination that confirms the diagnostic suspicion.","PeriodicalId":19389,"journal":{"name":"Obstetrics & Gynecology International Journal","volume":"1 1","pages":"180-181"},"PeriodicalIF":0.0,"publicationDate":"2021-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88559665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-05-18DOI: 10.15406/OGIJ.2021.12.00569
C. Sofoudis, Papamargaritis Eftimios, Papadaki Maria, Yperifanou Kyriaki
A highly myopic 35-year-old female patient (P0, G1) with reduced visual acuity R 3/10 l 3/10 due to bilateral choroidal neovascularization (CNV) admitted at our Department. The patient had atomic history of congenital myopia firstly diagnosed at the age of 2-y-old. The initial diagnosis established a refractive error over 8 diopters (high grade myopia) progressively increased. During third trimester of gestation her vision was acutely diminished. The fundoscopic examination depicted elevated intraocular pressure and deterioration of myopia to -30D bilaterally. (Fruoresceinangiography revealed active CNV). Patient underwent selected caesarean section due to increased risk of macular hemorrhage. She discharged from hospital the 4th pod in good clinical condition. Assiduous ocular and obstetrical monitoring appeared mandatory in order to insure optimal therapeutic mapping. Objective of our study remains proper diagnosis and treatment of such a rare case.
{"title":"Congenital myopia complicating pregnancy: A rare case and mini-review of the literature","authors":"C. Sofoudis, Papamargaritis Eftimios, Papadaki Maria, Yperifanou Kyriaki","doi":"10.15406/OGIJ.2021.12.00569","DOIUrl":"https://doi.org/10.15406/OGIJ.2021.12.00569","url":null,"abstract":"A highly myopic 35-year-old female patient (P0, G1) with reduced visual acuity R 3/10 l 3/10 due to bilateral choroidal neovascularization (CNV) admitted at our Department. The patient had atomic history of congenital myopia firstly diagnosed at the age of 2-y-old. The initial diagnosis established a refractive error over 8 diopters (high grade myopia) progressively increased. During third trimester of gestation her vision was acutely diminished. The fundoscopic examination depicted elevated intraocular pressure and deterioration of myopia to -30D bilaterally. (Fruoresceinangiography revealed active CNV). Patient underwent selected caesarean section due to increased risk of macular hemorrhage. She discharged from hospital the 4th pod in good clinical condition. Assiduous ocular and obstetrical monitoring appeared mandatory in order to insure optimal therapeutic mapping. Objective of our study remains proper diagnosis and treatment of such a rare case.","PeriodicalId":19389,"journal":{"name":"Obstetrics & Gynecology International Journal","volume":"406 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77741852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-05-17DOI: 10.15406/OGIJ.2021.12.00568
Anand Neelakandan, K. Guleria, Richa Sharma
Objective: To evaluate whether transcervical Foley catheter with Oxytocin used concurrently for induction of labour (IOL) increases the delivery rate within 24 hours as compared to transcervical Foley catheter alone. Methodology: 220 women with Bishop score ≤6 undergoing IOL were randomized into a concurrent transcervical Foley catheter & Oxytocin group and a transcervical Foley catheter alone group and delivery rate ≤24 hours was assessed as primary outcome. Results: Of the 220 women who completed the trial, there were 110 subjects (52 nulliparae and 58 multiparae) randomized in each group. Delivery rate within 24 hours was > 95% in both groups (96.36% vs 95.45%, p=0.748). Oxytocin use was significantly longer in the concurrent group than in Foley alone group (10.50 vs 7.75 hours). Multiparae fared better than nulliparae in both the groups in terms of parameters like delivery rate within 24 hours (concurrent group: 100 vs 92.30%, p=0.046; & Foley only group: 98.27 vs 94.23%, p=0.342), delivery in 12 hours, caesarean sections, Foley expulsion time, oxytocin required and successful inductions. They also delivered much faster (combined group: 9 vs 12 hours; Foley only group: 9.41 vs 12.5 hours). Conclusion: Both methods- combined and Foley catheter alone is equally good for IOL. Concurrent use of oxytocin at the initiation of IOL exposes to a longer duration of oxytocin without expediting the induction thereby questioning oxytocin’s efficacy on the unprimed cervix. Thus concurrent methods (Foley & Oxytocin)) offers no extra advantage over the conventional methods (Foley alone) for IOL.
目的:评价经宫颈Foley导尿管联合催产素用于人工引产(IOL)是否比单独经宫颈Foley导尿管提高24小时内产出率。方法:220例Bishop评分≤6分的人工晶晶体患者随机分为经宫颈Foley置管联合催产素组和单纯经宫颈Foley置管组，以≤24小时的分娩率为主要观察指标。结果:在完成试验的220名妇女中，每组随机分为110名受试者(52名无父者和58名多父者)。两组24小时内分娩率均为0.95% (96.36% vs 95.45%， p=0.748)。并发组的催产素使用时间明显长于Foley单独组(10.50小时vs 7.75小时)。在24小时内分娩率等参数方面，两组的Multiparae均优于nulliparae(并发组:100 vs 92.30%， p=0.046;仅Foley组:98.27 vs 94.23%， p=0.342)，分娩时间12小时，剖腹产，Foley排出时间，催产素需求和引产成功。他们的交付速度也快得多(联合组:9小时vs 12小时;福利组:9.41 vs 12.5小时)。结论:两种方法联合使用与单独使用Foley导尿管效果相同。在人工晶状体开始时同时使用催产素暴露于更长的催产素持续时间而不加速诱导，从而质疑催产素对未启动子宫颈的功效。因此，并发方法(Foley和催产素)对于人工晶状体没有比传统方法(Foley单独)更大的优势。
{"title":"Transcervical foley catheter and oxytocin compared with transcervical foley catheter alone for induction of labour","authors":"Anand Neelakandan, K. Guleria, Richa Sharma","doi":"10.15406/OGIJ.2021.12.00568","DOIUrl":"https://doi.org/10.15406/OGIJ.2021.12.00568","url":null,"abstract":"Objective: To evaluate whether transcervical Foley catheter with Oxytocin used concurrently for induction of labour (IOL) increases the delivery rate within 24 hours as compared to transcervical Foley catheter alone. Methodology: 220 women with Bishop score ≤6 undergoing IOL were randomized into a concurrent transcervical Foley catheter & Oxytocin group and a transcervical Foley catheter alone group and delivery rate ≤24 hours was assessed as primary outcome. Results: Of the 220 women who completed the trial, there were 110 subjects (52 nulliparae and 58 multiparae) randomized in each group. Delivery rate within 24 hours was > 95% in both groups (96.36% vs 95.45%, p=0.748). Oxytocin use was significantly longer in the concurrent group than in Foley alone group (10.50 vs 7.75 hours). Multiparae fared better than nulliparae in both the groups in terms of parameters like delivery rate within 24 hours (concurrent group: 100 vs 92.30%, p=0.046; & Foley only group: 98.27 vs 94.23%, p=0.342), delivery in 12 hours, caesarean sections, Foley expulsion time, oxytocin required and successful inductions. They also delivered much faster (combined group: 9 vs 12 hours; Foley only group: 9.41 vs 12.5 hours). Conclusion: Both methods- combined and Foley catheter alone is equally good for IOL. Concurrent use of oxytocin at the initiation of IOL exposes to a longer duration of oxytocin without expediting the induction thereby questioning oxytocin’s efficacy on the unprimed cervix. Thus concurrent methods (Foley & Oxytocin)) offers no extra advantage over the conventional methods (Foley alone) for IOL.","PeriodicalId":19389,"journal":{"name":"Obstetrics & Gynecology International Journal","volume":"2 1","pages":"145-154"},"PeriodicalIF":0.0,"publicationDate":"2021-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82556871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-05-13DOI: 10.15406/OGIJ.2021.12.00566
L. García, Cristina López Beltrán, Aránzazu Meca San Martín, P. Martínez
Introduction: Adenoid cystic carcinoma (CAQ) is a typical tumor of the salivary glands and infrequent in the breast (less than 0.1%). It stands out for being triple negative with a favorable prognosis. Its infrequency and slow progression mean that today there is no consensus regarding its therapeutic management and follow-up. Objective: To provide a new case to learn more about the nature, management and evolution of this type of neoplasm. Material and methods: We analyzed the data collected in our case and compared it with what was published in the literature. Results: a typical triple negative case is presented, with a large size with respect to the breast (T2), so it was decided to perform a simple mastectomy as initial treatment with immediate reconstruction due to the absence of axillary involvement. Subsequently, it was decided not to apply adjuvant treatment since the tumor was not aggressive, the hormone receptors were negative, and the final lesion was less than 5cm with wide margins and no evidence of lymphovascular invasion. Conclusion: To date, breast CAQ continues to present uncertain management and follow-up given that we do not have enough data in the literature to know its evolution correctly, therefore more studies are needed with the intention of being able to standardize treatment and surveillance of this tumor.
{"title":"Adenoid cystic carcinoma, report of a case","authors":"L. García, Cristina López Beltrán, Aránzazu Meca San Martín, P. Martínez","doi":"10.15406/OGIJ.2021.12.00566","DOIUrl":"https://doi.org/10.15406/OGIJ.2021.12.00566","url":null,"abstract":"Introduction: Adenoid cystic carcinoma (CAQ) is a typical tumor of the salivary glands and infrequent in the breast (less than 0.1%). It stands out for being triple negative with a favorable prognosis. Its infrequency and slow progression mean that today there is no consensus regarding its therapeutic management and follow-up. Objective: To provide a new case to learn more about the nature, management and evolution of this type of neoplasm. Material and methods: We analyzed the data collected in our case and compared it with what was published in the literature. Results: a typical triple negative case is presented, with a large size with respect to the breast (T2), so it was decided to perform a simple mastectomy as initial treatment with immediate reconstruction due to the absence of axillary involvement. Subsequently, it was decided not to apply adjuvant treatment since the tumor was not aggressive, the hormone receptors were negative, and the final lesion was less than 5cm with wide margins and no evidence of lymphovascular invasion. Conclusion: To date, breast CAQ continues to present uncertain management and follow-up given that we do not have enough data in the literature to know its evolution correctly, therefore more studies are needed with the intention of being able to standardize treatment and surveillance of this tumor.","PeriodicalId":19389,"journal":{"name":"Obstetrics & Gynecology International Journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85186110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-05-12DOI: 10.15406/OGIJ.2021.12.00565
F. C. Diorgu, Awoala George
Understanding the dynamics under which women experiences birth and disrespectful care is important. It recognizes the relegation women experiences within a subjugated relationship between women and health care practitioners arising from power disparities. When power dynamics are acknowledged and everyone’s expertise respected, women have positive and healthy childbirth with respect to human’s fundamental right. This is the kind of care women want and need.
{"title":"Broader driver of disrespectful maternity care: power dynamics","authors":"F. C. Diorgu, Awoala George","doi":"10.15406/OGIJ.2021.12.00565","DOIUrl":"https://doi.org/10.15406/OGIJ.2021.12.00565","url":null,"abstract":"Understanding the dynamics under which women experiences birth and disrespectful care is important. It recognizes the relegation women experiences within a subjugated relationship between women and health care practitioners arising from power disparities. When power dynamics are acknowledged and everyone’s expertise respected, women have positive and healthy childbirth with respect to human’s fundamental right. This is the kind of care women want and need.","PeriodicalId":19389,"journal":{"name":"Obstetrics & Gynecology International Journal","volume":"25 1","pages":"130-133"},"PeriodicalIF":0.0,"publicationDate":"2021-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89445721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-05-01DOI: 10.15406/OGIJ.2021.12.00570
K. Ranjeeta, Prativa Sadangi
Placenta percreta (PP) is a potentially life-threatening condition. When PP is complicated by bladder invasion, mortality rates have been estimated as high as 9.5% and 24% for mother and child, respectively. Early diagnosis allows for appropriate antenatal care and accordingly surgical planning and management. Herein, we are going to present a case report, in which a woman G3P2L2 with previous 2 caesarean section with pre-term gestation was diagnosed with placenta accreta, but intra-operatively it was placenta percreta with bladder invasion. Patient was managed successfully by doing subtotal hysterectomy. Any pregnant patient with previous history of caesarean section we should be suspicious of placenta accrete spectrum, hence should be managed in a tertiary care center with a multidisciplinary approach, and with earliest possible involvement of the urologist in decision-making.
{"title":"Placenta percreta with bladder invasion: managed successfully","authors":"K. Ranjeeta, Prativa Sadangi","doi":"10.15406/OGIJ.2021.12.00570","DOIUrl":"https://doi.org/10.15406/OGIJ.2021.12.00570","url":null,"abstract":"Placenta percreta (PP) is a potentially life-threatening condition. When PP is complicated by bladder invasion, mortality rates have been estimated as high as 9.5% and 24% for mother and child, respectively. Early diagnosis allows for appropriate antenatal care and accordingly surgical planning and management. Herein, we are going to present a case report, in which a woman G3P2L2 with previous 2 caesarean section with pre-term gestation was diagnosed with placenta accreta, but intra-operatively it was placenta percreta with bladder invasion. Patient was managed successfully by doing subtotal hysterectomy. Any pregnant patient with previous history of caesarean section we should be suspicious of placenta accrete spectrum, hence should be managed in a tertiary care center with a multidisciplinary approach, and with earliest possible involvement of the urologist in decision-making.","PeriodicalId":19389,"journal":{"name":"Obstetrics & Gynecology International Journal","volume":"1 1","pages":"157-158"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90944602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-27DOI: 10.15406/OGIJ.2021.12.00563
M. Javed, Alyaa Abdulrahman Asiel Elnour, Murwan Khalid Sabah Elkhier, Ayman Salih Omer Idris, Wala Mohamed Mahmoud Salih, H. Al Sufyan
The objective of this study was to compare the levels of prolactin, FSH, LH, E2, TSH, FT4 and BMI between infertile Saudi women with high prolactin and fertile Saudi women with normal prolactin. The study individuals were divided into two groups; infertile Saudi women with high prolactin (Group 1) and fertile Saudi women with normal prolactin (Group 2). This study used the ARCHITECT i1000SR immunoassay analyzer for the assessment of all serum hormones. The prolactin in Group 1 was higher than in the Group 2. The FSH and LH values were similar in both groups. The TSH in Group 1 was higher than in the Group 2. The FT4 values were similar in both groups. The BMI in both groups was greater than 25 (all patients were in over weight category). In Group 1, 40% women were over weight and in Group 2, 39 % women were over weight. The rate of failed cycles in group 1 was higher than in Group 2, also cases of PCOS in Group 1 were more than in the Group 2. The rate of positive pregnancy in Group 1 is lower than in the Group 2. The results of this study demonstrated that increased levels of prolactin and TSH are among the causes of infertility in Saudi women.
{"title":"Comparison of prolactin, follicle-stimulating hormone, luteinizing hormone, estradiol, thyroid-stimulating hormone, free thyroxine and body mass index between infertile and fertile Saudi women","authors":"M. Javed, Alyaa Abdulrahman Asiel Elnour, Murwan Khalid Sabah Elkhier, Ayman Salih Omer Idris, Wala Mohamed Mahmoud Salih, H. Al Sufyan","doi":"10.15406/OGIJ.2021.12.00563","DOIUrl":"https://doi.org/10.15406/OGIJ.2021.12.00563","url":null,"abstract":"The objective of this study was to compare the levels of prolactin, FSH, LH, E2, TSH, FT4 and BMI between infertile Saudi women with high prolactin and fertile Saudi women with normal prolactin. The study individuals were divided into two groups; infertile Saudi women with high prolactin (Group 1) and fertile Saudi women with normal prolactin (Group 2). This study used the ARCHITECT i1000SR immunoassay analyzer for the assessment of all serum hormones. The prolactin in Group 1 was higher than in the Group 2. The FSH and LH values were similar in both groups. The TSH in Group 1 was higher than in the Group 2. The FT4 values were similar in both groups. The BMI in both groups was greater than 25 (all patients were in over weight category). In Group 1, 40% women were over weight and in Group 2, 39 % women were over weight. The rate of failed cycles in group 1 was higher than in Group 2, also cases of PCOS in Group 1 were more than in the Group 2. The rate of positive pregnancy in Group 1 is lower than in the Group 2. The results of this study demonstrated that increased levels of prolactin and TSH are among the causes of infertility in Saudi women.","PeriodicalId":19389,"journal":{"name":"Obstetrics & Gynecology International Journal","volume":"52 1","pages":"119-122"},"PeriodicalIF":0.0,"publicationDate":"2021-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75274586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-26DOI: 10.15406/OGIJ.2021.12.00560
P. Anninos, N. Anninou, A. Adamopoulos, Nikolaos Tsagas
Studies on a case of a woman that experienced many miscarriages without having any serious gynecological problems led us to search as an alternative to examine in a microbiological diagnostic laboratory her husband’s genital system. This test detected problems in man’s genital system. To overcome these problems, we thought of applying weak magnetic fields of the order of pT-TMS (pico-Tesla Transcranial Magnetic Stimulation) on man’s brain and genital system in order to influence his genital system for its proper function with respect to the movement, the density and the better penetration of the spermatozoa after ejaculation in his wife ovule.
{"title":"Transcranial magnetic stimulation in a male brain and his genitals for the influence of his genital system with problems related to his spermatozoa mobility and density","authors":"P. Anninos, N. Anninou, A. Adamopoulos, Nikolaos Tsagas","doi":"10.15406/OGIJ.2021.12.00560","DOIUrl":"https://doi.org/10.15406/OGIJ.2021.12.00560","url":null,"abstract":"Studies on a case of a woman that experienced many miscarriages without having any serious gynecological problems led us to search as an alternative to examine in a microbiological diagnostic laboratory her husband’s genital system. This test detected problems in man’s genital system. To overcome these problems, we thought of applying weak magnetic fields of the order of pT-TMS (pico-Tesla Transcranial Magnetic Stimulation) on man’s brain and genital system in order to influence his genital system for its proper function with respect to the movement, the density and the better penetration of the spermatozoa after ejaculation in his wife ovule.","PeriodicalId":19389,"journal":{"name":"Obstetrics & Gynecology International Journal","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78432464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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