Pub Date : 2021-06-22DOI: 10.22038/IJOGI.2021.18439
malihe ghiasvand, F. Nahidi, S. S. Mobarakabadi, Nasrin Broumandnia, H. Sharifnia
Introduction: Routine use of episiotomy is not recommended for women giving birth naturally. However, several studies in the Middle East have reported that it has high prevalence, but there is no general estimate. This study was performed with aim to review the prevalence and met-analysis of episiotomy in the Middle East based on studies conducted in this field. Methods: To search for articles, the databases of SID, Magiran, Medline, Science Direct, Scopus, Web of Science, Embase, ProQuest and google scholer search engines using the keywords of prevalence, epidemiology, frequency, incidence, rate and episiotomy in both languages of Persian and English and all possible combinations were searched with AND and OR operators. Calculation of heterogeneity of the studies was evaluated using I2 index and Bag test was used to examine the bias. Results: Twelve articles with a sample size of 69171 were reviewed. The overall prevalence of episiotomy was 67% (95% CI: 55-78). Using the random effect model, the risk of episiotomy in primiparous women was two times than multiparous women, which was statistically significant (RR = 2.01, 95% CI: 0.87-4.63, p <0.001; I2 = 99.99). Oxytocin use was also associated with an 80% (60-95%) prevalence of episiotomy. Conclusion: Due to the high rate of episiotomy in the Middle East, despite the standard set by the World Health Organization, there is an urgent need for planning to reduce this rate. Therefore, it is recommended to use effective methods to reduce the need for episiotomy in primiparous women and to avoid unnecessary clinical interventions such as using oxytocin.
简介:常规使用会阴切开术不建议妇女自然分娩。然而，中东的几项研究报告说，它的患病率很高，但没有一般的估计。本研究的目的是回顾会阴切开术在中东地区的流行情况，并根据该领域的研究进行meta分析。方法:采用波斯语和英语检索SID、Magiran、Medline、Science Direct、Scopus、Web of Science、Embase、ProQuest和google scholar搜索引擎数据库中流行病学、流行病学、频率、发病率、发生率和会外切等关键词，并使用and和OR运算符搜索所有可能的组合。采用I2指数评估研究的异质性计算，采用Bag检验检验偏倚。结果:共纳入12篇文献，样本量69171篇。外阴切开术的总患病率为67% (95% CI: 55-78)。采用随机效应模型，初产妇女发生会阴切开术的风险是多产妇女的2倍，差异有统计学意义(RR = 2.01, 95% CI: 0.87-4.63, p <0.001;I2 = 99.99)。催产素的使用也与80%(60-95%)的会阴切开术发生率相关。结论:尽管世界卫生组织制定了标准，但由于中东地区的外阴切开术率很高，迫切需要制定计划来降低这一比率。因此，建议采用有效的方法减少初产妇会阴切开术的必要性，避免使用催产素等不必要的临床干预。
{"title":"Prevalence and meta-analysis of episiotomy in the Middle East","authors":"malihe ghiasvand, F. Nahidi, S. S. Mobarakabadi, Nasrin Broumandnia, H. Sharifnia","doi":"10.22038/IJOGI.2021.18439","DOIUrl":"https://doi.org/10.22038/IJOGI.2021.18439","url":null,"abstract":"Introduction: Routine use of episiotomy is not recommended for women giving birth naturally. However, several studies in the Middle East have reported that it has high prevalence, but there is no general estimate. This study was performed with aim to review the prevalence and met-analysis of episiotomy in the Middle East based on studies conducted in this field. \u0000Methods: To search for articles, the databases of SID, Magiran, Medline, Science Direct, Scopus, Web of Science, Embase, ProQuest and google scholer search engines using the keywords of prevalence, epidemiology, frequency, incidence, rate and episiotomy in both languages of Persian and English and all possible combinations were searched with AND and OR operators. Calculation of heterogeneity of the studies was evaluated using I2 index and Bag test was used to examine the bias. \u0000Results: Twelve articles with a sample size of 69171 were reviewed. The overall prevalence of episiotomy was 67% (95% CI: 55-78). Using the random effect model, the risk of episiotomy in primiparous women was two times than multiparous women, which was statistically significant (RR = 2.01, 95% CI: 0.87-4.63, p <0.001; I2 = 99.99). Oxytocin use was also associated with an 80% (60-95%) prevalence of episiotomy. \u0000Conclusion: Due to the high rate of episiotomy in the Middle East, despite the standard set by the World Health Organization, there is an urgent need for planning to reduce this rate. Therefore, it is recommended to use effective methods to reduce the need for episiotomy in primiparous women and to avoid unnecessary clinical interventions such as using oxytocin.","PeriodicalId":39154,"journal":{"name":"Iranian Journal of Obstetrics, Gynecology and Infertility","volume":"67 1","pages":"90-99"},"PeriodicalIF":0.0,"publicationDate":"2021-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79962725","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 : 2021-06-22DOI: 10.22038/IJOGI.2021.18426
Z. Ghanbari, T. Eftekhar, Maryam Deldar Pesikhani, F. Veisi, Azita Ghanbarpour Shiadeh, M. Shariat
Introduction: Uterine prolapse has been traditionally treated with vaginal hysterectomy and cuff suspension. Recently there is renewed interest in uterine conservation during prolapse surgeries. This study was performed with aim to evaluate the success rate and quality of life in women following one of three types of uterine sparing prolapse surgery. Methods: This retrospective study was performed in Tehran Imam Khomeini Hospital in 2019. The data of 99 patients with uterine prolapse who underwent one of three types of uterine sparing surgery (Manchester, Sacrospinus Hysteropexy, Abdominal sacral Hysteropexy) during three years were reviewed and compared in terms of success rate and quality of life. 99 patients completed a valid questionnaire of quality of life after prolapse surgeries (Pelvic Floor Distress Inventory-20). The success rate after 12 months was evaluated as a primary outcome and the complications such as repeat surgery, using pessary and feeling mass were evaluated as secondary outcomes. Data were analyzed by SPSS software (version 22) and ANOVA, Kruskal-Wallis and Chi-square tests were used. P < 0.05 was considered statistically significant. Results: The success rate of sacral hysteropexy was higher than two other groups (about 94%).The highest recurrence was in sacrospinous, in the Ba point ( -2.06± 0.506) and C point (-2.1±1.084) (p<0.01). The quality of life was similar in the Manchester and sacral hysteropexy group and was higher than sacrospinous group. Early complications after sacral hysteropexy were ileus and defecatory disorder. Conclusion: All three uterine sparing prolapse surgeries had success rate of higher than 60%. All three surgical groups had a good quality of life and satisfaction 12 months after the procedure. The highest recurrence was in sacrospinous in Ba and C points. Finding mesh complications following sacral hysteropexy surgery requires long-term follow-up.
{"title":"The success rate and quality of life following three types of uterine sparing prolapse surgery","authors":"Z. Ghanbari, T. Eftekhar, Maryam Deldar Pesikhani, F. Veisi, Azita Ghanbarpour Shiadeh, M. Shariat","doi":"10.22038/IJOGI.2021.18426","DOIUrl":"https://doi.org/10.22038/IJOGI.2021.18426","url":null,"abstract":"Introduction: Uterine prolapse has been traditionally treated with vaginal hysterectomy and cuff suspension. Recently there is renewed interest in uterine conservation during prolapse surgeries. This study was performed with aim to evaluate the success rate and quality of life in women following one of three types of uterine sparing prolapse surgery. \u0000Methods: This retrospective study was performed in Tehran Imam Khomeini Hospital in 2019. The data of 99 patients with uterine prolapse who underwent one of three types of uterine sparing surgery (Manchester, Sacrospinus Hysteropexy, Abdominal sacral Hysteropexy) during three years were reviewed and compared in terms of success rate and quality of life. 99 patients completed a valid questionnaire of quality of life after prolapse surgeries (Pelvic Floor Distress Inventory-20). The success rate after 12 months was evaluated as a primary outcome and the complications such as repeat surgery, using pessary and feeling mass were evaluated as secondary outcomes. Data were analyzed by SPSS software (version 22) and ANOVA, Kruskal-Wallis and Chi-square tests were used. P < 0.05 was considered statistically significant. \u0000Results: The success rate of sacral hysteropexy was higher than two other groups (about 94%).The highest recurrence was in sacrospinous, in the Ba point ( -2.06± 0.506) and C point (-2.1±1.084) (p<0.01). The quality of life was similar in the Manchester and sacral hysteropexy group and was higher than sacrospinous group. Early complications after sacral hysteropexy were ileus and defecatory disorder. \u0000Conclusion: All three uterine sparing prolapse surgeries had success rate of higher than 60%. All three surgical groups had a good quality of life and satisfaction 12 months after the procedure. The highest recurrence was in sacrospinous in Ba and C points. Finding mesh complications following sacral hysteropexy surgery requires long-term follow-up.","PeriodicalId":39154,"journal":{"name":"Iranian Journal of Obstetrics, Gynecology and Infertility","volume":"1 1","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2021-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88789014","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 : 2021-06-22DOI: 10.22038/IJOGI.2021.18436
Behnaz Jafari, R. Babazadeh, R. Salari, Jamshid Jamali, T. Sadeghi
Introduction: Sexual satisfaction is a key factor in quality of life that depends on several factors including healthy, pleasant and painless sexual relations. Treatment of sexual dysfunction should be given special attention due to the impact on the relationship between couples and family stability. This study was performed with aim to determine the effect of inhalation of Elaeagnus angustifolia flower essence on dyspareunia and sexual satisfaction of women at reproductive age. Methods: This three-group randomized clinical trial study was performed on 99 women referring to health centers in Mashhad in 2019-2020. The study's units were assigned into three groups. The first group used the essence for 4 weeks, 3 times a day for 20 minutes each time and the second group once only 20 minutes before intercourse as inhalation and the third group did not receive any intervention. The Sexual Function Index (FSFI) was completed before the intervention and at the end of the 4th week after the intervention in all three groups. Data were analyzed by SPSS software (version 21) and one-way analysis of variance, Chi-square and Kruskal-Wallis tests. P<0.05 was considered statistically significant. Results: The mean score of sexual pain after the intervention in the first intervention group was 4.3±0.8, in the second intervention group was 4.7±0.7 and in the control group was 4.0±0.8. Based on the results of the intra-group test, the intervention was significantly increased only in the second intervention group (p<0.05). The mean score of sexual satisfaction after the intervention in the first intervention group was 4.2±0.7, in the second intervention group was 4.7±0.9 and in the control group was 3.8±0.5. Based on the results of intra-group test, the intervention was significantly increased only in the second intervention group (p<0.001). Conclusion: Inhalation of Elaeagnus angustifolia essence 20 minutes before intercourse can effectively increase sexual satisfaction by reducing pain and discomfort during sexual intercourse. Therefore, it can be used as an affordable herbal supplement with minimal side effects.
{"title":"The effect of Elaeagnus angustifolia flower essence inhalation on dyspareunia and sexual satisfaction of women at reproductive age: A randomized clinical trial","authors":"Behnaz Jafari, R. Babazadeh, R. Salari, Jamshid Jamali, T. Sadeghi","doi":"10.22038/IJOGI.2021.18436","DOIUrl":"https://doi.org/10.22038/IJOGI.2021.18436","url":null,"abstract":"Introduction: Sexual satisfaction is a key factor in quality of life that depends on several factors including healthy, pleasant and painless sexual relations. Treatment of sexual dysfunction should be given special attention due to the impact on the relationship between couples and family stability. This study was performed with aim to determine the effect of inhalation of Elaeagnus angustifolia flower essence on dyspareunia and sexual satisfaction of women at reproductive age. \u0000Methods: This three-group randomized clinical trial study was performed on 99 women referring to health centers in Mashhad in 2019-2020. The study's units were assigned into three groups. The first group used the essence for 4 weeks, 3 times a day for 20 minutes each time and the second group once only 20 minutes before intercourse as inhalation and the third group did not receive any intervention. The Sexual Function Index (FSFI) was completed before the intervention and at the end of the 4th week after the intervention in all three groups. Data were analyzed by SPSS software (version 21) and one-way analysis of variance, Chi-square and Kruskal-Wallis tests. P<0.05 was considered statistically significant. \u0000Results: The mean score of sexual pain after the intervention in the first intervention group was 4.3±0.8, in the second intervention group was 4.7±0.7 and in the control group was 4.0±0.8. Based on the results of the intra-group test, the intervention was significantly increased only in the second intervention group (p<0.05). The mean score of sexual satisfaction after the intervention in the first intervention group was 4.2±0.7, in the second intervention group was 4.7±0.9 and in the control group was 3.8±0.5. Based on the results of intra-group test, the intervention was significantly increased only in the second intervention group (p<0.001). \u0000Conclusion: Inhalation of Elaeagnus angustifolia essence 20 minutes before intercourse can effectively increase sexual satisfaction by reducing pain and discomfort during sexual intercourse. Therefore, it can be used as an affordable herbal supplement with minimal side effects.","PeriodicalId":39154,"journal":{"name":"Iranian Journal of Obstetrics, Gynecology and Infertility","volume":"1 1","pages":"56-67"},"PeriodicalIF":0.0,"publicationDate":"2021-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87801182","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 : 2021-06-22DOI: 10.22038/IJOGI.2021.18435
Hamideh Raoufpanah, F. D. Manshadi, Nasim Shokouhi, A. A. Bagheban
Introduction: Pelvic Organ Prolapse (POP) is one of the dysfunctions of the Pelvic Floor Muscles (PFM), with descending of pelvic viscera, vaginal wall, uterus, bladder and rectum. Regarding the role of PFM as part of the core muscles in body balance, it has been suggested that women with PFM dysfunctions may have a lower level of balance. Therefore, this study was performed with aim to compare the level of dynamic balance in non-postmenopausal women with and without POP in two positions of full and empty bladder. Methods: This cross-sectional comparative study was performed in 2018 on 30 non-pregnant married women in the Rehabilitation School of Shahid Beheshti University of Medical Sciences. The subjects were divided in to three groups (n=10 in each group): with symptomatic POP, asymptomatic POP and without POP. After collecting demographic information, the pelvic inclination angle, and the dynamic balance in Antero-Posterior, Medio-Lateral planes as well as total balance index were assessed. Data were analyzed using SPSS statistical software (version 22) and Kolmogorov-Smirnov, one-way ANCOVA and Fisher's exact test. P<0.05 was considered statistically significant. Results: No significant differences were not found among three groups in terms of dynamic balance index with both full and empty bladder (p<0.05). Moreover, there were no significant differences among three groups regarding the pelvic inclination angle (p<0.05). Conclusion: The association of POP as one of the dysfunctions of pelvic floor muscle is not confirmed by postural stability. Further studies using the motion analysis system and simultaneous recording of electrical muscle activity are recommended.
{"title":"Dynamic Balance Indices in women with and without Pelvic Organ Prolapse","authors":"Hamideh Raoufpanah, F. D. Manshadi, Nasim Shokouhi, A. A. Bagheban","doi":"10.22038/IJOGI.2021.18435","DOIUrl":"https://doi.org/10.22038/IJOGI.2021.18435","url":null,"abstract":"Introduction: Pelvic Organ Prolapse (POP) is one of the dysfunctions of the Pelvic Floor Muscles (PFM), with descending of pelvic viscera, vaginal wall, uterus, bladder and rectum. Regarding the role of PFM as part of the core muscles in body balance, it has been suggested that women with PFM dysfunctions may have a lower level of balance. Therefore, this study was performed with aim to compare the level of dynamic balance in non-postmenopausal women with and without POP in two positions of full and empty bladder. \u0000Methods: This cross-sectional comparative study was performed in 2018 on 30 non-pregnant married women in the Rehabilitation School of Shahid Beheshti University of Medical Sciences. The subjects were divided in to three groups (n=10 in each group): with symptomatic POP, asymptomatic POP and without POP. After collecting demographic information, the pelvic inclination angle, and the dynamic balance in Antero-Posterior, Medio-Lateral planes as well as total balance index were assessed. Data were analyzed using SPSS statistical software (version 22) and Kolmogorov-Smirnov, one-way ANCOVA and Fisher's exact test. P<0.05 was considered statistically significant. \u0000Results: No significant differences were not found among three groups in terms of dynamic balance index with both full and empty bladder (p<0.05). Moreover, there were no significant differences among three groups regarding the pelvic inclination angle (p<0.05). \u0000Conclusion: The association of POP as one of the dysfunctions of pelvic floor muscle is not confirmed by postural stability. Further studies using the motion analysis system and simultaneous recording of electrical muscle activity are recommended.","PeriodicalId":39154,"journal":{"name":"Iranian Journal of Obstetrics, Gynecology and Infertility","volume":"13 1","pages":"47-55"},"PeriodicalIF":0.0,"publicationDate":"2021-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85866229","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 : 2021-06-22DOI: 10.22038/IJOGI.2021.18446
Maryam Nekoolaltak, S. Azin, F. Nazari, Behzad Ghorbani
Introduction: Sometimes couples refer with complaints of long-term infertility, while their main problem is vaginismus and inability to have intercourse. This study reports the treatment of a patient with severe lifelong vaginismus using a cognitive-behavioral approach. Case presentation: The couple with a history of 18 years of marriage, childless, had requested the use of assisted reproductive techniques for having a child. At first visit, due to the woman's inability to perform the vaginal examination and the history of fear of intercourse, they were referred to the sexual health clinic for treatment of vaginismus. The woman had a history of hymenectomy under anesthesia, which was ineffective in resolving the problem. Woman's anxiety and embarrassment of expressing the problem, her reluctance of treatment with a male doctor, and the husband's fear of having child due to the death of his mother during childbirth were the factors in the persistence of vasinismus during these years. The 18 years vaginismus was resolved with cognitive-behavioral therapy in less than 3 months. Spontaneous pregnancy occurred 3 months after treatment of vaginismus. Conclusion: Taking an accurate sexual history and encouraging the couple to treat vaginismus prevents invasive assisted reproductive techniques. Prolonged vaginismus should not cause the couple and the therapist to be disappointed with the treatment. The happy and hopefull mood of the therapist in the counseling session, having patience and calmness, designing the treatment in accordance with the couple's lifestyle, paying attention to the husband's feelings and gaining his companionship in the treatment and promoting couple's self-confidence and self-management are among the success factors of vaginismus treatment. Also, continuous follow-up and giving positive feedback to the patient in cyberspace will speed up and continue the treatment process.
{"title":"Treatment of vaginismus and subsequent pregnancy after 18 years of marriage: a case report","authors":"Maryam Nekoolaltak, S. Azin, F. Nazari, Behzad Ghorbani","doi":"10.22038/IJOGI.2021.18446","DOIUrl":"https://doi.org/10.22038/IJOGI.2021.18446","url":null,"abstract":"Introduction: Sometimes couples refer with complaints of long-term infertility, while their main problem is vaginismus and inability to have intercourse. This study reports the treatment of a patient with severe lifelong vaginismus using a cognitive-behavioral approach. \u0000Case presentation: The couple with a history of 18 years of marriage, childless, had requested the use of assisted reproductive techniques for having a child. At first visit, due to the woman's inability to perform the vaginal examination and the history of fear of intercourse, they were referred to the sexual health clinic for treatment of vaginismus. The woman had a history of hymenectomy under anesthesia, which was ineffective in resolving the problem. Woman's anxiety and embarrassment of expressing the problem, her reluctance of treatment with a male doctor, and the husband's fear of having child due to the death of his mother during childbirth were the factors in the persistence of vasinismus during these years. The 18 years vaginismus was resolved with cognitive-behavioral therapy in less than 3 months. Spontaneous pregnancy occurred 3 months after treatment of vaginismus. \u0000Conclusion: Taking an accurate sexual history and encouraging the couple to treat vaginismus prevents invasive assisted reproductive techniques. Prolonged vaginismus should not cause the couple and the therapist to be disappointed with the treatment. The happy and hopefull mood of the therapist in the counseling session, having patience and calmness, designing the treatment in accordance with the couple's lifestyle, paying attention to the husband's feelings and gaining his companionship in the treatment and promoting couple's self-confidence and self-management are among the success factors of vaginismus treatment. Also, continuous follow-up and giving positive feedback to the patient in cyberspace will speed up and continue the treatment process.","PeriodicalId":39154,"journal":{"name":"Iranian Journal of Obstetrics, Gynecology and Infertility","volume":"60 1","pages":"108-119"},"PeriodicalIF":0.0,"publicationDate":"2021-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72534274","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 : 2021-06-22DOI: 10.22038/IJOGI.2021.18428
N. Rezavand, M. Kamravamanesh, M. Eyvazi, Jila Manouchehri, Maryam Hemati, Rozhin Feali, M. Rezaei
Introduction: Since periodontal disease is associated with chronic inflammation, it can be assumed that patients with periodontal disease have a higher risk of developing preeclampsia. Therefore, this study was performed with aim to determine the relationship between periodontal diseases and the risk of preeclampsia in pregnant women. Methods: This case-control study was conducted in 2017-2019 on 100 pregnant women referred to Kermanshah Imam Reza Hospital in two groups of case (preeclamptic women) and control (normal pregnancy). The questionnaire was completed for each patient based on the required information including demographic information, periodontal parameters including bleeding on probing, plaque index, clinical attachment level, probing pocket depth. Data were analyzed using SPSS statistical software (version 20) and Mann–Whitney U and Student's t-tests. P<0.05 was considered statistically significant. Results: The study of periodontal indicators showed that there was no significant difference between the two groups in terms of bleeding on probing (P = 0.329), probing pocket depth index (P> 0.05) and clinical attachment level (P = 0.733). Only the plaque index was significantly lower in mothers with preeclampsia than mothers with normal pregnancies (P = 0.007). Conclusion: Although no significant relationship was found between preeclampsia and maternal periodontal disease parameters, however, it is recommended that screening and prevention of periodontal disease in prenatal care be considered in order to improve maternal oral health and improve pregnancy outcomes through inter-professional collaboration.
{"title":"The relationship between periodontal diseases and the risk of preeclampsia in pregnant women","authors":"N. Rezavand, M. Kamravamanesh, M. Eyvazi, Jila Manouchehri, Maryam Hemati, Rozhin Feali, M. Rezaei","doi":"10.22038/IJOGI.2021.18428","DOIUrl":"https://doi.org/10.22038/IJOGI.2021.18428","url":null,"abstract":"Introduction: Since periodontal disease is associated with chronic inflammation, it can be assumed that patients with periodontal disease have a higher risk of developing preeclampsia. Therefore, this study was performed with aim to determine the relationship between periodontal diseases and the risk of preeclampsia in pregnant women. \u0000 Methods: This case-control study was conducted in 2017-2019 on 100 pregnant women referred to Kermanshah Imam Reza Hospital in two groups of case (preeclamptic women) and control (normal pregnancy). The questionnaire was completed for each patient based on the required information including demographic information, periodontal parameters including bleeding on probing, plaque index, clinical attachment level, probing pocket depth. Data were analyzed using SPSS statistical software (version 20) and Mann–Whitney U and Student's t-tests. P<0.05 was considered statistically significant. \u0000Results: The study of periodontal indicators showed that there was no significant difference between the two groups in terms of bleeding on probing (P = 0.329), probing pocket depth index (P> 0.05) and clinical attachment level (P = 0.733). Only the plaque index was significantly lower in mothers with preeclampsia than mothers with normal pregnancies (P = 0.007). \u0000 Conclusion: Although no significant relationship was found between preeclampsia and maternal periodontal disease parameters, however, it is recommended that screening and prevention of periodontal disease in prenatal care be considered in order to improve maternal oral health and improve pregnancy outcomes through inter-professional collaboration.","PeriodicalId":39154,"journal":{"name":"Iranian Journal of Obstetrics, Gynecology and Infertility","volume":"9 1","pages":"16-24"},"PeriodicalIF":0.0,"publicationDate":"2021-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82881345","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}
Introduction: Anaplastic variant of juvenile granulosa cell tumor is one of the rarest ovarian malignancies. The aim of this study is to describe a case of anaplastic variant ovarian granulosa cell tumor in a 14-year-old girl with presentation of abnormal uterine bleeding and gradual abdominal enlargement. Case presentation: The patient at the time of diagnosis with an inhibin A and B more than 500 Pg/ml and ovarian mass of about 30×20×15 cm underwent unilateral salpingo-oophorectomy and juvenile granulosa cell tumor was diagnosed with no follow-up. She has referred with ascites, recurrent mass and distance metastasis of liver after 10 months. The patient underwent four courses of BEP (Bleomycin, Etoposide, Cisplatin)and five courses of paclitaxel and carboplatin. Then, she underwent laparotomy for metastasectomy, which was not successful due to the extent of involvement. Eventually, she died six months after the second surgery. Conclusion: This case report confirms the need for accurate follow-up of patients with juvenile granulosa cell tumor and appropriate justification for the patient and their caregiver to prescribe needed adjuvant therapies to prevent recurrence.
{"title":"گزارش یک مورد تومور سلول گرانولوزا جوانان تخمدان واریانت آناپلاستیک","authors":"Masoumeh Gharib, Fatemeh Homaei Shandiz, Ghodratollah Maddah, Behnoush Mehdizadeh","doi":"10.22038/IJOGI.2021.18310","DOIUrl":"https://doi.org/10.22038/IJOGI.2021.18310","url":null,"abstract":"Introduction: Anaplastic variant of juvenile granulosa cell tumor is one of the rarest ovarian malignancies. The aim of this study is to describe a case of anaplastic variant ovarian granulosa cell tumor in a 14-year-old girl with presentation of abnormal uterine bleeding and gradual abdominal enlargement. Case presentation: The patient at the time of diagnosis with an inhibin A and B more than 500 Pg/ml and ovarian mass of about 30×20×15 cm underwent unilateral salpingo-oophorectomy and juvenile granulosa cell tumor was diagnosed with no follow-up. She has referred with ascites, recurrent mass and distance metastasis of liver after 10 months. The patient underwent four courses of BEP (Bleomycin, Etoposide, Cisplatin)and five courses of paclitaxel and carboplatin. Then, she underwent laparotomy for metastasectomy, which was not successful due to the extent of involvement. Eventually, she died six months after the second surgery. Conclusion: This case report confirms the need for accurate follow-up of patients with juvenile granulosa cell tumor and appropriate justification for the patient and their caregiver to prescribe needed adjuvant therapies to prevent recurrence.","PeriodicalId":39154,"journal":{"name":"Iranian Journal of Obstetrics, Gynecology and Infertility","volume":"21 1","pages":"95-100"},"PeriodicalIF":0.0,"publicationDate":"2021-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84019627","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 : 2021-05-22DOI: 10.22038/IJOGI.2021.18307
Z. Abbasi, F. Khodabandeh, Fatemeh Yahyavi Kouchaksarayie, S. Nazari
Introduction: Young people's interest in strength exercises has led to the high use of anabolic steroids (AAS) regardless of its long-term side effects. Therefore, this review study was conducted with aim to investigate the effect of AAS drugs on male fertility. Methods: In line with the aim of the present review study, search was performed in the databases of Scopus, Pubmed, Proquest, Science Direct, ISC, Irandoc, Magiran and Google Scholar with the keywords of energy drugs, male fertility, spermatogenesis, androgenic anabolic steroid drugs and AAS without time restrictions. Among a total of 8453 articles extracted, after reviewing the title, abstract and inclusion and exclusion criteria, finally 33 articles were reviewed. Results: AAS drugs have long-term effects on the male reproductive system and disrupt spermatogenesis through four primary mechanisms including direct effects on gametes, hypothalamic axis change, pituitary and testis, erectile dysfunction or ejaculation, and decreased libido. It also reduces testosterone production and suppresses spermatogenesis by inhibiting negative feedback at LH and FSH levels. Most side effects are reversible after discontinuation, but long-term use during the reproductive ages and testicular developmental stages disrupts semen analysis and sperm function parameters, and there is no possibility of responding to alternative therapy. Not enough information has been reported about the time required to return male fertility after drug discontinuation. Conclusion: Excessive use of AAS drugs has long-term adverse effects on male reproductive health, so, existence of various and unknown items of drugs in the market, advertising in clubs and cyberspace and high consumption of drugs regardless of its side effects, require management measures to solve this global health problem and maintain male reproductive health. Therefore, education is recommended to the community, athletes, coaches and health care providers.
{"title":"The effect of anabolic androgenic steroid abuse on male fertility: Review Study","authors":"Z. Abbasi, F. Khodabandeh, Fatemeh Yahyavi Kouchaksarayie, S. Nazari","doi":"10.22038/IJOGI.2021.18307","DOIUrl":"https://doi.org/10.22038/IJOGI.2021.18307","url":null,"abstract":"Introduction: Young people's interest in strength exercises has led to the high use of anabolic steroids (AAS) regardless of its long-term side effects. Therefore, this review study was conducted with aim to investigate the effect of AAS drugs on male fertility. \u0000Methods: In line with the aim of the present review study, search was performed in the databases of Scopus, Pubmed, Proquest, Science Direct, ISC, Irandoc, Magiran and Google Scholar with the keywords of energy drugs, male fertility, spermatogenesis, androgenic anabolic steroid drugs and AAS without time restrictions. Among a total of 8453 articles extracted, after reviewing the title, abstract and inclusion and exclusion criteria, finally 33 articles were reviewed. \u0000Results: AAS drugs have long-term effects on the male reproductive system and disrupt spermatogenesis through four primary mechanisms including direct effects on gametes, hypothalamic axis change, pituitary and testis, erectile dysfunction or ejaculation, and decreased libido. It also reduces testosterone production and suppresses spermatogenesis by inhibiting negative feedback at LH and FSH levels. Most side effects are reversible after discontinuation, but long-term use during the reproductive ages and testicular developmental stages disrupts semen analysis and sperm function parameters, and there is no possibility of responding to alternative therapy. Not enough information has been reported about the time required to return male fertility after drug discontinuation. \u0000Conclusion: Excessive use of AAS drugs has long-term adverse effects on male reproductive health, so, existence of various and unknown items of drugs in the market, advertising in clubs and cyberspace and high consumption of drugs regardless of its side effects, require management measures to solve this global health problem and maintain male reproductive health. Therefore, education is recommended to the community, athletes, coaches and health care providers.","PeriodicalId":39154,"journal":{"name":"Iranian Journal of Obstetrics, Gynecology and Infertility","volume":"2015 1","pages":"71-84"},"PeriodicalIF":0.0,"publicationDate":"2021-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73308976","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 : 2021-05-22DOI: 10.22038/IJOGI.2021.18311
N. Kalani, Elham Rafei, M. Haghbeen
Introduction: Phyllodes (PTs) tumors are fibroblastic neoplasms of the breast. PTs are relatively rare and include less than 1% of all breast neoplasms. In this study, a case of large tumor of Phyllodes following fennel consumption was reported. Case presentation: The patient was a 47-year-old MCzabz female who complained of a large mass in the left breast and referred to Peymaniyeh Hospital in Jahrom. The patient had a history of infertility for 8 years. She had a 3 cm mass in the left breast from the past 2 years. During previous 7 months, she has used fennel for 3 months due to menstrual irregularities. Conclusion: It seems that the increasing of the breast tumor size in this patient is due to arbitrary consumption of fennel; because fennel has a lot of estrogen, which affects Endoplasmic Reticulum, and tumor filament cells also have beta ER-estrogen receptors; in this patient, the arbitrary consumption of fennel for 3 months has led to the sudden increase in the volume of this mass in the breast.
{"title":"A large Phyllodes tumor following fennel consumption: Report of a rare case","authors":"N. Kalani, Elham Rafei, M. Haghbeen","doi":"10.22038/IJOGI.2021.18311","DOIUrl":"https://doi.org/10.22038/IJOGI.2021.18311","url":null,"abstract":"Introduction: Phyllodes (PTs) tumors are fibroblastic neoplasms of the breast. PTs are relatively rare and include less than 1% of all breast neoplasms. In this study, a case of large tumor of Phyllodes following fennel consumption was reported. \u0000Case presentation: The patient was a 47-year-old MCzabz female who complained of a large mass in the left breast and referred to Peymaniyeh Hospital in Jahrom. The patient had a history of infertility for 8 years. She had a 3 cm mass in the left breast from the past 2 years. During previous 7 months, she has used fennel for 3 months due to menstrual irregularities. \u0000Conclusion: It seems that the increasing of the breast tumor size in this patient is due to arbitrary consumption of fennel; because fennel has a lot of estrogen, which affects Endoplasmic Reticulum, and tumor filament cells also have beta ER-estrogen receptors; in this patient, the arbitrary consumption of fennel for 3 months has led to the sudden increase in the volume of this mass in the breast.","PeriodicalId":39154,"journal":{"name":"Iranian Journal of Obstetrics, Gynecology and Infertility","volume":"52 1","pages":"101-106"},"PeriodicalIF":0.0,"publicationDate":"2021-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87983499","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 : 2021-04-21DOI: 10.22038/IJOGI.2021.18166
Mohammad Amin Alipour, M. Tabari, A. S. Attar, S. Asghari
Introduction: Spinal anesthesia is the most common method of analgesia for elective cesarean section. Nausea and vomiting in the patients can cause problem during the surgery. This study was performed with aim to compare the frequency of nausea and vomiting following spinal anesthesia using the drug combination of Bupivacain-Fentanyl and Bupivacain-Sufentanil in cesarean surgery. Methods: This double-blind clinical trial study was performed in 2013 on 60 patients with term pregnancies who were candidate for cesarean under spinal anesthesia. Group F received 25 µg fentanyl while group S received 2.5 μg Sufentanil with 12.5mg intratechal Bupivacaine. The main complications were nausea and vomiting during and in the hours 1, 2 ,6, 12 and 24 after the surgery. Other investigated complications included hypotension, urinary retention and time of sensory block regression to the level of T8. Data were analyzed by SPSS software (version.16), and Chi-square test and Student t-test, Logistic regression and repeated data logistic. p < 0.05 was considered statistically significant. Results: The two groups were not significantly different in terms of rate of nausea (P=0.395) and vomiting during (P=0.5) and in hours 1, 2, 6, 12 and 24 after the surgery, hypotension (P=0.589), heart rate changes (P=0.105), urinary retention, the time of sensory block to T8 (P=0.556) and the time of returning motor block (P=0.787). Conclusion: Using two medications of Fentanyl and Sufentanil in combination with hyperbaric Bupivacain had no impact on the frequency and prevalence of nausea and vomiting.
{"title":"Nausea and vomiting after spinal anesthesia with two drugs combinations of bupivacaine- fentanyl and bupivacaine-sufentanil during cesarean section","authors":"Mohammad Amin Alipour, M. Tabari, A. S. Attar, S. Asghari","doi":"10.22038/IJOGI.2021.18166","DOIUrl":"https://doi.org/10.22038/IJOGI.2021.18166","url":null,"abstract":"Introduction: Spinal anesthesia is the most common method of analgesia for elective cesarean section. Nausea and vomiting in the patients can cause problem during the surgery. This study was performed with aim to compare the frequency of nausea and vomiting following spinal anesthesia using the drug combination of Bupivacain-Fentanyl and Bupivacain-Sufentanil in cesarean surgery. Methods: This double-blind clinical trial study was performed in 2013 on 60 patients with term pregnancies who were candidate for cesarean under spinal anesthesia. Group F received 25 µg fentanyl while group S received 2.5 μg Sufentanil with 12.5mg intratechal Bupivacaine. The main complications were nausea and vomiting during and in the hours 1, 2 ,6, 12 and 24 after the surgery. Other investigated complications included hypotension, urinary retention and time of sensory block regression to the level of T8. Data were analyzed by SPSS software (version.16), and Chi-square test and Student t-test, Logistic regression and repeated data logistic. p < 0.05 was considered statistically significant. Results: The two groups were not significantly different in terms of rate of nausea (P=0.395) and vomiting during (P=0.5) and in hours 1, 2, 6, 12 and 24 after the surgery, hypotension (P=0.589), heart rate changes (P=0.105), urinary retention, the time of sensory block to T8 (P=0.556) and the time of returning motor block (P=0.787). Conclusion: Using two medications of Fentanyl and Sufentanil in combination with hyperbaric Bupivacain had no impact on the frequency and prevalence of nausea and vomiting.","PeriodicalId":39154,"journal":{"name":"Iranian Journal of Obstetrics, Gynecology and Infertility","volume":"60 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2021-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76655361","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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