Maternal plasma ET-1 and leptin correlate with the degree of fetal growth restriction originating from deterioration of placental function. Maternal plasma leptin and ET-1 levels may reflect deterioration in fetal growth.
Genital tuberculosis has a role in the etio-pathogenesis of infertility. Laparoscopy and direct tissue biopsy are the gold standards for its diagnosis.
In low-resource settings, expectant management of early-onset severe PE is associated with relatively higher rates of perinatal mortality and maternal morbidity and should be limited to gestational ages between 28 and 34 weeks of gestation.
Objective:To estimate the incidence of genital tract tuberculosis (T.B.) among infertile women during laparoscopic evaluation for infertility in Mansoura University Hospital.Design: A prospective study. Setting: suspicious findings for 1'.8. adnexitis Or peritonitis were biopsied, and whole endometrial curettage was taken for histopathology. A confirmatory test P.C.R. was performed form peritoneal fluid samples and tissue biopsies.Results: The incidence of genital tract TB. as diagnosed by laparoscopy and confirmed by tissue biopsy was 5.7% among infertile women in Mansoura University Hospital. Laparoscopic findings and direct tissue biopsy had the highest sensitivity and specificity (92-94%) followed by P.C.R (83-85%) and lastly endometrial biopsy (75-80%) for diagnosis of TB .. The incidence of TB. increased among rural. low socioeconomic and low educational level patients.Conclusion: Genital T.B.has still a role in the aetiopathogenesis of infertility in our community. Laparoscopy and direct tissue biopsy is the gold standard for diagnosis.
Objectives: To assess the diagnostic accuracy of transvaginal ultrasound, aspiration cytology and estradiol content alone and in triad in the discrimination between functional and nonfunctional unilocular ovarian cysts in premenopausal women.Methods: Premenopausal women (n;;; 18) with unilocular ovarian cysts undergoing laparoscopy were recruited.Intracystic fluid was obtained by needle aspiration and subjected to cytology and estradiol content. The cyst wall that was removed during laparoscopy/laparotomy was subjected to histopathology as a gold standard. Cysts were classified into functional or non-functional according to the results of transvaginal ultrasonography, cytology and estradiol content.
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