Polycystic ovary syndrome (PCOS) is a frequently encountered problem affecting 6-11% women of reproductive age.1 Purpose of the study was to determine whether serum AMH level can be used to diagnose PCOS. Methods: It was a cross sectional study conducted among 55 sub-fertile women of reproductive age (18-35 year) in a tertiary level hospital during the period of January 2018 to December 2018. The study subjects were divided into group I (PCOS patient with subfertility by Rotterdam Criteria 2003) and group II (non PCOS subfertile patients of reproductive age). Menstrual history, obstetrical history, physical examination, clinical assessment of androgenesis, ovarian ultrasound assessment and level of AMH, FSH, LH were collected. Result: Twenty five PCOS & 30 non PCOS sub-fertile patients were recruited. Mean age in PCOS & non PCOS were 25.24±4.03 years and 27.8±5.01 years respectively. The mean serum AMH in PCOS was 11.03±3.78 ng/ml and in non PCOS was 3.93±1.92 ng/ml, their difference was statistically significant. Conclusion: AMH can be used as a diagnostic aid for PCOS. J Shaheed Suhrawardy Med Coll, December 2019, Vol.11(2); 142-146
Objective : To establish the fact that most of the routine gynaecological operations need no blood transfusion. Method : This was a prospective observational study conducted in Dhaka Medical College Hospital from 15th January, 2011 to 14th April, 2011. Subjects were gynaecological patients admitted for routine operation. Main outcome variable was comparison of postoperative events between patients who received blood transfusion and who did not. Results : 40 gynaecological patients were operated without blood transfusion (Group I ) and 40 patients were taken who were operated with blood transfusion (GroupII ). Among the patients 35% in Group I and 42.5 % patients in Group II had some minor complications (hypotension, fever, wound infection and others) in postoperative period . The p value of of these postoperative complications in Group I is 0.020 and in Group II is 0.047 and r = 0.75 . The difference of pvalue is significant. No patient of any group sufferred from any major comcplication. Conclusion : There was no advantage of transfusing blood in routine gynaecological operation, rather more patients with blood transfusion had some minor postoperative complications. J Dhaka Medical College, Vol. 27, No.2, October, 2018, Page 123-126
Background: People always complain that previously almost all women used to have vaginal delivery, but they do not mention the fetal outcome, eg, the number of affected fetus and also intrauterine death or stillborn. The objective of our study was to see the fetal outcome among antenatally unbooked women with gestational age beyond EDD who came to hospital with labor pain and also to see the mode of delivery in these pregnancies. Method: It was an observational prospective study conducted in Daudkandi Upazilla Health Complex, Kumilla, from March , 2012 to May, 2012. Sampling procedure was consecutive sampling. A total number of 52 postdated pregnant women were enrolled in our study who came to hospital with labor pain. Result: The percentage of vaginal delivery in postdated pregnancy was 80.77% and the percentage of cesarean delivery was 19.23% . Fetal outcome was good in 76.92%, baby was asphyxiated in 19.23% , baby was stillborn in 3.85% women. Conclusion: Though vaginal delivery rate is high in women with antenatally unbooked postdated pregnancy with spontaneous onset of labour pain , but the fetal outcome is not good. The women who are crossing EDD must undergo careful fetal monitoring to have more vaginal delivery with good fetal outcome. J Dhaka Medical College, Vol. 27, No.1, April, 2018, Page 47-50
Subfertility, a global health issue is defined as the failure in pregnancy after one year of unprotected intercourse. It affects approximately 10%-15% of the couple in developed country1. It is not merely a health problem but also a matter causing social instability, marital disharmony and many disgraceful conditions. Regarding causes of subfertility, female factor, male factor, combined male and female factors and sometimes unexplained factors are responsible. Objective: The aim of the study was to find out the etiological factors and the patterns of subfertility among the couples attending the infertility clinic and outpatient department (OPD) of Kurmitola General Hospital of Bangladesh. Methods : This cross-sectional study was done at the OPD and infertility clinic of Kurmitola General Hospital during the period of January 2019 to- December 2019. Total 140 couples with necessary investigations were interviewed by structured questionnaire. Data analysis done under SPSS method. Result : In this study total number of 140 couples were studied. The frequency of primary and secondary subfertility was 55% and 45% respectively. Among 140 couples mean age of female was 32.6 year and mean age of male was 36.4 year. The mean duration of the subfertility among the couples was 7 year. Concerning the contribution of male and female factor among 140 couples, female factor was responsible in 55% case and male factor was responsible in 20% cases, 10% had combined male and female factor and in 15% couple causes of subfertility was unexplained. Regarding the etiology of subfertility among women, different factors included. Polycystic ovarian syndrome (PCOS) 46.15%, tubal factor 31.86%, endometriosis 8.79%, among hormonal disorder hypothyroidism was responsible in 5.49% and hyperprolactinemia in 2.19 % cases, and ovarian cause like poor ovarian reserve was responsible in 4.39% cases and uterine factor was responsible in 1.09% cases. To detect the male factors of subfertility semen analysis report was done., among male partner 69.04% had oligospermia, 16.66% show asthenospermia, another 9.52% show teratospermia. Azoospermia was detected in 4.76% cases. Conclusion: Bangladesh is a developing country where population burden is a big concern. On the other hand, reproduction is a basic human right. As the subfertility leads to physical, psychological and social problems so government needs to take care of this subfertility issue. This study gives us the idea of the needs and further demands of the services in our country to identify social cultural and economic factors associated with subfertility and interventions needed to overcome the current situation. Sir Salimullah Med Coll J 2021; 29(2): 136-140
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