Virginity, for females, is defined by an intact hymen. Pregnancy in the presence of an intact hymen is a rare occurrence. We report a case of hydatidiform mole in a 26 year old single lady with intact hymen. She presented with three months history of amenorrhea, lower abdominal pain, vaginal bleeding with passage of vesicles. The patient denied any history of penetrative sexual intercourse but volunteered a history of two episodes of intense romance with her boyfriend with resultant ejaculation of semen on her thighs. A pelvic mass of about 22 weeks size, without discernible fetal parts was palpable on abdominal examination while pelvic examination revealed a normal vulva and vagina smeared with altered blood, with an intact hymenal ring. She had suction evacuation and histology confirmed complete hydatidiform mole. The hymen was torn during the procedure and she is on follow up. The intention of this report is to alert clinicians that an abnormal, premalignant tumour can be a complication of pregnancy in a virgin. Intact hymen, pregnancy, hydatidiform mole Keywords
Background: Malaria in pregnancy still remains a public health concern that needs to be addressed; it ranks among the commonest causes of complications in pregnancy, leading to maternal morbidity and mortality. Objectives: This study is aimed at reviewing the pattern of antimalarial use in the management of malaria in pregnancy so as to determine the compliance of prescribers to recommended guidelines and policies of drug use in pregnancy, and review the core prescribing indicators. Methodology: This was a retrospective study conducted between 1st January 2012 to 31st December 2012 at the Department of Obstetrics and Gynecology Usmanu Danfodiyo University teaching hospital (UDUTH), Sokoto – Nigeria. Case notes of pregnant women seen and managed as a case of Malaria in pregnancy within the study period were retrieved. Data analysis was done using the statistical package for social sciences (SPSS) 17.0. Results: Four hundred and eighty two case folders were retrieved within the study period. The mean age was 26.8 ± 5.01 years. Artemisinin combination therapy (ACTs) were the most commonly prescribed drugs; Artemether-lumefantrine 68% (328), artemether 42 (8.7%), artesunate and artesunate-SP each 20 (4.1%) of the patients respectively. The diagnostic approach was clinical symptomatology (62.2%) and Laboratory confirmed in only (37.8%). Generic prescribing accounted for 48.9%, injectables and antibiotics accounted for 21.2% and 43.2% respectively. Conclusions and Recommendations: Optimum adherence to recommended treatment guidelines is advocated. ACTs were the most prescribed antimalarial irrespective of the trimester. There was lack of compliance with prompt parasitological confirmation by microscopy or Rapid Diagnostic Tests (RDTs) in many of the patients suspected of malaria. Core prescribing indicators were not in consonance with standard reference values in this study. An urgent need for continuing medical education and professiona
Background: Male infertility can occur when sperms are limited innumber or function. Infertility is a socially destabilizing and stigmatizing condition for couples but in our society many erroneously believe it is a problem from the female alone. Objectives: To evaluate the semen of infertilemale partners of couplesattending gynaecological clinic of Usmanu Danfodiyo University Teaching Hospital (UDUTH), Sokoto. Methodology: This was a prospective study conducted at the gynaecological clinic of Usmanu Danfodiyo University Teaching Hospital Sokoto between 1stJanuary 2011 and 30th June 2011. For the purpose of this study all male partners of women who complained of inability to conceive after a period of a year or more of unprotected sexual intercourse were recruited into the study. Data was extracted and analyzed using SPSS (version 11). A P–value of less than 0.05 was considered significant. Results: There were 125 cases of male infertility recruited during the period. Majority of the male patients (51.2%) were aged 40 years and above. Considerable percentage of the patients (46.4%) presented with duration of Infertility of 5 years and above. The identified risk factors were a previous history of Urethral discharge (37.6%) and previous treatment of sexually transmitted infections (29.6%). Hypospermia (33%) and Asthenospermia (42.4%) were the commonest disorders of semen Parameters seen. Low sperm count was seen in (36.8%) of studysubjects, Azoospermia was observed in 8% while 16% of them had disorder of sperm morphology. Conclusion: The study shows that infertility is associated with relatively high rate of abnormal sperm volume, motility and count. In addition, genital tract infections are major associated factors. Therefore, efforts to address STIs through primary, secondary and tertiary preventive measures may make significant contributions to reducing the prevalence of male infertility in Sokoto State.
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