Bangladesh Journal of Obstetrics & Gynaecology最新文献

{"title":"Impact of Surgical Management of Endometrioma on Ovarian Reserve","authors":"M. R. Begum, Nazia Ehsan, Mariya Ehsan, Nahid Parveen, Nasrin Farhana, A. B. Sharif","doi":"10.3329/bjog.v35i2.58793","DOIUrl":"https://doi.org/10.3329/bjog.v35i2.58793","url":null,"abstract":"Objective: The aim of this study was to explore the outcome of surgical removal of endometriotic cyst on ovarian reserve. \u0000Materials and methods: This prospective observational study was carried out in Infertility Care and Research Centre, Dhaka, Bangladesh between January 2011 and December 2018. One hundred and fifty-five patients, who had an ultrasonographic diagnosis of endometrioma measuring ³3 cm and underwent surgical excision due to subfertility were the candidates for this study. The exclusion criteria were a) previous ovarian cystectomy, b) removal of one ovary, c) irregular menstrual cycle, d) polycystic ovarian syndrome e) endocrine disorder, f) low AMH (<1ng/ml), g) history of taking medication for endometriosis that could affect ovarian function, e.g., GnRH analogues or oral contraceptives during the 6 months preceding scheduled surgery. To investigate the effect of surgery on ovarian reserve, their FSH, E2 and AMH were measured before and after surgery. Tests were done before surgery and repeated after 3 months and 6 months of surgery. A value of < 0.05 was considered significant. \u0000Results: Mean age of the patients was 31.72 ±2.77 years. The baseline FSH, E2 and AMH were within normal limit. In 63.88% of the cases the cysts were unilateral and 83.22% of the cases the size of the cysts were within 10 cm. To assess the change of ovarian reserve FSH, E2 and AMH were measured in 3 and 6 months after surgery. There was marked declining of AMH level from baseline to both 3 months and 6 months after surgery p is <0.0001. There was no significant change of FSH and AMH between 3 months and 6 months after surgery. \u0000Conclusion: Cystectomy in ovarian endometrioma significantly reduces ovarian reserve, which is menifested by reduced level of AMH. \u0000Bangladesh J Obstet Gynaecol, 2020; Vol. 35(2): 96-101","PeriodicalId":337805,"journal":{"name":"Bangladesh Journal of Obstetrics &amp; Gynaecology","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130764234","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}

{"title":"Abstract Vol.35(2)","authors":"S. Khatun","doi":"10.3329/bjog.v35i2.58800","DOIUrl":"https://doi.org/10.3329/bjog.v35i2.58800","url":null,"abstract":"Abstract not available \u0000Bangladesh J Obstet Gynaecol, 2020; Vol. 35(2): 130-133","PeriodicalId":337805,"journal":{"name":"Bangladesh Journal of Obstetrics &amp; Gynaecology","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128578984","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}

{"title":"Fertility-sparing Surgery (FSS) in Epithelial Ovarian Cancer (EOC): A Case Report","authors":"S. Khatun, F. Deeba, A. Alam, Roksana Ivy, Farhana Parveen","doi":"10.3329/bjog.v35i1.58264","DOIUrl":"https://doi.org/10.3329/bjog.v35i1.58264","url":null,"abstract":"Background: Epithelial ovarian cancer is the most common and lethal ovarian cancer. Now a days Fertility preservation is an important issue because of the constant shifting of childbearing age towards higher ages. The increasing incidence of epithelial ovarian cancer in women with active childbearing potential constitutes a therapeutic dilemma. Fertility sparing techniques are being increasingly incorporated in the therapeutic strategies in early stages of the disease. Established organ-preserving techniques in early stage epithelial ovarian cancer includes preservation of the contralateral ovary and uterus. \u0000Aim: To report the case of a Epithelial Ovarian Cancer, who had conservative surgery followed by chemotherapy with a good fertility outcome. \u0000Case presentation: A 31-year-old nulliparous woman with a right sided ovarian mucinous cystadenocarcinoma was treated by right adnexectomy and omentectomy followed by chemotherapy. A 3years follow-up showed no signs of relapse, and she completed a fullterm natural pregnancy which was delivered by caesarean section. \u0000Conclusion: Fertility sparing surgery in early stage Epithelial Ovarian Cancer has good prognosis. However, due to the rarity of the disease in early stages, the fertility outcome of this group of patients has not been established. \u0000Bangladesh J Obstet Gynaecol, 2020; Vol. 35(1): 46-48","PeriodicalId":337805,"journal":{"name":"Bangladesh Journal of Obstetrics &amp; Gynaecology","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132629458","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}

{"title":"Abstract Vol.35(1)","authors":"The Editor","doi":"10.3329/bjog.v35i1.58265","DOIUrl":"https://doi.org/10.3329/bjog.v35i1.58265","url":null,"abstract":"Abstract not available \u0000Bangladesh J Obstet Gynaecol, 2020; Vol. 35(1): 49-52","PeriodicalId":337805,"journal":{"name":"Bangladesh Journal of Obstetrics &amp; Gynaecology","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122493986","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}

{"title":"Relationship of Age and Parity with Bone Mineral Density among Postmenopausal Women- A Study at Dhaka Medical College Hospital","authors":"T. Ghani, Setara Binte Kasem, Ratna Paul, J. Dhar, Anwara Begum","doi":"10.3329/bjog.v35i1.58258","DOIUrl":"https://doi.org/10.3329/bjog.v35i1.58258","url":null,"abstract":"Low Bone Mineral Density (BMD) leads to osteoporosis and increased bone fracture risk of a menopausal woman. Low Bone Mineral Density (BMD) is a major risk factor for osteoporosis and fragility fractures. Bone loss is accelerated following cessation of ovarian function and menstruation. Menopause is accompanied by estrogen deficiency and associated with bone loss. Generally accepted risk factors for osteoporosis in women are low BMI, age and duration of menopause. The effect of parity is controversial. So the aim of this cross-sectional observational study was to assess effect of parity on BMD. For this purpose total 100 women aged 50-70 years with parity three or more who had natural menopause were studied over the period of one year. All these women underwent measurement of Bone Mineral Density (BMD) at Dhaka Medical College Hospital (DMCH). Among 100 women 64 were para three to five, 30 were para 6-8 and only six were 9-11 para. BMD of L1-4 and total femur measured among para 3-5 women were (.938±.172,.855±.161) and it was (.851±.170,.769±.155) with para six to eight and (.765±.169, .656±.258) with para 9-11 respectively. ANOVA was done within and between groups, F = 3.996/4.959 ( P = .021/ .009). Negative correlation was found between parity and BMD of L1-4 and total Femur. This negative correlation was statistically significant. It can be concluded that with increasing parity BMD decreases. \u0000Bangladesh J Obstet Gynaecol, 2020; Vol. 35(1): 15-19","PeriodicalId":337805,"journal":{"name":"Bangladesh Journal of Obstetrics &amp; Gynaecology","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129042640","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}

{"title":"BJOG yearly CME program Vol 35(1)","authors":"The Editor","doi":"10.3329/bjog.v35i1.58288","DOIUrl":"https://doi.org/10.3329/bjog.v35i1.58288","url":null,"abstract":"Abstract not available \u0000Bangladesh J Obstet Gynaecol, 2020; Vol. 35(1): 59-60","PeriodicalId":337805,"journal":{"name":"Bangladesh Journal of Obstetrics &amp; Gynaecology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129572057","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}

{"title":"Congenital Rubella Syndrome – Is it Possible to Eliminate?","authors":"H. Iqbal, Kazi Taib Mamun, Nabeela Mahboob, S. Afrin, H. Jannat","doi":"10.3329/bjog.v35i1.58263","DOIUrl":"https://doi.org/10.3329/bjog.v35i1.58263","url":null,"abstract":"Congenital rubella syndrome (CRS) is one of the most devastating congenital infections and yet the only one which is vaccine preventable. Rubella remains an important pathogen globally with approximately 100,000 cases of congenital rubella syndrome estimated by World Health Organization (WHO) to occur each year. It is a public health challenge for clinicians and policymakers across the developing world including Bangladesh. The clinical manifestations of CRS in newborn are a spectrum of congenital defects such as growth retardation, cardiac defects, cataracts, and hearing impairment. The development of vaccines and implementation of vaccination strategies have substantially reduced the incidence of the disease and in turn of CRS in developed countries. In Bangladesh CRS is still an under-recognized public health problem. Therefore, routine vaccination and other preventive strategies should be taken maintained and surveillance studies should be conducted to eliminate CRS from our country. \u0000Bangladesh J Obstet Gynaecol, 2020; Vol. 35(1): 41-45","PeriodicalId":337805,"journal":{"name":"Bangladesh Journal of Obstetrics &amp; Gynaecology","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114927613","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}

{"title":"Role of Diagnostic D&C and Histopathology of Endometrium in Perimenopausal Abnormal Uterine Bleeding","authors":"Moumita Roy, S. Begum, B. H. Ara","doi":"10.3329/bjog.v35i1.58257","DOIUrl":"https://doi.org/10.3329/bjog.v35i1.58257","url":null,"abstract":"Background: Abnormal uterine bleeding is common and important problem in perimenopausal women which has diverse etiology. Among different diagnostic procedures, Dilatation and Curettage (D&C) with histopathology of endometrium has an important role in the detection of underlying cause in perspective of its availability, low cost, and high diagnostic yield. The objective of diagnostic curettage in perimenopausal women with abnormal uterine bleeding is to detect endometrial abnormality. \u0000Methods: It was a hospital based cross-sectional study among fifty patients of 45 to 60 years old with history of perimenopausal bleeding, attending the inpatient and outpatient department of Sir Salimullah Medical College and Mitford Hospital, Dhaka. The cases were selected according to inclusion and exclusion criteria. Routine investigations and pelvic ultrasonograpy were done. Endometrial biopsy were taken by Diagnostic D & C. Chi-square test was used as test of statistical significance. Statistical Package of Social Science Software (SPSS, version 16.0) was used for statistical analysis of data. \u0000Results: Common histopathological pattern identified were endometrial hyperplasia (32%), and polyp (24%). Proliferative endometrium was found in 16% cases, secretory endometrium in 12%, endometrial carcinoma in 6%, endometritis in 4 % and atrophic endometrium in 6% patients. \u0000Conclusion: Endometrial biopsy is an essential step for all cases of perimenopausal and postmenopausal abnormal uterine bleeding to rule out malignancy. \u0000Bangladesh J Obstet Gynaecol, 2020; Vol. 35(1): 7-14","PeriodicalId":337805,"journal":{"name":"Bangladesh Journal of Obstetrics &amp; Gynaecology","volume":"117 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127275302","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}

{"title":"International News Vol 35(1)","authors":"The Editor","doi":"10.3329/bjog.v35i1.58267","DOIUrl":"https://doi.org/10.3329/bjog.v35i1.58267","url":null,"abstract":"Abstract not available \u0000Bangladesh J Obstet Gynaecol, 2020; Vol. 35(1): 58","PeriodicalId":337805,"journal":{"name":"Bangladesh Journal of Obstetrics &amp; Gynaecology","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129704528","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}

{"title":"Menstrual Phenotypes in Relation to Insulin Resistance in Infertile Women with Polycystic Ovary Syndrome","authors":"Shakeela Ishrat, Marufa Hossain","doi":"10.3329/bjog.v35i1.58261","DOIUrl":"https://doi.org/10.3329/bjog.v35i1.58261","url":null,"abstract":"Objective: To explore the menstrual phenotypes associated with endocrine, metabolic characteristics of infertile women with polycystic ovary syndrome. \u0000Materials and methods : The cross sectional study was carried out among 125 infertile women with polycystic ovary syndrome attending Infertility wing of the Department of Obstetrics & Gynaecology, Bangabandhu Sheikh Mujib Medical University, Dhaka from January 2017 to December 2017. The women were evaluated by clinical history, examination, transvaginal sonogram and for endocrine and metabolic parameters. The women were divided into 5 groups according to their menstrual phenotypes: i) cycle length 21-35 days ii) oligomenorrhoea or cycle length > 35 days but less than 6 months iii) secondary amenorrhoea or cycle length ³6 months iv) polymenorrhoea or cycle length <21 days v) oligomenorrhoea alternating with polymenorrhea. One way ANOVA was used for analyzing the variance between groups. Categorical variables were analyzed for association by Fishers Exact Test and Chi Square tests where appropriate. \u0000Results: A total of 125 women were recruited for the study. The women were divided into 5 groups according to their menstrual phenotype: i) cycle length 21-35 days (n=5) ii) oligomenorrhoea or cycle length > 35 days but less than 6 months (n=70) iii) secondary amenorrhoea or cycle length ³6 months (n=35) iv) polymenorrhoea or cycle length <21 days (n=2) v) oligomenorrhoea alternating with polymenorrhea (n=13). Accordingly the women with oligomenorroea with or without polymenorroea was most frequent (65%) followed by women with secondary amenorrhea (27%), regular cycle (0.04%) and isolated polymenorroea (0.01%). One way ANOVA revealed significant difference between groups in fasting insulin and serum testosterone level. There is significant association of oligomenorroea (with or without polymenorrhoea) with insulin resistance (HOMA-IR ³2). There is significant association of secondary amenorrhoea with hyperinsulinaemia ( Fasting insulin ³10mIU/L) and insulin resistance (HOMA-IR ³2). \u0000Conclusions: Menstrual history of infertile women with polycystic ovary syndrome can be a clinical marker of insulin resistance and related metabolic risk. \u0000Bangladesh J Obstet Gynaecol, 2020; Vol. 35(1): 32-36","PeriodicalId":337805,"journal":{"name":"Bangladesh Journal of Obstetrics &amp; Gynaecology","volume":"139 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116938856","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}