scholarly journals Investigating Hysteroscopy Implementation in Infertile Women Candidate With a Normal Uterine Cavity for Laparoscopy in Hysterosalpingography

2018 ◽  
Vol 7 (1) ◽  
pp. 79-84
Author(s):  
Maliheh Amirian ◽  
Anis Darvish Mohammadabad ◽  
Negar Morovatdar ◽  
Leili Hafizi
Keyword(s):  
Diagnostic Laparoscopy ◽  
False Negative ◽  
Uterine Cavity ◽  
Cross Sectional Study ◽  
P Value ◽  
Cross Sectional ◽  
Endometrial Polyps ◽  
Infertile Women ◽  
Submucous Myoma ◽  
Age Range

Objectives: Endometrial pathologies inside the cavity can occur simultaneously with gestational unpleasant consequences but are not always capable of being diagnosed by the hysterosalpingography (HSG). This study aimed to examine the value of performing diagnostic hysteroscopy beside diagnostic laparoscopy among infertile women with normal uterine cavities in HSG. Materials and Methods: A total of 103 infertile women with normal uterine cavities in the HSG and within the age range of 18-40 who referred to Imam Reza hospital for laparoscopy during 2016-2017 were included in this cross-sectional study. Hysteroscopy was performed simultaneously with diagnostic laparoscopy. Then, the existence of uterine pathologies like endometrial polyps, submucous myoma, and uterine endometrial adhesions and their relationship with the patient’s age, infertility type and duration, and cycle time were evaluated. A P value less than 0.05 was considered statistically significant. Results: Overall, 64 patients (63.1 %) had a normal uterine cavity in the hysteroscopy while 39 of them had an abnormal uterine cavity, the HSG false negative cases of whom were reported 37.9%. The pathologies found in the hysteroscopy were endometrial polyp (16 cases), submucous myoma (1 case), uterine septum (6 cases), asherman syndrome (7 cases), bicornuate uterus (4 cases), polyp + asherman (3 cases), polyp + submucous myoma (1 case), and septum + submucous myoma (1 case). Patients’ age, type of infertility, and menstruation time during performing hysteroscopy made no particular difference in diagnosing pathologies of the uterine cavity in the hysteroscopy. Conclusions: Based on the findings, conducting hysteroscopy in infertile women who are candidates of laparoscopy and have normal uterine cavities in HSG can result in recognizing some cases of uterine pathologies which influence the outcomes of future pregnancies is not dependent upon the patient’s age, menstruation time, type and duration of infertility, and result of laparoscopy.

Spectrum of Pathological Lesions in Uterine Specimens with Focus on Gestational Trophoblastic Disease in Karachi

2020 ◽  
Keyword(s):  
Hydatidiform Mole ◽  
Endometrial Stromal Sarcoma ◽  
Gestational Trophoblastic Disease ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
P Value ◽  
Cross Sectional ◽  
Endometrial Polyps ◽  
Trophoblastic Disease ◽  
Proliferative Endometrium

Background: The most common benign pathological lesion in women of reproductive age is uterine leiomyoma. Gestational trophoblastic disease includes tumors and tumor like lesions originating from trophoblastic tissue. The aim of this study was to find the spectrum of molar pregnancy and uterine pathologies focusing on gestational trophoblastic disease as no study has been done in the past few years. Methods: Endometrial and uterine specimens of patients (n=436) between the ages of 15-65 years were collected from a private hospital in Karachi from December 2018 to December 2019. This cross-sectional study was carried out by pathological diagnosis of patients’ samples under light microscopy using hematoxylin and eosin staining. Stratification was done about age and nature of specimen to control the effect modifiers. The post stratification Chi square test was applied and p value <0.05 was considered significant. Results: Mean age of the patients was 36.1 years ±7.8. Total 436 uterine biopsies included 260(59.6%) hysterectomies, 56(12.8%) endometrial curetting’s, 117(26.8%) evacuation specimens and 3(0.7%) polypectomies. Common pathologies included 124(28.4%) leiomyomas, 61(14%) proliferative endometrium, 52(11.9%) adenomyosis and 32(7.3%) endometrial polyps. Gestational trophoblastic disease was seen in 9(2.06%). Seven (87.5%) were partial hydatidiform moles, one (12.5%) exaggerated placental site reaction and one choriocarcinoma. Mole was common between 26-30 years with mean age of 27.2 years and prevalence was 6/100 abortions. Conclusion: Leiomyoma was the commonest (28.4%) uterine pathology followed by proliferative endometrium (14.5%). However, endometrial stromal sarcoma and endometriosis were found 0.2% each. High prevalence of mole was seen in this study. Partial mole was most common and choriocarcinoma was least common. Keywords: Hydatidiform Mole; Pathology; Prevalence.

scholarly journals Pattern of earlobe attachment among the Ika ethnic group in Delta State, Nigeria

2021 ◽  
Vol 7 (3) ◽  
pp. 054-057
Author(s):  
Anibor Ese ◽  
Okolugbo Nekwu Emmanuel ◽  
Inikoro Charity ◽  
Odiete Enoh
Keyword(s):  
Ethnic Group ◽  
Frequency Distribution ◽  
Cross Sectional Study ◽  
Visual Observation ◽  
P Value ◽  
Cross Sectional ◽  
The Social ◽  
Age Variation ◽  
Sexual Category ◽  
Age Range

Objective: The aim of this study is investigating the distribution of earlobe attachment among the Ika ethnic group, in Delta State, Nigeria. Methods: This cross-sectional study was conducted in Ika speaking communities in Delta State, Nigeria. The sample consists of 384 subjects (192 males and 192 females) and the participants were categorized in accordance of sexual category with age ranges from 18 to 60 years. Data was collected by visual observation and the data obtained was analyzed with the aid of Statistical Package for the Social Sciences (SPSS) Version 21.0. A p-value less than 0.05 was considered as statistically significant. Results: The males portrayed the highest frequency distribution of attached earlobe while the females showed more of free earlobe. There is no significant gender difference in the pattern of earlobe attachment (p =.46). Free earlobe manifested among the 39-48years age range with the highest frequency distribution and the least by age interval within 59years and above. The attached earlobe displayed age differences in distribution with the highest frequency from 49-58 age range and the least by age range 59years and above. There is a remarkable age variation in earlobe attachment (p =.001). Conclusion: The attached earlobe is more predominant than the free or unattached earlobe among the Ikas in Delta State, Nigeria. The association between age and pattern of earlobe attachment is significant and there is no significant gender variation in the pattern of earlobe attachment.

scholarly journals VAGINAL SONOGRAPHY a HYSTEROSCOPY

2009 ◽  
Vol 16 (03) ◽  
pp. 432-437
Author(s):  
MASOMEH ASGHARNIA ◽  
Zahra Mohammad Tabar ◽  
MARZIEH MEHRAFZA ◽  
Mary am Shakiba ◽  
MONA OUDI ◽  
...  
Keyword(s):  
Sensitivity And Specificity ◽  
Uterine Cavity ◽  
Cross Sectional Study ◽  
Therapeutic Modality ◽  
Histological Evaluation ◽  
Complete Evaluation ◽  
Cross Sectional ◽  
Predictive Values ◽  
Infertile Women ◽  
Sensitivity Specificity

B a c k g r o u n d : Hysteroscopy is a valuable diagnostic and therapeutic modality in the management of infertility. A i m : To evaluatethe consistency of hysteroscopy based on a histopathological report from endometrial specimens for intrauterine disorders. Materials andMethods: This is a cross-sectional study. The study included 115 infertile patients. All were admitted for investigation of infertile women beforeassisted reproduction in Mehr infertility institute between 2006 and 2007 hysteroscopy, and histological evaluation of endometrial biopsyperformed.We compared the efficacy of hysteroscopy in the diagnosis of benign intrauterine pathology in infertile women in whom the diagnosiswas confirmed by histologic studies. The women had a complete evaluation with preoperative hysteroscopy, and histological analysis of uterinecavity specimens. Sensitivity, specificity, predictive and negative predictive values were calculated for hysteroscopy considering the histologicalstudy as 100%. Results: Sensitivity and specificity of sonography in diagnosing the polyp were stated 81 % and 64% respectively. Sensitivityand specificity of hysteroscopy showed of polyps revealed 85% and 84% respectively. The results indicated that Sensitivity and specificity ofsonography in diagnosing the myoma were 25% and 98% respectively. Sensitivity and specificity of hysteroscopy in diagnosing the myomawere expressed 50% and 93% respectively. C o n c l u s i o n : Hysteroscopy is a safe and rapid direct visualisation of the uterine cavity. We believeit should be replaced by the diagnostic hysteroscopy as a first line infertility investigation.

scholarly journals Evaluation of uterine cavity by hysteroscopic examination in infertile women in BSMMU

2016 ◽  
Vol 9 (1) ◽  
pp. 32 ◽  
Author(s):  
Jesmine Banu ◽  
Farzana Deeba ◽  
Parveen Fatima ◽  
Parveen Sultana
Keyword(s):  
Standard Procedure ◽  
Uterine Cavity ◽  
Cross Sectional Study ◽  
Infertile Woman ◽  
Cross Sectional ◽  
Vitro Fertilization ◽  
Infertile Women ◽  
Primary Infertility ◽  
Diagnostic Hysteroscopy

<p><strong>Background:</strong> Hysteroscopy is the gold standard procedure for uterine cavity exploration. However, hysteroscopy is only recommended by the WHO when clinical or complementary exams (ultrasound, HSG) suggest intrauterine abnormality or after in vitro fertilization failure. Nevertheless, many specialists feel that hysteroscopy is a more accurate tool.</p><p><strong>Objec­tive:</strong> The aim of this prospective study is to find out the evaluation of uterine cavity by hysteroscopic examination as a primary workup of infertility. To asses the uterine pathology which is the causal factor for infertility.</p><p><strong>Method:</strong> This is a cross sectional study in which total 100 infertile patients were enrolled from infertility OPD in BSMMU with maintain­ing inclusion and exclusion criteria Hysteroscopy was performed with a standard sequence. The endocervical canal, uterine cavity, endometrium, and tubal ostia were inspected and findings were recorded. Results: Hysteroscopy was performed in 100 infertile women,among them 44% were presented with primary infertility and 56% presented with secondary infertility. The most common indication for diagnostic hysteroscopy was as a part of an infertility workup 80% cases. Other indication included abnormal hysterosalphingography, recurrent pregnancy loss and unexplained infertility. Hysteroscopy revealed a normal uterine cavity in 51 ( 51 % ) women (Table 2).among them majority of patients were primary infertility.and age less than 30 years. Hysteroscopic abnormalities are significantly high in secondary than primary infertility.</p><p><strong>Conclusion:</strong> In this study abnormal hysteroscopic findings were found in 49% who underwent diagnostic hysteroscopy. Our data are an additional argument to suggest that diagnostic hysteroscopy as part of investiga­tion in infertile woman to evaluate uterine pathology. Routine diagnostic hysteroscopy should be part of an infertility workup in both primary and secondary infertility.At the same setting therapeutic approach also be possible which is beneficial for the patients.</p>

scholarly journals HIV and Glucose-6-Phosphate Dehydrogenase (G-6-PD) Deficiency among University Athletes in Rivers State, Nigeria

2020 ◽  
pp. 36-41
Author(s):  
I. O. Okonko ◽  
S. Adewuyi- Oseni ◽  
T. I. Cookey ◽  
K. C. Anugweje
Keyword(s):  
Cross Sectional Study ◽  
Quantitative Detection ◽  
P Value ◽  
Cross Sectional ◽  
Test Kit ◽  
Rivers State ◽  
Glucose 6 Phosphate Dehydrogenase ◽  
Age Range ◽  
Hiv 1 ◽  
University Athletes

Aim: Athletes are not immune to human immunodeficiency virus (HIV) and Glucose-6-Phosphate Dehydrogenase (G-6-PD) deficiency, and these conditions do not cause any harm or damage to their body as long as the necessary precautions in term of medications and others are adhered to. This research’s main objective was to determine the prevalence rate of G-6-PD deficiency and HIV among the University athletes in Rivers State, Nigeria. Study Design:  Cross-sectional study. Place and Duration of Study: Sports Institute, University of Port Harcourt (UNIPORT), Nigeria, between June 2012 and July 2015. Methods: A total of 258 athletes were screened (134 females and 124 males) for HIV and G-6-PD deficiency. The athletes’ ages, gender and dates of birth were obtained and recorded. The presence of the HIV-1 and HIV-2 antibody was detected using the Uni-Gold™ Recombigen® HIV-1/2 for the detection of HIV. While Beutler Semi-quantitative G-6-PD Test Kit (BSA-3000) was utilized for the quantitative detection of G-6-PD deficiency in whole blood. Results: Of the 258 athletes tested, 0.7% was G-6-PD deficient while 1.2% was positive for HIV. The G-6-PD deficient positive cases were found in the age range of 21-25 years while the higher prevalence of HIV was observed in the age range 31-35 years (4.8%), followed by 26-30 years (1.9%) and the least was observed in the age group 21-25 years (0.7%). Age and gender had no significant relationship with the positivity of the athletes to HIV and G-6-PD (p-value >0.05). Conclusion: This study confirms the presence of HIV and G-6-PD deficiency among university athletes in Rivers State, Nigeria. This calls for routine testing of both the athletes and the general public for G-6-PD deficiency to prevent hemolysis causes by G-6-PD deficiency.

scholarly journals Hysterosalpingography Vs Hysteroscopy in the Detection of Intrauterine Pathology in Infertility

1970 ◽  
Vol 7 (1) ◽  
pp. 6-9 ◽  
Author(s):  
B Shakya
Keyword(s):  
Predictive Value ◽  
False Negative ◽  
False Negative Rate ◽  
Uterine Cavity ◽  
University Teaching ◽  
Endometrial Polyps ◽  
Proliferative Phase ◽  
Submucous Myoma ◽  
Health Research Council ◽  
Prospective Comparative Study

Background: This study was to compare the accuracy of hysterosalpingography (HSG) with hysteroscopy (HSC) in detection of uterine pathology in patients with infertility. Methods: This is a prospective comparative study done among 50 new cases of primary and secondary infertility presenting to infertility clinic of Tribhuvan University Teaching Hospital from March 2006 - 2007. HSG was performed in the proliferative phase of menstrual cycle followed by HSC in the proliferative phase of the same or the following cycle. Intra uterine findings on HSG were evaluated and compared with hysteroscopic findings. Results: Out of 50 cases, HSG revealed normal findings in 49 cases (98%) and HSC demonstrated normal uterine cavity in 44 of the cases (88%). There was one abnormality (2%) shown on HSG (subseptate uterus) which was confirmed at HSC. HSC demonstrated six cases (12%) of intrauterine pathologies and these were endometrial polyps, subseptate uterus and submucous myoma. HSG in the detection of intrauterine pathology had a sensitivity (SV) of 16.7% (95% CI 0.9-63.5), specificity (SP) 100% (95% CI 90-100), positive predictive value (PPV) 100% (95% CI 5.5-100), negative predictive value (NPV) 89.8% (95% CI 77-96.2), false negative rate (FNR) 83.3% and accuracy rate (AR) 90%. Conclusion: HSG is a specific, but not sensitive predictor of uterine pathology. However, HSG did not provide any additional finding in comparison to HSC. Therefore, HSG is not advisable in the detection of uterine pathology in infertility patients.Key words: diagnostic hysteroscopy, hysterosalpingography, infertility, uterine cavity.   DOI: 10.3126/jnhrc.v7i1.2271 Journal of Nepal Health Research Council Vol. 7, No. 1, 2009 April 6-9

scholarly journals Weight Management Merits Attention in women with infertility: A Cross-Sectional Study on the Association of Anthropometric Indices with Hormonal Imbalance in a Ghanaian Population

2019 ◽  
Author(s):  
William K.B.A. Owiredu ◽  
Peter Ntim Ofori ◽  
Cornelius Archer Turpin ◽  
Christian Obirikorang ◽  
Emmanuel Acheampong ◽  
...  
Keyword(s):  
Partial Correlation ◽  
Positive Association ◽  
Cross Sectional Study ◽  
P Value ◽  
Anthropometric Indices ◽  
Secondary Infertility ◽  
Anthropometric Measures ◽  
Cross Sectional ◽  
Infertile Women ◽  
Hormonal Imbalance

Abstract Objective: This study determined the association of anthropometric indices with hormonal imbalance among infertile women in a Ghanaian population. Results: Follicle stimulating hormone (FSH) levels (18.47 vs 8.67, p-value =0.002), and luteinizing hormone (LH) (12.43 vs 8.01, p-value =0.044) were higher in women with primary infertility compared with women presenting with secondary infertility. Waist circumference (WC) and waist-to-height ratio (WHtR) showed significant negative partial correlation with prolactin in both primary and secondary infertile women. Also a significant negative partial correlation was observed between BMI and prolactin in secondary infertile women only. Waist-to-hip ratio (WHR) showed a positive association with LH in both primary and secondary infertility. WHR also showed significant positive correlation to LH/FSH ratio in secondary infertility whereas body adiposity index (BAI) showed a negative correlation to LH/FSH ratio. In a correlation analysis of anthropometric measures with hormonal profile and causes of infertility as a fixed factor, the association between anthropometric indices and fertility hormones was largely dependent on the underlying causes of infertility.

scholarly journals Evaluation of the uterine cavity by office hysteroscopy in patients with infertility and recurrent pregnancy loss: a cross sectional study

2018 ◽  
Vol 8 (1) ◽  
pp. 200
Author(s):  
Abo Bakr A. Mitwally ◽  
Esraa Y. Badran ◽  
Tamer Arby ◽  
Ahmed M. Abbas ◽  
Ahmed Nasr ◽  
...  
Keyword(s):  
Pregnancy Loss ◽  
Recurrent Pregnancy Loss ◽  
Transvaginal Ultrasound ◽  
Uterine Cavity ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Office Hysteroscopy ◽  
Secondary Infertility ◽  
Cross Sectional ◽  
Endometrial Polyps

Background: The aim of the present study is to determine role of hysteroscopy in women presented with primary or secondary infertility and in women presented with recurrent pregnancy loss.Methods: This cross-sectional study was conducted at Obstetrics and Genecology Department, Women Health Hospital Assiut University, Egypt from October 2016 to February 2018. Reproductive aged women who are suspected as having intrauterine pathology, such as submucosal myoma, endometrial polyps or other endometrial pathological findings based on the transvaginal ultrasound were enrolled. All patients were scheduled for office hysteroscopy as an outpatient. An informed consent was obtained prior to participation in the study.Results: Hysteroscopy was performed in 139 infertile women and 41 cases of repeated pregnancy loss. With regard to infertile patients; 67.6% of the patients had normal findings, 10.1% of the patients had intrauterine adhesion, 8.6% of the patients had intrauterine polyp. 5.8% of the patients had septate uterus and 3.6% of the patients had depressed fundus. With regard to patients with recurrent pregnancy loss; 51.2% of the patients had normal findings, 21.9% of the patients had partial septum, 9.8% of patients had intrauterine adhesions, 7.3% of patients had intrauterine polyp and 4.9% of the patients had submucous myoma.Conclusions: It was concluded that hysteroscopy should be considered as routine investigation in evaluation of women with primary and secondary infertility.

Sign in / Sign up

Export Citation Format

Share Document