scholarly journals Comparison of adnexal torsion in different phases of women’s life: a retrospective cohort study

2020 ◽  
Vol 9 (4) ◽  
pp. 1482
Author(s):  
Karthiga Prabhu J. ◽  
Shanmugapriya C. ◽  
Sunita Samal ◽  
Balaji Ramraj
Keyword(s):  
Reproductive Potential ◽  
Premenopausal Women ◽  
Ovarian Torsion ◽  
Reproductive Age ◽  
Research Centre ◽  
Age Group ◽  
Adnexal Torsion ◽  
Polycystic Ovaries ◽  
College Hospital ◽  
Reproductive Age Group

Background: Ovarian torsion is one of the most common causes of emergency surgery in gynecology. Though it is more common in reproductive age group, it can occur in extremes of age group. So, we had analysed the clinical presentation, surgical characteristics, and causes of adnexal torsion among adolescent population, reproductive-age women, and postmenopausal women.Methods: Patients with adnexal torsion who were treated in department of obstetrics and gynecology, SRM Medical College Hospital and Research Centre from October 2016 to March 2019 were retrospectively analyzed.Results: Among the 53 cases of adnexal torsion during the study period, maximum (38, 71.6%) were in the reproductive age group. There were three patients with ovarian torsion during pregnancy. Acute pain abdomen was the significant presenting symptom in adolescent group compared to other two group (100% versus 80.6% versus 40%, p = 0.03). Adnexal pathology was in the ovary in 76% and isolated tubal pathology in 5%. Bilateral salpingo-oophorectomy with or without total abdominal hysterectomy was more commonly performed in postmenopausal patients (100%), as opposed to conservative surgery- detorsion and cystectomy in premenopausal women (56%). In Adolescent patients 62% had polycystic ovaries as intraoperative finding. Histopathology were benign except for a patient in postmenopausal age group who had granulosa cell tumour.Conclusions: An early identification of adnexal torsion is necessary in order to achieve conservative treatment in order to maximize the future reproductive potential in younger patients.

scholarly journals Prevalence and socio-demographic determinants of gynecological morbidity among ever married women of reproductive age group in field practice area of Navodaya Medical College Hospital and Research Centre, Raichur

2018 ◽  
Vol 5 (8) ◽  
pp. 3388 ◽  
Author(s):  
Brunda N. K. ◽  
Pavan Kalasker ◽  
Bhaskar Kurre
Keyword(s):  
Married Women ◽  
Reproductive Age ◽  
Research Centre ◽  
Age At Menarche ◽  
Age Group ◽  
Women Of Reproductive Age ◽  
College Hospital ◽  
Field Practice ◽  
Group 15 ◽  
Reproductive Age Group

Background: India has made rapid progress in social, economy and health sectors since independence and simultaneous dramatic changes in lifestyle and social roles for women, mortality rates have shifted, resulting in a decreasing advantage for women. Explaining the consequences of these dynamic changes requires understanding of the various health effects. In the future these changes will have significant impact on women’s health.Methods: A cross-sectional study was conducted among 400 ever married women of reproductive age group (15-49 years) residing in the urban field practice area of NMCH&RC. Study subjects were interviewed about gynecological morbidities experienced in the recent past 6 months. Blood samples were collected and hemoglobin estimation was done.Results: Out of the total 400 ever married women of reproductive age group (15-49 years), 153 women were found to have gynecological morbidity and the prevalence was found to be 38.3%. Statistically significant association was found among the prevalence of gynecological morbidity and variables like literacy status, occupation, age at marriage, age at menarche and type of family of respondents.Conclusions: Due to the traditional and social constrains, socio-cultural factors of study participants, limit their access to the health care and social support services, thereby providing an environment conducive to acquiring and transmitting RTI/STIs. 

scholarly journals Prevalence of Thyroid Disorder in Residents of Western Region of Nepal

2021 ◽  
Vol 9 (3) ◽  
pp. 169-175
Author(s):  
Preeti Sharma ◽  
Namarata Thapa Magar ◽  
Mahesh BK
Keyword(s):  
Subclinical Hypothyroidism ◽  
College Teaching ◽  
Reproductive Age ◽  
Research Centre ◽  
Enzyme Linked Immunosorbent Assay ◽  
Western Region ◽  
Thyroid Disorder ◽  
Age Group ◽  
Total Study Population ◽  
Reproductive Age Group

Thyroid disorder, such as goiter, hypothyroidism, and hyperthyroidism, are leading health problems in Nepal. Owing to geographical and environmental factors, iodine deficiency is prime cause of thyroid disorder. The objective of study to estimate the prevalence of thyroid disorder in residents of western region of Nepal (Pokhara valley). Materials & Methods: The study design was hospital based retrospective study. The data of T3, T4, TSH was collected from subject visiting Department of Biochemistry at Gandaki Medical College Teaching Hospital and Research Centre, Nepal. The samples was collected, serum was separated and thyroid hormones was assayed by Enzyme linked Immunosorbent assay kit from RFLC (India). Result: The total study population was 2248 cases of which 580 (male) and 1668 (female) were enrolled in the study. The prevalence of thyroid disorder was 22.42 % in western region. Subject with hypothyroidism was 12.41% (279) & subject with hyperthyroidism were 10.41% (234) respectively. Female subject of age (15-44) years had a hypothyroidism, i.e. 52.83% (112). About 73.15% (109 out of 149 subjects) were female cases suffered from subclinical hypothyroidism. The thyroid disorder found most prevalent in reproductive age group in female residents in our study. Conclusion: Hypothyroidism is prevalent in all age group of female residents of western region of Nepal.Our study conclude that hypothyroidism and subclinical hypothyroidism found more prevalent in reproductive age group in residents of western region of Nepal. Int. J. Appl. Sci. Biotechnol. Vol 9(3): 169-175  

scholarly journals Influence of thyroid gland in women with abnormal uterine bleeding in reproductive age group

2017 ◽  
Vol 6 (6) ◽  
pp. 2222
Author(s):  
Kavitha Marimuthu ◽  
Malarvizhi Loganathan
Keyword(s):  
Thyroid Dysfunction ◽  
Financial Burden ◽  
Abnormal Uterine Bleeding ◽  
Uterine Bleeding ◽  
Reproductive Age ◽  
Premature Menopause ◽  
Thyroid Disorders ◽  
Age Group ◽  
College Hospital ◽  
Reproductive Age Group

Background: Abnormal Uterine Bleeding is a common complaint encountered in Gynaecology OPD. It occurs in 9-14% of women from Menarche to Menopause affecting quality of life imposing financial burden. Thyroid dysfunction causes broad spectrum of reproductive disorders from abnormal sexual development, menstrual irregularities, infertility and premature menopause. Thyroid disorders are 10 times more common in women and increased prevalence of thyroid disorders in women is possibly due to auto immune nature.Methods: This Prospective study population consisted of 250 women attending the Gynaecology Outpatient Clinic, in Government Dharmapuri Medical College Hospital, with complaints of bleeding problems during menstruation in the age group of 18 to 45 years.Results: Of 250 cases of abnormal uterine bleeding in reproductive age group attending the outpatient department about 68 cases have thyroid dysfunction. The common thyroid dysfunction in our study was hypothyroidism which comprises about 15.6% similarly other thyroid dysfunction are hyperthyroidism in 7.2% and subclinical hypothyroidism in 3.2% and subclinical hyperthyroidism 1.2%.Conclusions: It brings into focus the increased incidence of hypothyroidism among women with menorrhagia and amenorrhea. And increased incidence of hyperthyroidism in women with oligomenorrhea. Early detection by selective screening and specific pharmacotherapy for subclinical thyroid disease early in the course of the disease will prove to be a superior alternative to surgical treatments like hysterectomy.

scholarly journals Prevalence of hypothyroidism in reproductive age group in rural population of Haryana and its effects on menstrual disturbances

2021 ◽  
Vol 10 (2) ◽  
pp. 567
Author(s):  
Priyanka Yadav ◽  
Geetika Arora
Keyword(s):  
Thyroid Dysfunction ◽  
Management Plan ◽  
Reproductive Age ◽  
P Value ◽  
Age Group ◽  
College Hospital ◽  
Medical College ◽  
Menstrual Irregularities ◽  
Reproductive Age Group ◽  
Menstrual Disturbances

Background: Menstrual disorders are a common problem in reproductive age females. These disorders may cause significant anxiety for patients and their families. Thyroid dysfunction is one of the common cause of menstrual irregularities. Aim of the study was to determine the prevalence of hypothyroidism in reproductive age group women (15-45years), describe its various modes of clinical presentation and to assess the menstrual pattern in women with hypothyroidism.Methods: Prospective observational hospital based study during a period of 6 months (January 2020 to June 2020) on patients presenting in OPD in department of obstetrics and gynaecology, SGT medical college, hospital and research institute, Budhera, Gurgaon.Results: Prevalence of hypothyroidism was found to be 52.6% (190 out of total 338 patients) and it increased with increasing age group. 213 patients out of total came with complains of menstrual irregularities. 49.2% with normal menstrual cycle had hypothyroidism while 60.4% presenting with irregular heavy menstrual bleeding had hypothyroidism, p value being 0.019 which was statistically significant.Conclusions: Menstrual irregularities increase with severity of hypothyroidism. So screening for thyroid dysfunction should be included in management plan of menstrual disturbances.

scholarly journals Histopathological and Clinicopathological Co-Relation of Non-Neoplastic Cystic Lesions in Surgically Removed Ovaries

2020 ◽  
Vol 7 (6) ◽  
pp. A294-300
Author(s):  
Dipti Manojbhai Patel ◽  
Seema N Baxi
Keyword(s):  
Morphological Type ◽  
Tertiary Hospital ◽  
Reproductive Age ◽  
Cystic Lesions ◽  
Age Group ◽  
Polycystic Ovaries ◽  
Cross Sectional ◽  
Follicular Cyst ◽  
Neoplastic Lesions ◽  
Reproductive Age Group

Introduction: Neoplastic ovarian lesions have been extensively studied, but less attention is paid to non-neoplastic cystic lesions. Though follicular cysts are the most common of the non-neoplastic cysts, the % of occurrence of individual non-neoplastic lesions is not known. Also, often there is dilemma in reporting the exact type of nonneoplastic cyst. This study was planned with the objectives of assessing percentage of non neoplastic cystic ovaries, determining the morphological forms and relation of the various cysts with age of patient, and to detect whether multicystic non neoplastic lesions are more frequent in present day. Materials and methods: A prospective hospital based cross sectional non-neoplastic ovarian cysts study was done between January to June 2019 in a tertiary hospital. All hysterectomy specimens with the accompanying ovary/ovaries and oophorectomy specimen were included. Microscopic features were assessed. Data was tabulated in MS excel sheet. Percentage of occurrences of age, size, morphological type, laterality and complaints were calculated. Result:50% of 193 ovaries had non neoplastic cystic lesions. Non neoplastic cysts were associated with fibroid in 54%, DUB in 17% and adenomyosis in 16% cases. They were seen commonly during reproductive age group(83%). Post-menopausal age showed 16% cases. 86% of the non neoplastic ovarian cystic lesions were unilateral. 20% non neoplastic cystic lesions were of <1cm, 74% were 1-5 cm in size and 5% were larger than 5 cm. Morphologically 40% were follicular lesions, 32% were simple serous cysts, 14% were haemorrhagic cysts, 8% corpus luteal cysts and 2% each theca lutein and epithelial inclusion cysts. Conclusion: Non neoplastic cystic ovaries comprised 50% of all ovarian lesions, 83% were seen during reproductive age group. Leiomyoma, dysfunctional uterine bleeding and adenomyosis were the common clinical features and 70% of the cysts were 1-5 cm in size. There was no relation between morphological types of the cystic lesions and functional status. Simple serous cyst, cystic follicle, follicular cyst, cystic corpus luteum, corpus luteal cyst, theca luteal cyst, epithelial inclusion cyst and haemorrhagic cyst were found of which follicular cyst was the commonest (40%) Multicystic non neoplastic lesions or polycystic ovaries were not found during the period of study.

scholarly journals Accuracy of Pelvic Ultrasound in Diagnosing Adnexal Torsion

2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Labib Ghulmiyyah ◽  
Anwar Nassar ◽  
Dib Sassine ◽  
Sally Khoury ◽  
Joseph Nassif ◽  
...  
Keyword(s):  
Imaging Modality ◽  
Ovarian Torsion ◽  
Reproductive Age ◽  
Specific Marker ◽  
Large Sample Size ◽  
Adnexal Torsion ◽  
Medical Practitioners ◽  
Line Imaging ◽  
Reproductive Age Group ◽  
Sensitive Marker

Ovarian/adnexal torsion is a rather frequent occurrence in women of reproductive age group worldwide. Etiologies are quite diverse with ovarian lesions and corpus luteal cysts being the most two common. Pelvic or intravaginal ultrasound remains the first-line imaging modality used for diagnosis and evaluation of suspected ovarian/adnexal torsion. In this study, we have adopted a case-based statistical analysis to identify important sonographic markers and further evaluated their contribution in identifying ovarian torsion. Our study successfully determined the important sonographic markers. Our observation and analysis suggest that ovarian enlargement is the most sensitive marker. Ovarian edema was found to be the most specific marker to identify the ovarian torsion with higher level of accuracy and confidence. This pioneer study will provide valuable information and direction to the medical practitioners and radiologists for better diagnosis. Further studies with large sample size will help in establishing our findings universally.

scholarly journals Clinical Findings of Pelvic Inflammatory Diseases among women in Reproductive Age

2021 ◽  
Vol 7 (1) ◽  
pp. 52-55
Author(s):  
Ismat Ara Laizu ◽  
Laila Anjuman Banu ◽  
Fowzia Abul Fayez
Keyword(s):  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Vaginal Discharge ◽  
Inflammatory Diseases ◽  
Clinical Findings ◽  
Reproductive Age ◽  
Age Group ◽  
College Hospital ◽  
Medical College ◽  
Reproductive Age Group

Background: Pelvic Inflammatory disease is a very common gynaecological condition among the women in reproductive age group. Objectives: The purpose of the present study was to find out the clinical findings of Pelvic inflammatory diseases among the women during reproductive age group. Methodology: This cross-sectional study was carried out in the Department of Obstetrics and Gynaecology at Mymensingh Medical College Hospital, Mymensingh, Bangladesh from January 2008 to June 2009 for a period of one (01) and a half year. Women who were presented with pelvic inflammatory disease (PID) attended at the OPD of gynecology Department at Mymensingh Medical College Hospital, Mymensingh, Bangladesh were selected as study population. Detailed clinical history of each patient was taken and thorough physical examination was performed. Result: A total number of 300 cases were recruited. The mean age with SD was 30.3±9.57 years. Majority of the patients had tenderness in the lower abdomen which was 96(64.0%) cases. However, 152(50.7%) patients had vaginal discharge and 34(11.3%) patients had uterovaginal proplapse. However, cervical tear was present in 96(32.0%) cases and chronic cervicitis was present in 138(46.0%) cases. Conclusion: In conclusion most common clinical feature is lower abdominal tenderness followed by vaginal discharge. Journal of National Institute of Neurosciences Bangladesh, January 2021, Vol. 7, No. 1, pp. 52-55

scholarly journals How well urban families are prepared for child birth and its complications

2020 ◽  
Vol 7 (6) ◽  
pp. 2124
Author(s):  
Pujitha Vallivedu Chennakesavulu ◽  
Cuddapah Gaurav Venkat ◽  
Suddapalli Siva Keerthana ◽  
Harika Govada ◽  
Reddivari Preethi
Keyword(s):  
Reproductive Age ◽  
Research Centre ◽  
Birth Preparedness ◽  
Age Group ◽  
Complication Readiness ◽  
New Born ◽  
Danger Signs ◽  
Pregnancy And Childbirth ◽  
Knowledge Of Danger Signs ◽  
Reproductive Age Group

Background: Globally every day, approximately 830 women die from preventable causes related to pregnancy and childbirth. 99% of all maternal deaths occur in developing countries. Care before during and after childbirth can save the lives of women and new born babies which is also known as birth preparedness and complication readiness (BPACR). The objective of this study aims to assess practice of birth preparedness and complication readiness among families of women in the field practicing area of Kamineni Academy of Medical Sciences and Research Centre, Hyderabad.Methods: Field based descriptive study was done during August 2019 to February 2020 for a period of 6 months in urban field practising area. Sample size was 450 families, which includes, antenatal mothers 450 and their husbands 450, and 220 reproductive age group women.  Results: Awareness of key danger signs during pregnancy (73.8%), labour/childbirth (56.7%) and postpartum (44%) were more among antenatal women whereas knowledge of danger signs of new born was highest among husbands of currently pregnant women. Planning of giving birth with a skilled provider was also high among antenatal women (98%) and in their husbands (97.5%), but saving for the same was very low in reproductive age group study population (20.4%).Conclusions: All these findings conclude Indian husbands of urban were more concerned about problems and safety of their offspring that is new born, than antenatal mother. Awareness of danger signs in the new born was lowest.

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