scholarly journals Laparoscopic evaluation and prevalence of endometriosis among infertile women: a prospective study

2020 ◽  
Vol 9 (5) ◽  
pp. 1914
Author(s):  
Sana Sharfuddin ◽  
Nazar Imam ◽  
Anup Pradhan
Keyword(s):  
Prospective Study ◽  
Young Women ◽  
Uterine Cavity ◽  
Signs And Symptoms ◽  
Duration Of Symptoms ◽  
Surgical Interventions ◽  
Common Causes ◽  
Reproductive Techniques ◽  
Laparoscopic Evaluation ◽  
A Prospective Study

Background: Endometriosis can be defined as presence of endometrial mucosa outside the uterine cavity. There are no specific signs and symptoms of endometriosis and the presentation may vary depending upon the site of involvement. It is one of the common causes of subfertility and infertility in young women. The Management of endometriosis may include medical as well as surgical intervention. Laparoscopic interventions have found to have encouraging results in terms of increasing chances of fertility in young women with endometriosis.Methods: This was a prospective study in which women who had infertility and subsequently diagnosed to be having endometriosis were included. A detailed history was taken with particular emphasis on duration of symptoms, presence of additional co-morbidities and duration of infertility was recorded. Diagnostic laparoscopy was done in all the cases. Depending upon location and severity of endometriosis adhesiolysis, excision and ablation of endometrial lesions was done. Patients were followed up and successful pregnancies (spontaneous as well as secondary to assisted reproductive techniques) were recorded.Results: Out of 200 studied cases endometriosis was seen in 23 (11.5%) patients. the most common affected age group was between 26-30 years (47.83%). 18 patients (78.26%) had primary infertility whereas remaining 5 patients (21.74%) were found to have secondary infertility. The most common site was found to be ovaries which was found to be involved in all the cases. cystectomy (30.43%), endometrioma drainage and fulguration (13.04%) or adhesiolysis (34.78%) were the commonly done surgical interventions in cases. out of 18 patients who had successful ovulation following laparoscopic intervention 12 (66.66%) patients completed their pregnancies successfully.Conclusions: Laparoscopic interventions in patients with infertility have diagnostic as well as therapeutic value and are found to have good outcome in terms of successful pregnancy.

A Prospective Study of Premenstrual Tension Symptoms in Healthy Young Australians

1978 ◽  
Vol 12 (4) ◽  
pp. 241-244 ◽  
Author(s):  
P. J. V. Beumont ◽  
Suzanne F. Abraham ◽  
W. J. Argall ◽  
Kathleen G. Simson
Keyword(s):  
Menstrual Cycle ◽  
Prospective Study ◽  
Young Women ◽  
Psychological Symptoms ◽  
Gradual Rise ◽  
Premenstrual Tension ◽  
A Prospective Study

Thirty healthy young women volunteered to complete questionnaires concerning physical and psychological symptoms during a full menstrual cycle. A maximal incidence of minor physical and psychological symptoms was observed in the first few days of menstruation. This was preceded by a gradual rise in the level of symptomatology during the premenstruum.

scholarly journals A prospective study of absolute risk and determinants of human papillomavirus incidence among young women in Costa Rica

2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Megan Clarke ◽  
◽  
Mark Schiffman ◽  
Sholom Wacholder ◽  
Ana Cecilia Rodriguez ◽  
...  
Keyword(s):  
Human Papillomavirus ◽  
Costa Rica ◽  
Prospective Study ◽  
Young Women ◽  
Absolute Risk ◽  
A Prospective Study

scholarly journals The prospective study of laparoscopic finding in infertility cases

2019 ◽  
Vol 8 (6) ◽  
pp. 2440
Author(s):  
Shruti . ◽  
Sangeeta Sen
Keyword(s):  
Prospective Study ◽  
Treatment Decision ◽  
Polycystic Ovaries ◽  
Reproductive Health Issue ◽  
Laparoscopic Complication ◽  
Pouch Of Douglas ◽  
One Year ◽  
Laparoscopic Evaluation ◽  
A Prospective Study ◽  
Laparoscopic Finding

Background: Infertility is a global reproductive health issue that affects many individuals and family. The aim of the present study was to evaluate the laparoscopic finding in infertility cases.Methods: Present study is a prospective study on laparoscopic evaluation of female infertility at Panna Dhai Mahila Chikitsalaya, Udaipur, Rajasthan, India. This study was done for the duration of one year from January 2017 to December 2017. Present study included total 100 cases randomly selected attending OBG OPD with both primary and secondary infertility.Results: Out of 100 cases infertile women 62 cases (62%) were of primary infertility and 38 cases (38%) were of secondary infertility. The mean duration of infertility was 3.7 years. Laparoscopic finding were as follow 42% had polycystic ovaries, 33% women had tubal pathology diagnosed on laparoscopy in which 22 women had tubal blocks diagnosed on chromopertubation and among them 19 had cornual block and 3 had ampullary block ,11% uterine finding and 7 women had adhesions in the pouch of douglas and one women had obliterated. About 20 women (20%) conceived during the period of study. Seven women had post laparoscopic complication two women complained of shoulder pain and another four of abdominal pain post operatively.Conclusions: Laparoscopy is the gold standard for diagnosing tubal factors, peritoneal factors, endometriosis and adhesions, because no other imaging technique provides the same degree of sensitivity and specificity and it should be considered in infertility workup for early treatment decision.

scholarly journals Type-Specific Incidence and Persistence of HPV Infection among Young Women: A Prospective Study in North India

2012 ◽  
Vol 13 (3) ◽  
pp. 1019-1024 ◽  
Author(s):  
Palika Datta ◽  
Neerja Bhatla ◽  
R.M. Pandey ◽  
Lalit Dar ◽  
A. Rajkumar Patro ◽  
...  
Keyword(s):  
Prospective Study ◽  
Young Women ◽  
Hpv Infection ◽  
North India ◽  
A Prospective Study

scholarly journals Oral Contraceptive Use and Breast Cancer: A Prospective Study of Young Women

2010 ◽  
Vol 19 (10) ◽  
pp. 2496-2502 ◽  
Author(s):  
David J. Hunter ◽  
Graham A. Colditz ◽  
Susan E. Hankinson ◽  
Susan Malspeis ◽  
Donna Spiegelman ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Oral Contraceptive ◽  
Prospective Study ◽  
Young Women ◽  
Contraceptive Use ◽  
Oral Contraceptive Use ◽  
A Prospective Study

scholarly journals A prospective study of genital infections in a family-planning clinic: 1. Microbiological findings and their association with vaginal symptoms

1990 ◽  
Vol 104 (1) ◽  
pp. 47-53 ◽  
Author(s):  
T. Riordan ◽  
M. E. Macaulay ◽  
J. M. James ◽  
P. A. Leventhall ◽  
E. M. Morris ◽  
...  
Keyword(s):  
Family Planning ◽  
Prospective Study ◽  
Bacterial Vaginosis ◽  
Trichomonas Vaginalis ◽  
Empirical Therapy ◽  
Signs And Symptoms ◽  
Vaginal Swab ◽  
Laboratory Findings ◽  
Vaginal Symptoms ◽  
A Prospective Study

SUMMARYA prospective study of genital infection was conducted in four inner-city family–planning clinics. Fifteen per cent of routine attenders had symptoms and signs of vaginal infection and many more women attended primarily because of symptoms. Among the women with both signs and symptoms, 70% had positive laboratory findings, Trichomonas vaginalis, Candida albicans and bacterial vaginosis being equally prevalent. Measurement of vaginal pH in the clinic was the single most useful clinical finding for directing empirical therapy. Among patients with a discharge confirmed on examination and an abnormally high pH, 72% had either T. vaginalis or bacterial vaginosis. Neisseria gonorrhoeae was isolated from 4% of women with, and 1% of those without, symptoms. We believe that it is worthwhile to investigate patients presenting to family-planning clinics with vaginal symptoms. No single specimen was found ideal for all pathogens, a cervical swab is better for gonococci and also for T. vaginalis but a vaginal swab is needed for Candida and bacterial vaginosis.

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