scholarly journals ASSESSMENT OF CERVICAL CYTOMORPHOLOGICAL CHANGES IN INFERTILE WOMEN

Author(s):  
Mamta Choudhary ◽  
Dharmpal Godara

Background: Assessment of cervical cytomorphological changes in infertile women.  Methods: The hospital based prospective study was conducted on 50 women of reproductive age group who were in the follicular phase of their cycle and had primary and secondary infertility Results: On pap smear 80.00% patients were present NILM, 12.00% patients were present ASC-US, 4.00% patients were present inflammatory and 2.00% patients were present HSIL & LSIL. Conclusion: We observed that infertile patients, may benefit from cervical cytological screening as they show a higher tendency for cervical cytological abnormalities. Keywords: ASC-US, HSIL, LSIL.

Author(s):  
Garima Gupta ◽  
Abhilasha Gupta

Background: Infertility is a global problem, affecting approximately one-fifth of couples trying to conceive. With the incidence similar in most countries independent of the level of the country’s development. Methods: The hospital based prospective study was conducted on 50 women of reproductive age group who were in the follicular phase of their cycle and had primary and secondary infertility Results: On pap smear 77.14% patients were present NILM, 15.71% patients were present ASC-US, 4.29% patients were present inflammatory and 1.42% patients were present HSIL & LSIL. Conclusion: We observed that infertile patients may benefit from cervical cytological screening as they show a higher tendency for cervical cytological abnormalities. It is recommended to increase the awareness of the population about the importance of cancer cervix screening programs. Keywords: pap smear, cancer cervix, ASC-US, HSIL, LSIL.


2021 ◽  
Vol 15 (6) ◽  
pp. 1249-1252
Author(s):  
R. Mukhtar ◽  
A. U.- Rehman ◽  
A. Ilyas ◽  
M. J. Khan ◽  
R. Liaqat ◽  
...  

Aim: To determine the frequency of Bacterial vaginosis by pap smear cytology and find its association with its sociodemographic determinants. Study design: Cross sectional analytical study Place and duration of study: Department of Histopathology, Shaikh Zayed Hospital, Lahore from 1st January 2016 to 31st October 2016. Methodology: Two hundred and sixty pap smears of married women of reproductive age group with vaginal discharge who attended Gynecology OPD were included. Proper history regarding age, socioeconomic status, age of marriage, literacy level, smoking, and nutritional status was taken. Results: Disease prevalence was found to be 19.2%(50)in this sample of 260 while 9.1% had Candidiasis, 47%, 17.2% ,3.7%, 4.1% had Mild nonspecific inflammation, Moderate nonspecific inflammation, Moderate to severe nonspecific inflammation, and negative smears respectively. Bacterial vaginosis was associated with age, monthly income, illiteracy, early age at marriage, history of abortion and nutritional status with significant p-value ≤ 0.05. However no association was found between the disease and marital status, smoking and pallor. Conclusion: Low socioeconomic status, literacy, age >35, nutritional status is strongly related to occurrence of bacterial vaginosis in women of reproductive age group with vaginal discharge. Key Words: Bacterial vaginosis, Pap smear, Sociodemographic determinants


Author(s):  
Chesta Saini ◽  
Ashoo Gupta ◽  
Kishore Rajurkar ◽  
Kartik Saxena ◽  
Kanchan Saini ◽  
...  

Background: Infertility is a multidimensional health issue which is rising dramatically. The common causes include ovarian, uterine, tubal disorders, hormonal imbalance, age-related factors and lifestyle factors. The low economic strata poses a subset of problems like difficulty in seeking healthcare, treatment costs and poor compliance. Authors sought to evaluate the factors for primary and secondary infertility in women of reproductive age group who belong to low socio-economic strata using laparoscopy.Methods: A prospective observational study was conducted in the obstetrics and gynaecology department at Sanjay Gandhi memorial hospital, Delhi comprising 50 infertile women of reproductive age group belonging to low socioeconomic class for a period of 2 years from June 2015 onwards.Results: Among primary infertility, tuberculosis (27.02%), ovarian cyst (16.22%), adhesions (10.81%), polycystic ovaries (10.81%) and Pelvic inflammatory disease (10.81%) were the major findings whereas in secondary infertility Pelvic inflammatory disease (23.07%), tuberculosis (15.38%), adhesions (15.38%) and endometriosis (7.69%) were the major factors seen in the study.Conclusions: Tuberculosis and pelvic inflammatory disease were the major factors seen in infertile women of low socioeconomic status thus, they should be kept high on the list of differential diagnosis even if the investigative work up is negative.


Author(s):  
Madhuri Panigrahi ◽  
Santosh K. Panda

Background: Reproduction and contraception is mostly central around ovulation.  The sex hormones undergo changes in levels with ovulation.  They also play an important role in cholesterol metabolism, especially oestrogen. Aim of our study was to find out changes in serum cholesterol before and after ovulation in women of reproductive age.Methods: In present study 70 women of reproductive age group (15-49years) were recruited. Serum cholesterol was measured around time of ovulation.Results: It was found that, during the follicular phase there was a significant increase in total cholesterol and LDL-C concentrations compared to post ovulatory phase. During the ovulatory phase there was a decrease in total cholesterol and increase in HDL-C   compared to follicular phase. VLDL levels showed increasing trend from follicular to post ovulatory phase.Conclusions: Ovulation improves cardiovascular risk factors which may account of the decreased risk of cardiovascular diseases among ovulating women. And secondly, the menstrual cycle phase should be taken into account when evaluating cholesterol levels among reproductive age group women.


2021 ◽  
Vol 12 (1) ◽  
pp. 199-202
Author(s):  
Karthi M ◽  
Lucetta Dias

Most of the women in the reproductive age group are affected by PCOD. Emphasis on prevention of PCOD, as the incidents of PCOD, are increasing. The current incident of PCOD is (5%to 15%) is increasing fastly due to lifestyle and stress. It is also becoming a common problem amongst adolescent, developing soon after puberty. Amongst infertile women, about 15% to 20% of infertility cases are due to anovulation caused by PCOD. This study was done to assess the knowledge of PCOD among women and to make them aware of lifestyle modification is an important part of treatment. Some of the women who developed cardiovascular disease, hypertension, endometrial cancer and type 2 diabetes later in life appear to have suffered from PCOD in earlier years. A cross-sectional observational study was conducted in Chennai with 100 women of reproductive age (18~45 yrs) from January to June 2020 using standardized questionnaire. According to the study, 28% of the subjects are very well aware of the PCOD. 58% had expressed somewhat aware, 64% aware that Exercise help in the management of PCOD, in that 27% are maintaining diet and exercise every day. 14% of the respondents are not aware of the PCOD. This study indicated that more awareness should be made in the general public about PCOD as the majority of the participants are ignorant about lifestyle modification.


Author(s):  
Swati Mittal ◽  
Anagha J. Kamath

Background: Cervical cancer is a malignant neoplasm arising from cells of cervix uteri. It is the second most common cancer among women worldwide, affecting about 16 per 1,00,000 women each year.Methods: A cross sectional study of 400 women of reproductive age group (21-49 years) attending Lady Goschen Hospital and KMC Hospital, Attavar, Mangalore was conducted, and women were screened for the presence of cervical cancer by Pap smear. The results were analyzed with respect to age distribution, age at marriage, parity, symptoms and per-speculum findings. Pregnant women and women with active infection of the genital tract were excluded from the study population.Results: The age range was 21 to 49 years. Mean age was 38.14 years. Of the 400 women, 398 were married and majority of these, 237 (59.5%), got married between 21-25 years. Menstrual irregularity was the most common presenting symptom, 150/400 (37.5%). Abnormal per speculum findings were seen in 102/400 (25.5%). 17 of 400 Pap smears were abnormal, of which 1 (0.25%) was AG-FN, 2 ASCUS (0.5%), 3 (0.75%) ASC-H, 1 (0.25%) LSIL, 7 (1.75%) HSIL and 3 (0.75%) SCC. Mean age for cancer cervix patients was 42.33 years.Conclusions: Pap smear screening, which appears to be the most feasible and affordable mode for control of carcinoma cervix in developing countries like India, should be carried out in all women of reproductive age group.


2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Befikaduwa Zekarias ◽  
Frehiwot Mesfin ◽  
Bezatu Mengiste ◽  
Adane Tesfaye ◽  
Lemma Getacher

Background. Iodine deficiency disorder is a major public health problem in Ethiopia that is more common in women of reproductive age. However, it is not well addressed and there is a lack of information on its prevalence and associated factors in women of reproductive age group. Therefore, the objective of this study was to assess goiter prevalence and associated factors among women of reproductive age in the Demba Gofa woreda, Gamo Gofa Zone, Southwest Ethiopia. Methods. A community-based cross-sectional study was used among 584 randomly selected women in the reproductive age group from February 05 to April 20, 2016. A simple random sampling technique was used to select the study kebeles, and a systematic random sampling technique was used to select the study samples. Data were collected through a pretested questionnaire, and the goiter examination was done clinically for each participant. The collected data were coded and entered into a computer for statistical analysis using EpiData version 3.2 and analyzed using SPSS version 20. Variables with a P value ≤0.25 in bivariate logistic regression analysis were entered into multivariate logistic regression analysis, and finally, variables with a P value <0.05 in multivariate logistic regression were considered significantly associated with the dependent variable. Results. The total goiter rate was 43%, 95% CI = 39.2–46.9. Cassava consumption (AOR: 2.02, 95% CI: 1.03–4), salt wash before use (AOR: 3.14, 95% CI: 1.1–11.3), salt use after >2 months of purchase (AOR: 11, 95% CI: 5–26), family history of goiter (AOR: 4.6, 95% CI: 1.4–15.8), and poor knowledge of iodized salt (AOR: 2.7, 95% CI: 1.4–5.5) were significant factors associated with goiter. Conclusion. Iodine deficiency was found to be severe in women of reproductive age in the study area. This showed that women of reproductive age, especially during pregnancy, are exposed to iodine deficiency and its adverse effects at delivery. Thus, they need urgent supplementation with iodine, improved access to foods rich in iodine, and intake of iodized salt. Additionally, health education should focus on the importance of iodized salt, the proper method of use, and the prevention of iodine deficiency, which are highly recommended to minimize the problem.


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