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Showing posts with the label Endometriosis

Birth Injuries are Not Uncommon

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GLOBAL JOURNAL OF REPRODUCTIVE MEDICINE -JUNIPER PUBLISHERS   Abstract Childbirth is one of the eternal enigmas, the happiest moment in the life of most women, but also the period in which mom and baby are most sensitive. Thanks to the latest scientific knowledge and modern diagnostics, the incidence of birth injuries is decreasing, and currently amounts to approximately 0.7 percent, ie 7 out of 1000 newborns have one or more associated birth injuries. Forces acting during labor and childbirth can sometimes injure a baby. The incidence of neonatal injuries due to difficult or traumatic births is reduced due to increased cesarean section, instead of performing heavy turns, vacuum extractions, or high forceps. Traumatic childbirth is expected when the mother has small pelvic dimensions, when the child appears large for gestational age, or when the child is in a butt position or some other abnormal position, especially in a firstborn. In such circumstances, the course of labor and the...

Cylinders and Assemblage- Sertoli-Leydig Cell Tumour -Ovary

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  GLOBAL JOURNAL OF REPRODUCTIVE MEDICINE -JUNIPER PUBLISHERS Sertoli-Leydig cell tumour is an exceptionally discerned, ovarian neoplasm composed of sex cord or Sertoli cells admixed with stromal component expounded by Leydig cells. Sertoli-Leydig cell tumour may occur in association with DICER1 syndrome or emerge as a sporadic phenomenon. Sertoli-Leydig cell tumour manifests as well differentiated, moderately differentiated or intermediate grade and poorly differentiated neoplasms. Additionally, categories such as Sertoli-Leydig cell tumour with heterologous elements or retiform variant of Sertoli-Leydig cell tumour may be expounded. Majority of paediatric Sertoli- Leydig cell tumours are moderately differentiated or poorly differentiated, concur with DICER1 syndrome and frequently display heterologous elements or retiform tumour configuration. Histological categorization of neoplasms with enhanced tumour grade appears challenging [1,2]. Well differentiated tumefaction exhibits di...

Acupuncture Treatment for POI Resulted in Successful IVF: A Case Report

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  GLOBAL JOURNAL OF REPRODUCTIVE MEDICINE- JUNIPER PUBLISHERS Abstract This article presents a case report of a primary infertility patient diagnosed with Premature Ovarian Insufficiency (POI), who failed three attempts of IVF and two IUI treatments. After which acupuncture was used as a treatment and produced a successful IVF. The patient, a 36-year-old woman, presented at our clinic with high FSH 35, low AMH <0.1, AFC 4, and primary infertility for more than 1.5 years. She wanted to improve her ovarian reserve, egg quality, and her chances of successful IVF. The patient received 27 acupuncture treatments over the course of 8 months, which resulted in pregnancy. This case suggests that acupuncture is an effective treatment for IVF patients with POI. Keywords:  Premature Ovarian Insufficiency; In Vitro Fertilization; Acupuncture; Low AMH; Infertility Abbreviations:  AFC: Antral Follicle Count; AMH: Anti-Mullerian Hormone; ET: Embryo Transfer; FSH: Follicle-Stimulating ...

Effect of Prolonged GnRH Agonist Therapy Prior to Frozen Embryo Transfer on IVF-ET Outcome in Patients with and without Endometrioma Surgery

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  GLOBAL JOURNAL OF REPRODUCTIVE MEDICINE-JUNIPER PUBLISHERS Abstract Objective : It remains to be clarified whether prolonged Gonadotrophin-Releasing Hormone agonist (GnRHa) administration before frozen embryo transfer to patients with and without endometrioma resection improves reproductive outcome. This study was designed to investigate freeze-all cycles with subsequent prolonged GnRHa administration in patients with and without endometrioma surgery. Method : A total of 164 patients with complaints of infertility and diagnosed with endometrioma were included in this case controlled study. Endometrioma resection was performed in 65 out of 164 women and then Controlled Ovarian Stimulation (COS) was performed (Group 1). Fresh embryos were transferred to 40 of 65 patients who underwent endometrioma surgery. Embryos were vitrified in 25 patients and administered leuprolide acetate 3.75 mg for 3 months. The remaining 99 patients were referred directly to the COS without any surgery fo...