ABSTRACT
Background: Although leiomyomas are the most common gynecologic disorders, non-puerperal uterine inversion due to leiomyoma is considered as a rare clinical problem. This condition can occur as a complication of a large sub-mucous leiomyoma that leads to dilate cervix and protrude into vagina. The patient may have several symptoms such as heavy vaginal bleeding, pelvic pain and intermittent acute urinary retention
Case: We presented a 32-year-old nulliparous woman with 17 years of unexplained infertility and diagnosis of a large vaginal prolapsed non-pedunculated leiomyoma
Conclusion: Haultain's procedure was used to reposition uterine inversion and remove leiomyoma through a posterior incision, using laparotomy
ABSTRACT
Objectives: Dysmenorrhea is a common complaint in women. Primary dysmenorrhea is defined as painful menstruation in the absence of pelvic disease and is caused by uterine contractions caused by prostaglandins released from the endometrium. Conventional treatments include nonsteroidal anti-inflammatory drugs and oral contraceptives. We sought to evaluate the efficacy of zinc supplementation in the treatment of primary dysmenorrhea
Methods: Two-hundred participants with primary dysmenorrhea were randomized into one of two groups. The intervention group received zinc and mefenamic acid, and the control group received mefenamic acid and a placebo drug. After three months of treatment, changes in the incidence of dysmenorrhea and the degree of pain were measured in both groups
Results: The mean pain score before administration of zinc and mefenamic acid in the intervention group was 5.3 +/- 1.8 and after treatment was 1.2 +/- 1.9 [p < 0.001]. In the control group, the mean pain score before administration of mefenamic acid and placebo was 5.8 +/- 2.1 and after treatment was 2.9 +/- 2.6 [p < 0.001]. The difference in pain levels before and after treatment in the intervention group was 4.1 +/- 2.8, and in the control group was 2.9 +/- 1.7 [p > 0.050]. We also found that 64% of case group and 33% of the control group did not experience dysmenorrhea after treatment [p < 0.001]
Conclusions: The use of a zinc supplement in combination with mefenamic acid was superior in reducing primary dysmenorrhea compared to mefenamic acid alone
Subject(s)
Humans , Female , Adult , Zinc/therapeutic use , Double-Blind MethodABSTRACT
Background: Monozygotic monochorionic triplet pregnancy with conjoined twins is a very rare condition and is associated with many complications
Case: In this study, we describe a monochorionic-diamniotic triplet pregnancy after in vitro fertilization with an intracytoplasmic sperm injection. At a gestational age of 6 weeks and 4 days of pregnancy one gestational sac was observed, and at a gestational age of 12 weeks and 2 days, triplets with conjoined twins were diagnosed. After consulting with the parents, they chose fetal reduction of the conjoined twins. Selective feticide was successfully performed by radiofrequency ablation at 16 weeks of pregnancy. Unfortunately, the day after the procedure, the membrane ruptured, and 1 week later, all fetuses and placenta were spontaneously aborted
Conclusion: Monochorionic triplet pregnancy with conjoined twins is very rare. These pregnancies are associated with very serious complications. Intra cytoplasmic sperm injection increases the rate of monozygotic twinning and conjoined twins. Counseling with parents before IVF is very important
ABSTRACT
Considering the fact that breech presentation is the most common abnormal presentation, the present paper compares the preparation of those people who had been born with breech and cephalic presentation. In this cross-sectional study we examines 1847 children in primary schools in Zahedan who had been born in 1994-1999; they were selected randomly from three elementary schools in Zahedan. Questionnaires were used to collect information and information about educational preparation of students were gathered using the standard and approved questionnaires by the Education Department of Iran archived in the patients' profiles. To analyze the data, t-test and chi[2]test had been used and p<0.05 was considered significant. Out of the 1847 examined children, 1446 children [3.78%] were male and 401 ones [7/21%] were female. 1738 patients [94%] had cephalic presentation [evident group] and 109 [6%] had breech presentation [cases]. There was a significant statistical difference among the age averages of the mothers with the fetus presentation [p=0.001] and also among the average marks of the educational preparation of students and the fetus presentation [p=0.017] and children born with the breech presentation had higher scores in preparation. There was no significant difference between the mean score of the educational preparation and child delivery method [p=0.13]. This study showed that school preparation scores, regardless of the mode of delivery, in breech presentation are higher than that in cephalic presentation