Beliefs of subfertile Saudi women

To assess the beliefs of infertile Saudi women and acquire information on alternative medicine usage by infertility patients. Between February 2008 and January 2009 a cross-sectional survey was performed in a tertiary hospital. Fifty- one patients attending the Reproductive Endocrinology and Infertility Medicine Department, Women's Specialized Hospital, king Fahad Medical City, Riyadh, Kingdom of Saudi Arabia were interviewed at random. They were asked questions pertaining to their beliefs and alternative therapies used to their beliefs and alternative therapies used to treat their infertility. Information was entered into an Excel sheet, and statistical analysis was carried out. Eighteen [35.3%] women believed their infertility was the result of the evil eye, and 13 [25.5%] believed it was due to envy. The first choice when the women realized they had difficulty conceiving were du'a [supplications] [n=23, 45.1%], visiting doctor [n=22;43.1%], and reading Qur'an [n=5; 9.8%]. Although most [n=37; 72.5%] ultimately turned to the Qur'an as a remedy. Herbal medicine was used by 35[68.6%] patients. We believe healthcare professionals should consider the personal beliefs and alternatives that subfertile women resort to

Mayer-rokitansky-kuster-hauser syndrome with hyperprolactinemia

Mayer-Rokitansky-Kuster-Hauser Syndrome in association with hyperprolactinemia is very rare. An 18-year-old, Saudi, single, virgin female was accompanied by her mother seeking medical advice regarding absent menses. She had normal breasts, normal axillary and pubic hair, normal vulva, urethra, and labial folds, however, the vagina was blind, approximately 2 cm length. Pelvic magnetic resonance imaging showed normal appearing ovaries, a small uterus and small cervix and vagina. Investigations showed initial high serum prolactin of 1,517 mIU/L. Cranial MRI was normal. The patient was diagnosed as mullerian hypoplasia class I American Fertility Society. After an extensive literature search, we present a unique case of concomitant occurrence of MRKH, in the form of mullerian hypoplasia, and hyperprolactinemia