Endometrial ablation for intractable uterine bleeding: Hysteroscopic resection

Poorly controlled menorrhagia is the first indication for hysterectomy. Recently, endometrial destruction by surgical diathermy, is advocated as simpler and less invasive surgical approach for treatment of this problem. Twenty patients were treated with hysteroscopic trans-cervical resection of the endometrium with urological resectoscope. Surgery was completed successfully in all cases. No significant postoperative complications occurred. Follow-up for one year showed that 2 women became amenorrheic, 14 women became hypooligomenorrheic, 2 patients needed re- ablation because of the frequent moderate amount of bleeding, lastly, 2 cases were subjected to abdominal hysterectomy because of the persistence of excessive bleeding. Selective endometrial destruction can be a safe alternative to hysterectomy

Comparison of three antimycotic agents in treating recurrent vaginal candidiasis among Egyptian women

Three hundred Egyptian women suffering from recurrent vaginal candidiasis were given treatment either in the form of ketoconazole [200 mg oral tablets twice daily for 5 days], clotrimazole [2% vaginal cream once daily for 3 days] or tioconazole [100 mg vaginal tablets once daily for 3 days], and the three treatment regimens were compared. Although the three drugs were highly effective in eradicating infection, the mycological cure rates were better with ketoconazole. Again, ketoconazole was better than the other two agents in nullipara and in cases of severe infection. The acceptability of ketoconazole was much higher than with the other two topical fungicides. It seems that ketoconazole will soon acquire a very important position among the armamentarium against vaginal candidiasis

Enzymatic histochemistry of the ovary in perimenopausal period

Human ovary is a complex heterogenous tissue containing active structural compartments. Histochemical techniques are methods used to demonstrate certain chemicals inside the tissue. Specimens from ovaries of fourty women were taken [twenty women were premenopausal and the other twenty cases were postmenopausal]. Specimens were subjected to histological study [H and E stain] and to enzymatic histochemical study for succini dehydrogenase, alkaline phosphatase, acid phosphatase, non-specific esterase and mono-amine-oxidase enzymatic activities. Definite histological and histochemical changes between pre- and post-menopausal ovaries were found; also changes in different ovarian structures were found. The results were discussed and compared with those of other studies

Effect of intravenous oxytocin on maternal and fetal electrolyte levels

One hundred and fifty parturient mothers and their newly born infants were studied. The first group [control group] received no intravenous infusion. Normal saline containing either 2, 5 or 10 IU oxytocin was given to mothers in the second group, while the third group received similar concentration of ocytocin in 5% dextrose. Serum sodium and potassium were evaluated by flame photometry. Infusion of 5 or 10 IU of oxytocin in 5% dextrose caused a significant drop in maternal sodium level. If more than 500 ml of dextrose is used as the vehicle for oxytocin, addition of sodium chloride is recommended

role of hysteroscopy in the investigation of infertile females

Hysteroscopy was evaluated in investigation 40 infertile patients. The cases were apparently free following routine pelvic examination and preliminary infertility investigations. All patients were subjected to laparoscopy and hysteroscopy. Following both techniques, 17.5% of cases were still free, while 40% showed positive findings on both procedures. In 17.5% laparoscopy was positive, while hysteroscopy was free, and in 17.5% the reverse was true. Failure of hysteroscopy occurred in 3 cases [7.5%]. The same uterine lesions were found in cases, where both laparoscopy and hysteroscopy exhibited positive findings. Hysteroscopy is a helpful tool to compliment laparoscopy in infertility investigation. In addition to routine investigations, this study recommended the use of hysteroscopy for better assessment of infertile patients

Detection of hepatitis B surface antigen in pregnant women and in their newborn babies

The presence of hepatitis B surface antigen [HBs] in 100 pregnant women and its transfer to their newborn babies were studied. The presence of hepatitis B e antigen in positive HBsAg carrier mothers, anti-HBe and anti-HBc were also studied using ELISA technique. Among the 100 mothers there were 3 HBsAg positive cariers, but none of them HBsAg to their newborn babies at the time of delivery. Two out of 3 positive HBsAg were positive for anti-HBe. The 3 carriers were negative for HBeAg, 1 out of 3 had anti-HBe and 2 were negative for anti-HBc

Knowledge and attitudes toward female voluntary sterilization

This study was carried out in order to assess knowledge and attitudes of clientele attending public and private maternity/family planning services toward female voluntary sterilization in the city of Alexandria. The sample was chosen from clientele attending Moharem Beck MCH Center, El Shatby out patient Department and Family planning clinic. Total number amounted to 444 clientele from public sector and 123 from the private clinic. Data were collected through the use of interview questionnaire. Findings showed that clientele lacked essential knowledge regarding sterilization [illiterates, housewives, those having illiterate husbands, who are having small business, or workers]. Wrong information about complications from operation were prevalent. Permanency of the method was stated as an advantage along with not knowing any. About half of clientele mentioned that they would have regrets over the operation [working women, those with illiterate husbands, with shorter duration of marriage, and less number of children]. Acceptability of the method was affected by knowledge and attitudes, which differred according to place of receiving service

Study of some trace elements in maternal and cord blood and their relationship to birth weight

This study was carried out on three hundred cases at delivery, to find the relationship of some trace elements in maternal and cord blood to fetal birth weight. The cases were classified into three groups according to fetal weight [L.B.W, N.B.W, H.B.W]. Maternal serum copper, reached high level at labour while fetal serum copper, showed very low level. Positive correlation between maternal and fetal copper and fetal birth weight was found. Maternal serum zinc decreased in the last trimester and at labour. Positive correlation was reported between maternal and fetal zinc and fetal birth weight. There was a positive correlation between serum manganese level in maternal blood and fetal weight as well as between fetal serum manganese level and fetal birth weight. It was proved that cadmium cannot cross the placental barrier