Résumé
Objective: To demonstrate the outcome of intralesional management and show the safety of local treatment of cornual pregnancy
Methods: Eight patients were treated with local methotrexate or potassium chloride injection. All patients underwent transvaginal ultrasound examination and were diagnosed by the criteria defined by Timor- Tritsch. In the case of fetal heart beat observation, potassium chloride was injected; and in the case of no heart beat detection, methotrexate was used. A follicle aspiration needle was inserted directly into the gestational sac under transvaginal guidance
Results: Although it has been considered to be a risk factor, none of the patients in our study had previous ectopic pregnancy, history of infertility / in vitro fertilization, or cornual pregnancy. One of the patients had a medical history of abortion. In four cases, methotrexate was injected, and three patients received potassium chloride as a local treatment. None of the patients had any complication in the peri- or postoperative period
Conclusion: Using a local approach, the treatment agent can reach the area of the cornual pregnancy in high concentrations. Based on this case series, a local approach seems to be an effective and fertilitysparing method for treating unruptured cornual pregnancies
Résumé
Objective: To investigate the pelvic floor muscle strength of the women and evaluate its possible correlation with sexual dysfunction
Methods: In this cross-sectional type study, stratified clusters were used for the sampling method. Index of Female Sexual Function [IFSF] worksheet were used for questions on sexual function
The pelvic floor muscle strength of subjects was assessed by perineometer. The chi-squared test, logistic regression and Pearson's correlation analysis were used for the statistical analysis
Results: Four hundred thirty primiparous women, mean age 38.5 participated in this study. The average pelvic floor muscle strength value was found 31.4+/-9.6 cm H[2]0 and the average Index of Female Sexual Function [IFSF] score was found 26.5+/-6.9. Parity [odds ratio OR=5.546] and age 40 or higher [OR=3.484] were found correlated with pelvic floor muscle weakness [p<0.05]
The factors directly correlated with sexual dysfunction were found being overweight [OR=2.105] and age 40 or higher [OR=2.451] [p<0.05]
Pearson's correlation analysis showed that there was a statistically significant linear correlation between the muscular strength of the pelvic floor and sexual function [p=0.001]
Conclusion: The results suggested subjects with decreased pelvic floor muscle strength value had higher frequency of sexual dysfunction