Comparison of prevalence of premenstrual syndrome in swimmer and non-swimmer students: a historical cohort study

A number of studies have examined the role of aerobic exercise and evidence suggests this may be an effective therapy for premenstrual syndrome [PMS]. The aim of this study was to assess the PMS symptoms between swimmer and non-swimmer female students. A total of 280 subjects were studied: 140 subjects were swimmers, while 140 were normal sedentary controls. Duration of swimming per week, and the length of exercise were asked from the case group. The predominant symptom of PMS was determined. PMS occurred in 36.2% and 22.8% of non-swimmers and swimmers, respectively [P = 0.00]. The prevalence of premenstrual symptoms differ in the two group studied. There was no complaint about items asked in 35 [25%] and 13 [9.9%] of swimmers and nonswimmers, respectively [P = 0.000]. In 11 [7.9%] swimmers, there was a problem in more than 50% of items asked, whereas 48 [17.1%] non-swimmers had complaints in this range [P = 0.00]. The prevalence of feeling more irritable, tend to eat more than usual or at irregular hours, easily distracted, restless behavior noticeable by others, feeling more angry, physical symptoms, change in mood without obvious reason, significant swelling in breasts, ankles, and abdomen, marked change in sexual desire, avoiding some social commitments, and decreasing desire to have communication with males were significantly lower in swimmers. Aerobic exercise has been found in epidemiologic studies to be associated with fewer reported premenstrual symptoms. Swimming is one of aerobic exercises which can be used in relation to this issue

Half-dose depot triptorelin comparable to reduced daily buserelin: a randomized clinical trial

Pituitary suppression by depot GnRH agonist may be excessive for ovarian stimulation. This study compares the efficacy of a single half-dose depot triptorelin and reduced-dose daily buserelin in a long protocol ICSI/ET. A total of 182 patients were randomized into two groups using sealed envelopes. Pituitary desensitization was obtained in group 1 [91 patients] with half-dose [1.87 mg] depot triptorelin in the mid-luteal phase of their menstrual cycle, and in group 2 [91 patients] with standard daily dose [0.5 mg] buserelin, which was then reduced to 0.25 mg at the start of human menopausal gonadotropin [HMG] stimulation. No significant differences were found among those who received HCG in terms of clinical pregnancy rate [34.4% in both groups], implantation rate [14.8% in group 1 versus 11.1% in group 2], fertilization rate [93.3 versus 95.6%], poor response rate [11.1 versus 6.7%], and miscarriage rate [11.1 versus 7.8%]. No significant differences were seen in number of HMG ampoules used, follicles at HCG administration, and oocytes retrieved. The number of days of stimulation was significantly reduced in group 2 [11.2 +/- 1.8 in group 1 versus 10.6 +/- 1.9, P = 0.030]. A half-dose of depot triptorelin can be successfully used in ovarian stimulation instead of reduced-dose daily buserelin, with more patient comfort and reduced stress and cost of injections

[Depression and infertility: evaluation of 681 infertile women using Beck depression inventory]

Introduction: infertility and depression are major problems of today's societies. Although depression is one of the most prevalent diseases in primary care practice, consult for receiving help is carried out much less than true prevalence of the disease. Therefore gathering information about prevalence and risk factors of depression is very valuable. Beck Depression Inventory [BDI] which is a screening tool for depression can be used in Iranian patients because of availability of a validated translation. The objective of this study was to estimate the prevalence of depression in infertile subjects in an infertility center

Materials and Methods: in this study, 681 infertile women were evaluated in Shariati Hospital, Tehran. Demographic information's including age, duration, type and cause of infertility, level of education, previous treatments and smoking habits were recorded. BDI was completed by patients and score was estimated. Score of 16 and higher was assumed positive

Results: there was no relationship between age and prevalence of positive BDI score, but prevalence of positive BDI score was higher in infertilities of longer duration, infertilities caused by both male and female factors and in patients with low level of education and history of previous treatment or surgical therapy

Conclusion: infertile patients are at risk of depression. Rate of consulting with psychiatrists and getting help is low in our country due to cultural aspects, so screening of high risk subgroups in infertile patients and referring them to psychiatrist would be very helpful

[Morphological comparison of spermatozoa taken from TESE and PESA specimens in infertile men who referred to the infertility sections of Shariati Hospital and Navid Clinic in 1378]

In this study morphology of testicular and epididymal sperm was assessed. Morphology of sperms was assessed by using Tygerbery strict criteria. TESE and PESA were done by conventional method under local anesthesia. Percentages of normal and abnormal sperm was studied. The percentage of normal testicular sperm [6.2%] differed significantly from the percentage of normal epididymal sperm [18.6%]. Percentages of abnormal form of head and tail differs in two groups but Percentage of midpiece abnormalities were not significantly different between the two groups. To assess the predictive value of Tygerberg strict criteria for determining morphology of testicular sperms we need a healthy control group