comparison of anastrozole and clomiphene citrate for ovulation induction in women with unexplained infertility undergoing intrauterine insemination

In order to overcome the undesirable effects of clomiphene citrate [CC] alternative regimens such as Aromatase inhibitors [AIs] have been recommended. Our objective was to compare the ovarian and endometrial effects of three day Anastrozole and clomiphene citrate in combination with gonadotropin in IUI cycles. This was a prospective descriptive study in 55 infertile patients with unexplained infertility. The patients in Group A [29 patients] received CC and gonadotropin, in contrast to group B [26 patients] who received Anastrozole and gonadotropin. Primary outcome was the size and number of mature follicles together with endometrial thickness. On the day of HCG administration Anastrozole group developed fewer mature follicles [0.54 +/- 0.64 vs. 1.07 +/- 1.06 P=0.032] and fewer total mature follicles [17 vs 31] compared with CC group, however the endometrial stripe thickness were similar in both group [7.73 +/- 2.54 vs. 7.89 +/- 1.93 P=0.800] Three day Anastrozole in addition to gonadotropin in IUI cycles develop fewer mature follicles significantly at the time of HCG- injection than those in C.C group, in unexplained infertility in IUI cycles. This dosage is equivalent to traditional CC dosage in IUI cycles on endometrial development

Bloodless correction. a case report

This report describes a 74 year old woman with urinary symptoms progressing to complete anuria with dense labial adhesions. This condition is mostly reported in pediatric age group but few reports addressed this condition in postmenopause

Post partum depression and thyroid function

Risk of depression is particularly high for women during the prenatal period. Various investigators have attempted to establish a link between thyroid function and post partum depression. This study aimed to investigate whether thyroid function differs in women with postpartum depression compared to a control group. In this case-control study, subjects were selected from Obstetrics and Gynecology and Psychiatric clinics of Kermanshah University of Medical Sciences. Forty eight patients suffering from postpartum depression according to Diagnostic and Statistical Manual of Mental Disorders, fourth edition totally revised [DSM-IV-TR], and 65 normal controls underwent diagnostic evaluation by one trained psychiatrist using Structured Clinical Interview for DSM-IV-TR. Then, the demographic questionnaire and the Persian version of Edinburgh Postnatal Depression Scale [EPDS] were completed by the participants. Finally, their thyroid functions were assessed. Data analyses were done using the SPSS program 13. No statistically significant differences were observed between thyroid function tests and postpartum depression. According to multiple regression analysis with stepwise method, subjects with lower serum TSH, T3RU, T3 levels, younger age and longer period after delivery tended to have higher EPDS scores [P-value=0.008]. The present study reports that those women with postpartum depression had a no greater prevalence of thyroid dysfunction than the control subjects. It seems that thyroid dysfunction should be considered in women with postpartum depression individually, but the role of thyroid as an important cause of this condition is not yet established. This suggests that future studies should concentrate on this concept in postpartum depression