RESUMO
Background: in Egypt, despite the high percentage of women using IUD according to Demographic and Health Surveys [DHS] 2014 [52.9%] of total women using contraceptive methods, the discontinuation rates among Cu-IUD users [within 12 months of use] reaches 14.3% in 2014. Aim of the Work: the aim of the study was to compare between primary health care unit and university family planning clinic in discontinuation rate among copper IUD users
Patients and Method: study design: prospective analytical observational study. Study setting: This study was conducted at Family planning Outpatient clinic of Ain Shams Maternity Hospital and El-Zahraa primary health care unit for a year. This study included 260 women whom attending family planning clinic for Cu- IUD insertion. Total 100 subjects was enrolled from each clinic. Rest of subjects was lost on follow up either after 6 months or 12 months. Some others refused to participate or gave wrong personal contacts
Results: preliminary results of the study revealed that there is no statistically significant difference between discontinuation rate among Copper IUD users in university clinic and primary healthcare clinic [p-value = 0.095]
Conclusion: in our Study, analysis of data revealed that age, parity and previous usage of IUD may affect discontinuation rate after 12 months of IUD use. The mean cause of IUD discontinuation was bleeding and Anemia was present in 66.6% of patients complaining from bleeding
RESUMO
Introduction: Infertility is defined as the inability of a couple to achieve pregnancy over an average period of one year [in women under 35 years of age] or 6 months [in women above 35 years of age] of unprotected sexual intercourse. Infertility can be due to female, male reasons or both. It can be either primary or secondary
Aim of the work: The aim of this study is to evaluate the association between thyroid function and serum AMH levels
Methodology: Type of the study: this study was conducted a case control study. Study site: This study was carried out at Ain-Shams maternity hospital [outpatient infertility clinic]. Duration of study: In the period between December 2015 and December 2016. Patients and study design: According to the sample size calculation by using the IBM Sample Power Software [IBM Corp., Armonk, NY, USA], the study performed on 128 women divided into 2 equal groups as follows: Group "1" [study group]: 64 infertile women at reproductive age [20-35] years. Group "2" [Control group]: 64 normal fertile women aged [20- 35] years
Result: TSH and patient age that were strongly correlated with AMH levels in 26 post-matched infertile patients using multivariate logistic regression. Both TSH levels and patient age significantly impacted AMH levels in infertile patients
Conclusion: AMH levels were inversely correlated with TSH levels in infertile women of reproductive age
Recommendations: The study should be done using larger sample sizes in a multicenter trial including both urban and rural areas to validate results. Autoimmune thyroid antibodies [thyroglobulin antibody and thyroid peroxidase antibody] could be assessed with TSH, FT4, FT3 and AMH as there is a strong association between infertility and autoimmune thyroid antibodies