Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 5 de 5
Filter
1.
Eur J Obstet Gynecol Reprod Biol ; 203: 147-51, 2016 Aug.
Article in English | MEDLINE | ID: mdl-27285306

ABSTRACT

OBJECTIVE: To compare the efficacy, acceptability and compliance of combined hormonal vaginal ring (CVR), with combined hormonal pills (CHP) in patients with heavy menstrual bleeding (HMB). STUDY DESIGN: This prospective study was conducted in 50 women with HMB in age group of 25-40 years. Patients were divided in two groups of 25 each and followed for six treatment cycles. In each group, cycle comprised of three weeks of CVR (releases 15µg of EE and 120µg of the etonogestrel per day) or CHP (containing 30µgm of EE and 150µgm of LNG) use, followed by one ring or pill free week. After each cycle, patients were evaluated about the amount of blood loss and duration of bleeding by the pictoral blood assessment chart (PBAC), early bleeding (EWB), continued bleeding (CWB), intermenstrual bleeding, intended bleeding, compliance, and user acceptability. The collected data were analyzed using the Chi square test, t-test and ANOVA test. RESULT: Reduction in PBAC score for CVR (70.73%) and CHP group (70.02%), duration of bleeding and incidence of EWB was comparable among the two groups. The incidence of intermenstrual bleeding was lower in CVR than in CHP group in cycle 3 and 4 with significant p value. The incidence of CWB was significantly lower and the incidence of intended bleeding pattern in CVR group was significantly higher in cycle 3, 4, 5 and 6, signifying better cycle control. Compliance was also higher in CVR (88%) than CHC (75.33% of all cycles). CONCLUSION: This trial suggests that both the CVR and CHP are very effective short-term treatments for HMB in reproductive age group. However, women had better cycle control and compliance with CVR. This may be an attractive option among the wide variety of medications used to treat HMB.


Subject(s)
Contraceptive Agents, Female/therapeutic use , Contraceptive Devices, Female , Contraceptives, Oral, Combined/therapeutic use , Contraceptives, Oral, Hormonal/therapeutic use , Menorrhagia/drug therapy , Menorrhagia/therapy , Menstrual Cycle/drug effects , Adult , Contraceptive Agents, Female/administration & dosage , Contraceptive Agents, Female/adverse effects , Contraceptive Devices, Female/adverse effects , Contraceptives, Oral, Combined/adverse effects , Contraceptives, Oral, Hormonal/adverse effects , Contraceptives, Oral, Synthetic/adverse effects , Contraceptives, Oral, Synthetic/therapeutic use , Delayed-Action Preparations/administration & dosage , Delayed-Action Preparations/adverse effects , Delayed-Action Preparations/therapeutic use , Desogestrel/administration & dosage , Desogestrel/adverse effects , Desogestrel/therapeutic use , Drug Combinations , Ethinyl Estradiol/administration & dosage , Ethinyl Estradiol/adverse effects , Ethinyl Estradiol/therapeutic use , Female , Humans , Incidence , India/epidemiology , Levonorgestrel/adverse effects , Levonorgestrel/therapeutic use , Medication Adherence/ethnology , Menorrhagia/ethnology , Menorrhagia/physiopathology , Menstrual Cycle/ethnology , Metrorrhagia/chemically induced , Metrorrhagia/epidemiology , Metrorrhagia/ethnology , Metrorrhagia/etiology , Patient Acceptance of Health Care/ethnology , Severity of Illness Index
2.
Case Rep Womens Health ; 10: 4-6, 2016 Apr.
Article in English | MEDLINE | ID: mdl-29593982

ABSTRACT

INTRODUCTION: Gut prolapse through vagina is rare complication with only few cases reported in the literature. This article highlights untrained professionals induced obstetrical trauma as a cause of vaginal evisceration leading to serious but preventable complications. PRESENTATION OF CASE: Case 1: A 27 years old female, P2L0, had full term vaginal delivery of an IUD baby and presented 4 days later with small bowel evisceration through posterior vaginal wall. Case 2: A 24 years old female, P1A1 had underwent unsafe abortion and presented in shock, with small bowel evisceration through anterior uterine wall. Case 3: A 26 years female, P2A1, underwent evacuation for incomplete abortion and presented with omental prolapse through anterior uterine wall. DISCUSSION: Obstetrical trauma with associated evisceration of intraabdominal contents is a potentially serious complication that requires surgical intervention. General awareness may decrease these unsafe practices and thus would have impact in reducing maternal morbidity and mortality.

5.
Arch Gynecol Obstet ; 283(5): 1145-8, 2011 May.
Article in English | MEDLINE | ID: mdl-20596716

ABSTRACT

BACKGROUND: Aggressive angiomyxoma is a rare locally aggressive mesenchymal tumor of unknown etiology usually affecting the vulva, perianal region, buttocks or pelvis of reproductive age women. MATERIAL: A series of three cases, one each of vaginal, vulval and labial angiomyxoma is being presented. The etiology, presentation, diagnosis and management of this rare genital tumor are outlined. CONCLUSION: Angiomyxoma of vulva and vagina refers to a rare disease; diagnosis is not at all clinical, thus, cases presenting as bartholin cyst, benign vulval lesions and vaginal wall cysts should have complete radiological work up before excision, as pre-diagnosis can change the treatment modality and prognosis of patient.


Subject(s)
Myxoma/diagnosis , Pregnancy Complications, Neoplastic/diagnosis , Vaginal Neoplasms/diagnosis , Vulvar Neoplasms/diagnosis , Adult , Cysts/diagnosis , Diagnosis, Differential , Female , Humans , Lipoma/diagnosis , Pregnancy
SELECTION OF CITATIONS
SEARCH DETAIL
...