Pelvic Inflammatory Disease Caused by Salmonella Bacteremia: Report of Two Cases

Pelvic inflammatory disease (PID) is one of the most serious complications of the sexually transmitted diseases. The most important step in early diagnosis is a high index of clinical suspicion. In this report, we document two cases of PID due to Salmonella bacteremia

TOTAL SIALIC ACID LEVELS IN HUMAN FOLLICULAR FLUID: A PRELIMINARY STUDY

International-Federation-of-Fertility-Societies 21st World Congress on Fertility and Sterility / 69th Annual Meeting of the American-Society-for-Reproductive-Medicine -- OCT 12-17, 2013 -- Boston, MAWOS: 000342554501238…Int Federat Fertil Soc, Amer Soc Reprod Me

MEASUREMENT OF THE SERUM AND FOLLICULAR FLUID TOTAL OXIDANT STATUS, TOTAL ANTIOXIDANT STATUS, OXIDATIVE STRESS INDEX IN PATIENT WITH HIGH, NORMAL OR POOR RESPONSE

International-Federation-of-Fertility-Societies 21st World Congress on Fertility and Sterility / 69th Annual Meeting of the American-Society-for-Reproductive-Medicine -- OCT 12-17, 2013 -- Boston, MAWOS: 000342554501739…Int Federat Fertil Soc, Amer Soc Reprod Me

Combined progesterone (IM + V) versus vaginal progesterone for luteal support in cleavage-stage embryo transfer cycles of good prognosis patients

Many reports led to the consensus on the use of progesterone (P) for luteal-phase support. Vaginal P application is the method of choice due to its simplicity and high patient convenience but is hampered by application difficulties and personal or cultural aversions. Inappropriate vaginal P use may alter successful implantation, leading physicians to consider alternate P application routes. A worldwide survey revealed that intramuscular plus vaginal P (combined P) is the method used in nearly one-third of in vitro fertilization (IVF) cycles, particularly in Asia and North America; unfortunately, the outcomes of this approach have not been clearly elucidated. In the current analysis, we evaluated any additional benefit of short course parenteral P in addition to vaginal P capsules during a specific period in terms of implantation, pregnancy rates, miscarriages and ectopic pregnancies in cleavage stage embryo transfer (ET) cycles of good-prognosis patients. Despite significantly higher implantation rates in the combined arm, clinical and ongoing pregnancies were comparable in both groups, whereas a trend toward increased pregnancy rates was observed with combined support. The available data are too limited to draw conclusions

The effect of cabergoline on folicular microenviroment profile in patients with high risk of OHSS

WOS: 000321211400004PubMed: 23741965The aim of this study to evaluate the effect of cabergoline on follicular microenvironment by measuring follicular fluid (FF) insulin like growth hormone -I (IGF-I), antimullerian hormone (AMH), inhibin B and hepatocyte growth factor (HGF) levels in women with PCOS and high risk of ovarian hyperstimulation syndrome (OHSS). in this prospective cohort study, 41 women with PCOS undergoing controlled ovarian hyperstimulation for assisted reproduction and having the high risk factors for OHSS are included. the women in the study group (n = 15) received cabergoline for OHSS prevention while the women in the control did not received any medications for OHSS prevention. FF samples were collected during oocyte pick-up procedure for all women were determined using commercially available ELISA kits. Concentrations of FF IGF-I, AMH, inhibin B and HGF were assessed. in the study group FF AMH (2.96 +/- 1.27 versus 1.91 +/- 0.64 ng/mL), Inhibin B (1339.47 +/- 198.56 versus 1200.09 +/- 133.64 pg/mL), HGF (5623.21 +/- 2411.09 versus 3787.42 +/- 2269.89 pg/mL) and IGF-I (298.60 +/- 37.80 versus 219.90 +/- 71.40 pg/mL) concentrations were significantly decreased compared with control group. Cabergolin prevents OHSS in high risk patients by disrupting FF hormone microenvironment

Histopathologic Evaluation of Endometrium in Patients with Ectopic Pregnancy

OBJECTIVE: To evaluate the endometrial changes in patients with proven ectopic pregnancies and the v alue of endometrial histopathology in diagnosis of ectopic pregnancies. STUDY DESIGN: Medical records of 71 patients with prov en ectopic pregnancies and who had endometrial curettage results were rev iewed. Ectopic pregnancy was conf irmed either at operation or at transv aginal ultrasound ev aluation with clearly visualized characteristic adnexal mass in the presence of an empty uterus and serum beta-subunit human chorionic gonadotropin level abov e the discriminatory zone. Histopathologic f indings of the endometrial curettage materials were ev aluated. RESULTS: The mean age of the patients was 30±5.9 y ears. The mean gestational age (by date of last menstrual period) at presentation was 36.9 day s. The most common symptoms at presentation were both v aginal bleeding and missed menstruation. Rev iew of the endometrial curettages revealed that the most common type of endometrium associated with ectopic pregnancy was secretory (52.2%) followed by decidual reaction (15.5%), proliferative endometrium (14.1%), Arias-Stella reaction (11.2%), and endometrial f ragments (7%). CONCLUSION: Since ectopic pregnancy is associated with v arious ty pes of endometrial histopathology, it is not valuable in the diagnosis and should be performed in selected patients f or differential diagnosis when TVUS, serial serum b-HCG levels are inconclusive