Evaluation of the ovarian reserve function in patients with metabolic syndrome in relation to healthy controls and different age groups

OBJECTIVE: To evaluate the ovarian reserve function in female patients with metabolic syndrome (MetS). METHODS: This study evaluated 136 subjects, 67 with MetS and 69 controls. Subjects were divided into three age groups. Group I included 49 subjects aged 20–29 years, 22 with MetS and 27 controls; group II included 45 subjects aged 30–39 years, 22 with MetS and 23 controls; and group III included 42 subjects aged 40–49 years, 23 with MetS and 19 controls. Demographic characteristics, anthropometrics, blood biochemistry, and gonadotrophic hormones were compared as total ovarian volume and antral follicle count on ovarian transvaginal ultrasonography. RESULTS: Serum levels of FSH, LH, E2 and progesterone were similar in the MetS and control groups, while testosterone levels were significantly higher in MetS patients than controls, both in the overall population (p = 0.024) and in those aged 20–29 years (p = 0.018). Total ovarian volume was significantly lower in MetS patients than controls, in both the overall population (p = 0.003) and those aged 20–29 years (p = 0.018), while antral follicle counts were similar. Ovarian volume correlated positively with antral follicle count (AFC) (r = 0.37; p < 0.001) and negatively with age (r = 0.34; p < 0.001) and FSH concentration (r = 0.21; p = 0.013). AFC was negatively correlated with age (r = 0.36; p < 0.001). CONCLUSION: Ovarian reserve function is significantly lower in MetS patients than in healthy control subjects, particularly in women aged 20–29 years

Uterin Rüptür, Plasenta Previa ve Akreata Birlikteliği ile Gelen Gebede Başarılı Bakri Balon Kateter Uygulaması

Üçüncü trimester kanamaları hemorojik obstetrik aciller içerisinde yer alıp, gebeliklerin % 2-5’ünde görülmektedir. Bu aciller içerisinde plasenta previa %30’unu oluştururken, uterin rüptür daha az sıklıkta görülmektedir. Plasenta akreata tanısı sıklıkla sezaryen operasyonu sırasında koyulmaktadır ve sonuç olarak birçok vakada uygulanacak nihayi tedavi halen peripartum histerektomidir. Olgu sunumuzda genel durum bozukluğu, solunum sıkıntısı ve karın ağrısı şikâyeti ile kliniğimize başvuran 34 haftalık gebede plasenta previa, plasenta akreata ve uterin rüptür birlikteliği mevcuttu. Uterin kanama nedeniyle uygulanan Bakri balon kateterinin başarısı sunulmuştur.Anahtar kelimeler: Bakri balon, uterin rüptür, plasenta previa, plasenta akreat