Özlem Pata

Treatment of viable cesarean scar ectopic pregnancy with suction curettage

Pregnancy in previous cesarean scar is the rarest form of ectopic pregnancy. All reported cases in the literature that were treated with uterine curettage either become unsuccessful or complicated. We aimed to present a case of cesarean scar ectopic pregnancy that was successfully treated with suction curettage without any additional therapy.

The effects of hormone replacement therapy type on pulmonary functions in postmenopausal women

OBJECTIVEnTo study whether hormone replacement therapy (HRT) or Tibolone has an effect on pulmonary function in postmenopausal women.nnnMETHODSnSeventy-five postmenopausal women without any risk factor for pulmonary disease were included in this randomized, prospective study. Fifty women had undergone natural menopause and 25 had had a hysterectomy/ooforectomy. Twenty-five natural menopause women were randomly allocated to two groups: 25 patients (Group I) were treated with Tibolone 2.5 mg/day, 25 patients (group II) with Estradiol Hemihidrate 2 mg+Norethindron Asetate 1 mg/day. Twenty-five induced menopause women were treated with 17 beta-estradiol 2 mg/day. Lung function tests including forced vital capacity (FVC), forced expiratory volume (FEV(1)), FEV(1)/FVC, forced expiratory flow rate over the 25-75% of the forced vital capacity volume (FEF(25-75%)), and peak expiratory flow rate (PEF) were evaluated at the beginning and 3 months after the treatment to assess the effects of HRT and Tibolone on respiratory function.nnnRESULTSnRegardless of HRT types a significant difference was observed in FVC and FEV(1) after 3 months of the therapy (P=0.001, 0.0001, respectively). No significant difference was found between pre and post therapy values in the other parameters (P>0.05).nnnCONCLUSIONSnWe determined a significant increase in FVC and FEV(1) parameters of pulmonary functions after 3 months of the therapy regardless of HRT types. Therefore, we think that HRT regimens have modifying effects on pulmonary function in postmenopausal women.

Prevalance of Chlamydia trochomatis, Ureaplasma urealyticum and Mycoplasma hominis infections in the unexplained infertile women

ObjectiveTo prospectively investigate the prevalence of Chlamydia trachomatis (CT), Mycoplasma hominis (MH) and Ureaplasma urealyticum (UU) in the cervical canal and pouch of Douglas in unexplained infertile women and compare it to healthy controls in the Turkish population.Materials and methodsA total of 31 women presenting with a history of infertility [nxa0=xa024 (77%) primary infertility, nxa0=xa07 (23%) secondary infertility] between 20 and 38xa0years of age and 31 women willing to have tubal ligation between 30 and 41xa0years of age were consecutively included into this study. Specimens were taken from intra-abdominal washings and from the cervical canal. CT, MH and UU were detected with polymerase chain reaction (PCR).ResultsResults of 62 women were analyzed. None of the participants met the criteria for salpingitis during laparoscopy. The most common infection in the cervical canal in both groups was UU, which was detected in 13 cases of infertile patients and 11 controls (Pxa0=xa00.602). Cervical chlamydial and mycoplasmic infection was detected in one case each in infertile and control patients. Neither MH nor UU were obtained from the pouch of Douglas in both groups. Only CT was present in peritoneal fluid of an infertile woman who had also a concomitant chlamydial infection in the cervical canal.ConclusionDemonstration of cervical colonization of CT by PCR may be a promising method for the detection of asymptomatic pelvic infection in patients with unexplained infertility. However, screening for MH and UU is not cost-effective due to similar low rates of detection.

Is stress urinary incontinence a familial condition

Background.u2002 Stress urinary incontinence (SUI) is a common problem of multifactorial origin. Some authors have claimed that it has a familial predisposition. This study was undertaken to investigate the prevalence of SUI among first‐degree relatives of 154 women who had been operated on for this disorder and of 100 women without SUI.

Treatment of a cervical viable pregnancy with a single intraamniotic methotrexate injection: a case report.

Introduction.Cervical pregnancy is a rare condition, constituting <1% of all ectopic pregnancies.Case report.We report here, the successful management of a viable 7xa0weeks gestation cervical pregnancy. Feticide with 2xa0ml of potassium chloride 15% was performed under the guidance of transvaginal ultrasonography. Then 70xa0mg methotrexate (50xa0mg/m2) was injected through this spinal needle in to the amniotic cavity. Also serial changes in the color Doppler imaging after the methotrexate injection were emphasized.

A seminoma case which occurred in a patient with familial testicular feminization syndrome

The frequency of androgen insensitivity syndrome in the general population is between 1:20,000 and 1:60,000 and is inherited in an X-linked recessive manner (1, 2). The presence of affected relatives with an X-linked recessive inheritance pattern tends to support the diagnosis. Many authors have pointed out the occurrence of this syndrome in multiple family members in multiple generations with transmission through the maternal line. If a diagnosis of complete androgen insensitivity syndrome is made prior to puberty, the testicles may be left in their site until after puberty to allow the patient to feminize, since gonadal neoplasia has not been found until the third decade of life (3). This article discusses the syndrome and the gonadectomy procedure followed for three sisters in their early thirties. Three sisters with the definitive diagnosis of familial androgen insensitivity syndrome were admitted to our clinic; one of whom displayed neoplastic transformation, which resulted in seminoma, is presented.

The effect of carbohydrate intolerance on neonatal birth weight in pregnant women without gestational diabetes mellitus.

Background There is still no consensus on screening, threshold levels and treatment of gestational diabetes mellitus. Furthermore, the importance of a positive 50-g glucose screening test in patients who had a negative 100-g oral glucose tolerance test remains controversial. We investigated the impact of the 50-g glucose screening test results on neonatal outcome in pregnant women with uncomplicated pregnancies, who had no risk factors according to ACOG criteria. Patients and Methods Three hundred eighty-six pregnant women with singleton pregnancies were prospectively screened with 50-g glucose challenge test between 24 and 28 weeks. If the test result was >140 mg/dl, a 100-g 3-hour oral glucose tolerance test was performed. Patients with a positive screening test, but not diagnosed as gestational diabetes mellitus constituted the study group, and patients with a negative screening test constituted the control group. Cesarean rates, neonatal birth weights and complications were compared between these groups. Results The cesarean delivery rates were not statistically different between the study and control groups (8.3% vs. 6.4%, P>0.05). The rates of macrosomic births were 10.0% in the study group, and 6.4% in the control group (P>0.05), but the mean birth weight (3451.67 ± 355.70 g) in the study group was significantly higher than the mean birth weight (3296.29 ± 365.14 g) in the control group (P=0.003). Neonatal hypoglycemia and hyperbilirubinemia was also encountered more often in babies of pregnant women with a positive 50-g glucose challenge test but negative 100-g glucose tolerance test. Conclusion Because of similarities with gestational diabetes mellitus on the basis of perinatal outcomes, the non-diabetic pregnant women with 50-g glucose screen test result over 140 mg/dl but a negative 100-g OGTT should be followed closely.

The prevalence of stress urinary incontinence among women operated on for abdominal wall hernias

The high co‐occurrence of an abdominal wall hernia (AWH) and stress urinary incontinence (SUI) suggests that there is a common factor in the etiopathogenesis of these disorders in these patients.