The state of the art of the infertility workup, strange as it may appear, has never been accurately defined. A recent survey, that was designed to determine how reproductive endocrinologists practice on a daily basis, demonstrated that the five basic tests that were regarded as the cornerstone of the infertility evaluation were: semen analysis, assessment of ovulation, hysterosalpingogram (HSG)...

The Mayer–Rokitansky–Kuster–Hauser (MRKH) syndrome affects 1 out of 4,500 women [1]. It is a malformation of the female genitals due to interrupted embryonic development of the mullerian (paramesonephric) ducts in otherwise chromosomally, phenotypically, and endocrinologically normal female. It is second to Turner’s syndrome as a cause of primary amenorrhea and was described by Mayer (1829), Ro...

Objectives: to determine the problem of the management of infertility of the couple in Senegal. Materials and methods: retrospective study carried out in the department of Gynecology and Obstetrics of the National Hospital Center of Pikine. All cases of infertility of the couple during the period from January to December 2014 had been collected 146 cases. The data was collected from the medical...

At 10-14 weeks of gestation more than 80 per cent of fetuses affected by trisomy 21 can be detected by a screening programme based on a combination of maternal age and fetal nuchal translucency thickness (NT). The screen positive group in such a programme also identifies fetuses with sex chromosome abnormalities. In this ongoing multicentre screening study, involving 61,972 singleton pregnancie...

BACKGROUND Transvaginal ultrasound is used conventionally as initial investigation of patients with abnormal uterine bleeding but saline contrast sonohysterography is a better technique to reliably distinguish focal from diffuse endometrial lesions. This study was performed to compare the ability of transvaginal ultrasonography and saline infusion sonohysterography as initial modality for the d...

PATIENT Female, 46 FINAL DIAGNOSIS: Unilateral adneksial and renal agenesis Symptoms: Menometrorrhagia Medication: - Clinical Procedure: Total abdominal hysterectomy and unilateral salphingoopherectomy Specialty: Obstetrics and gynecology. OBJECTIVE Rare disease. BACKGROUND Unilateral renal and adnexal agenesis is quite rare. Absence of any uterine abnormality accompanying current urogenita...

To evaluate the efficacy and safety of vaginal misoprostol for term labour induction. A prospective study conducted at the Department of Obstetrics and Gynecology B of hospital Charles Nicolle, Tunis, over a period of 4 months. The group of subjects, selected to represent the population of interest, were pregnant patients at term undergoing cervical ripening. Patients received 50 mcg vaginal mi...

The recent years have seen medical science and technology expand by leaps and bounds. We have shifted focus from correction of the problem to prevention of the problem. Abnormal uterine bleeding is an important cause of ill health in perimenopausal women.In the perimenopausal years, there is an increase in the incidence of bleeding irregularities. This is because of an increase in the prevalenc...

Although asymptomatic cases naturally occur, congenital mullerian abnormalities can present with infertility, menstrual irregularity and recurrent pregnancy loss. Women with normal reproductive outcomes and recurrent pregnancy loss exhibit approximately 2-4% and 5-10% incidence of various congenital mullerian abnormalities. Following septate uterus, bicornuate uterus and arcuate uterus, unicorn...

Subfertility is a disease of the reproductive system and defined as the failure to achieve pregnancy after 12 months of unprotected sexual intercourse [1]. Subfertility is a distressing condition for couples who are trying to achieve pregnancy and childbirth. Approximately 15% of couples are affected with subfertility, of which up to 20% remain unexplained. Female factors are identified in abou...