Why was this study done? Few studies have explored the utility of medical interventions in the management of uterine fibriods. A 2011 report by the Agency of Healthcare Research and Quality [1] concluded that the literature examining the effectiveness of treatment strategies was scanty. Gonadotropinreleasing hormone (GnRH) analogues, such as leuprolide acetate, have shown promise in the suppres...

Fewer than 100 cases of uterine arteriovenous malformation are reported which can cause lifethreatening torrential hemorrhage. Prompt diagnosis and treatment are necessary with keeping differential diagnosis of retained products of conception and gestational trophoblastic disease in mind in cases of postpregnancy or post-abortal arteriovenous malformation. We report a case of 27 year old young ...

BACKGROUND An endometrial polyp is a frequently encountered gynecologic disease with abnormal uterine bleeding and infertility being the two common presenting problems, and hysteroscopic polypectomy is an effective method to remove them. The postoperative polyp recurrence might result in reappearance of abnormal uterine bleeding or infertility, whereas factors influencing the postoperative recu...

BACKGROUND Small intrauterine lesions such as septum, adhesion, polyp, and submucous myoma may be of greater significance in causing implantation failure, poor reproductive performance and abnormal uterine bleeding. We studied effectiveness of therapeutic intervention through operative hysteroscopy in improvement of pregnancy outcome and cessation of abnormal uterine bleeding (AUB) in women wit...

BACKGROUND Uterine leiomyomas are widely prevalent and frequently cause menorrhagia. The major therapeutic option today is hysterectomy. Medical options are of highest interest. METHODS A total of 30 women with uterine leiomyomas scheduled for surgical intervention were randomized to receive either 50 mg mifepristone or placebo every other day during 3 months prior to surgery. Uterine blood f...

The placenta abruptio is an extremely serious pathology which involves the maternal-fetal prognosis. We report case of a 19-year-old patient who consulted for abdominopelvic pain associated with heavy vaginal bleeding on 19SA in context arterial hypertension. symptomatology suddenly worsened onset hemorrhagic shock, prompted emergency hysterotomy. diagnosis grade III b SHER was evoked. Uterine ...

BACKGROUND Consecutive use of the levonorgestrel-releasing intrauterine system (LNG-IUS) is increasing. However, little is known about factors that predict the bleeding during consecutive use. The objective of this study was to analyse the possible factors which may predict the bleeding pattern during the first year of use of a second LNG-IUS. METHODS Fertile-aged women (n = 204) who had used...

BACKGROUND Uterine rupture classically presents with severe abdominal pain, loss of fetal station, vaginal bleeding, and shock. CASE PRESENTATION We present a case of uterine rupture presenting as significant urinary retention that occurred following a second trimester abortion induced with mifepristone and misoprostol. Uterine rupture was discovered unexpectedly on diagnostic laparoscopy. Th...

BACKGROUND Uterine perforation is the most common complication of curettage and may result in bleeding. Therefore, urgent control of bleeding from the uterine wall perforation is necessary to avoid an emergency hysterectomy or blood transfusion, to prevent peritoneal adhesion formation, possible chronic pelvic pain, and infertility. In the present case, an active bleeding secondary to a perfora...

Postpartum hemorrhage is one of the most common obstetric emergencies and largest contributor to maternal mortality in world, with uterine atony being cause. A 38-year-old woman came Karitas Hospital complaining vaginal bleeding after giving birth three hours ago. On examination, patient was somnolent signs shock. Anemic conjunctiva, pale lips, weak contractions uterus, active bleeding. The lab...