background: the main cause of discontinuing the use of depomedroxy progesterone acetate (dmpa) is irregular bleeding. this study compared placebo with two kinds of combined oral contraceptive pills including low dose (ldocp) and high dose (hdocp) on control of abnormal uterine bleeding in dmpa users. methods: ninety dmpa users complaining of bleeding were studied in a triple blind randomized cl...

objective: to compare side effects between users of two kinds of injectable contraceptives (depo-medroxy progesterone acetate and cyclofem). materials and methods: this cross-sectional descriptive study included 250 women, aged 18-40 years, using depo-medroxy progesterone acetate (dmpa) or cyclofem. the volunteers were examined six months after using contraceptive, and they were asked about fol...

INTRODUCTION The levonorgestrel-releasing intra-uterine device (Mirena(R)) is an effective, long term form of contraception that leads to a significant reduction of menstrual bleeding among majority of women. However, irregular bleeding is quite common in initial Mirena(R) users and may thereby mask underlying cervical pathology. CASE PRESENTATION Two women with cervical cancer and a Mirena(R...

We present a 34-year-old man with combination of beta thalassemia intermedia and coagulation factor VII deficiency who was presented with pallor and irregular nose bleeding episodes. On physical examination, he had splenomegaly and yellow sclera. Pallor and splenomegaly could be reminder of thalassemic syndromes or hemoglobinopathies including thalassemia intermedia. Association with unusual bl...

Non-Hodgkin lymphoma (NHL) causes many deaths worldwide and its incidence is increasing. They commonly occur in middle-aged and elderly people and are disseminated at diagnosis. The patients usually present with lymphadenopathy, fever, night sweats and weight loss. We report an interesting case of NHL in a 35 year old female, who primarily presented with irregular bleeding per vaginum.

from 515 norplant insertions in four family planning clinics, 138 (26.8%) removals were documented before the completion of 5 years. the duration of implant ranged from 15 days to 48 months. no pregnancy was reported during the study period in those who elected to remove norplant. spotting and irregular bleeding were the most common side effects (93.4%) and the most common reasons for early rem...

BACKGROUND This is an unusual case of a 26-year-old P2L2 lady who presented with chief complaints of pain abdomen and irregular bleeding p/v with history of post-coital bleeding. CASE REPORT On per speculum examination, cervix was replaced by an irregular friable growth, which was bleeding on touch. A clinical diagnosis of carcinoma cervix was made but the cervical biopsy revealed granulomato...