Medicine and Health Sciences Commons^™

A Randomized, Controlled Trial Comparing The Metformin, Oral Contraceptive Pills And Their Combination In Patients With Polycystic Ovarian Syndrome, Hamed Mohamed Hamed Abd El Rahman, Mohamed Ali Mohamed, Mohamed Ibrahem Mohamed Ibrahem

Al-Azhar International Medical Journal

Objectives: To assess the effectiveness of metformin also OCP in females with PCOS. Subject and Methods: This was a prospective study that included three hundred patients who were chosen at random from patients who attended outpatient obstetrics and gynecology clinics at Al-Azhar University Hospitals. Samples were obtained using a systematic random technique. Results: Variations in age, BMI, and waist-to-hip ratio among the groups were statistically significant. Blood pressure, heart rate, and temperature demonstrated no statistically significant distinctions among the 2 groups. There was significant variance among examined group as regard TG, LDL-cholesterol, fasting plasma glucose and Fasting insulin. There was …

Role Of Transcerebellar Diameter And Abdominal Circumference In Assessment Of Gestational Age In Both Normal And Intrauterine Growth Restricted Fetuses, Mohamed Mohamed Gebril, Mofeed Fawzy Mohamed, Mohamed Hamdy Elshabrawy Mohamed

Al-Azhar International Medical Journal

Background: The process of providing obstetric and neonatal care, in addition to the monitoring of the outcomes of pregnancy by the public health system, requires an accurate estimate of the gestational age of the fetus. An incorrect estimation of the mother's gestational age has been associated with several different unfavorable birth outcomes, for example low birth weight, spontaneous preterm delivery, and death during the perinatal period. Aim and objectives: Identifying a Reliable Method for 2nd and 3rd Trimester Gestational Age Assessment and IUGR Diagnosis. Subjects and methods: This 2-dimensional ultrasound study included 100 pregnant patients at Al Azhar University Hospitals' …

Comparative Study Between Three-Dimensional Transvaginal Ultrasonography And Hysteroscopy In The Diagnosis Of Uterine Cavity Abnormalities In Infertile Women, Ahmed Soliman Hassan Zaki, Ismail Mohmed Abd-El Aziem Mira, Abd El-Monsef Abd El-Hamid Sedek

Al-Azhar International Medical Journal

Background: The uterus of 34%-62% of infertile women has abnormalities. Clinical hysterosalpingography (HSG), saline infusion sonohysterography (saline sonohysterography [SIS]), transvaginal sonography (TVS) or two-dimensional (2D) TVS, diagnostic hysteroscopy, three-dimensional TVS (3D TVS), and even magnetic resonance imaging (MRI) have all been used to evaluate the uterine cavity. However, diagnostic hysteroscopy has been the standard for examining uterine diseases in cases of infertility for several decades. Aim and objectives: compare the diagnostic accuracy of three-dimensional transvaginal ultrasonography and hysteroscopy in detecting intrauterine cavitary lesions or abnormalities in infertile women. Subjects and methods: This cross-sectional observational study compared 150 women who visited …

Evaluation Of Dual Trigger Versus Higher Dose Hcg Trigger In Antagonist Protocol For Patients With Low Number Of Oocytes Retrieved Per Number Of Follicles, Gamal Ibrahim Abou El Serour, Mohamed Khaled Mostafa, Mohamed Shehata Abdel All, Bahy Abd El Hamid Hussein Zaki

Al-Azhar International Medical Journal

Background: Controlled ovarian hyper stimulation is a critical step in the process of in vitro fertilization and embryo transfer because it ensures the absorption of a large number of oocytes that are of sufficient quality to be fertilized.This condition's source, mechanism, and/or pathophysiology are still unknown, unpredictable, and unpreventable, despite the years of clinical experience that have been accumulated. Aim and objectives: To assess the efficiency of utilizing a dual trigger as opposed to a higher dosage of hCG as a trigger in an antagonist protocol for the purpose of improving the number of up taken eggs per number of …

Evaluation Of Yolk Sac Diameter, Gestational Sac Diameter, Embryonic Heart Rate As Prognostic Factor Of 1st Trimester Outcome, Fahd Abdelal Al Omda, Mohamed Ibrahim Mohamed, Abdelrahman Ali Abdallh Okasha

Al-Azhar International Medical Journal

Background: Ultrasound at 5 weeks gestation reveals the yolk sac's hypoechoic centre and echogenic rim. Between 8 and 11 weeks of pregnancy, it expands and then disappears. Larger yolk sacs cause more miscarriages. Normal yolk sacs reduce first-trimester complications. A normal yolk sac predicts a 94% typical result. By 5 weeks, the embryonic heartbeat is visible. The fetal heart rate rose from 118 to 167 beats per minute between 6 and 10 weeks. An embryonic heart rate (EHR) of 100 BPM is abnormal and related to an 83.3% loss rate early in pregnancy (6-9 weeks). Aim: Does Assessment of gestational …

Classical Antagonist Protocol In Comparison With Agonist Stop Protocol In Pcos Women Undergoing Icsi Trial: A Randomized Controlled Trial, Mohamed Sameeh Kamal Mohamed, Hassan Ahmed Abdrbo, Mohamed Mohamed Farahat

Al-Azhar International Medical Journal

Background and aim: Polycystic ovary syndrome (PCOS) is distinguished by hyperandrogenism, oligomenorrhea, and a cystic ovarian morphology. Ovarian hyperstimulation syndrome (OHSS) is more likely to occur in women with PCOS who undergo IVF. The utilization of hCG to begin the ovum's ultimate maturation is a significant mechanism in OHSS . The ESHRE guidelines recommend that in women with PCOS undergoing ICSI/IVF treatment the gonadotrophine releasing hormone antagonist protocol is optimal or superior to gonadotrophin releasing agonist long protocol. In this study we aimed to Compare pregnancy rate between classical (standard) antagonist protocol to agonist stop/antagonist protocol in women with PCOS …

A Comparative Study Of The Transverse Cerebellar Diameter Of The Fetus With The Biparietal Diameter And Femur Length In Estimation Of Diagnostic Accuracy Of Gestational Age In The Second And Third Trimesters Of Pregnancy, Mohamed Mohamed Gebreel, Mofeed Fawzy Mohamed, Sherif Ahmed Hassan Abdel Fattah

Al-Azhar International Medical Journal

Background: The management of antenatal care and the successful planning of an appropriate intervention or therapy depend greatly on the determination of gestational age (GA). When dates are ambiguous or there is a suspicion of intrauterine growth retardation, transverse cerebellar diameter (TCD) provides a significant advantage in predicting GA. Aim of the work: to compare TCD measurement to existing fetal biometric measures such as femur length (FL) and biparietal diameter (BPD) in order to evaluate the diagnostic accuracy of TCD measure in estimating GA throughout the second and third trimesters. Patients and methods: The obstetrics and gynecology department of El-Sheikh …

Ultrasound-Guided Transversus Abdominis Plane (Tap) Block For Pain Control In Patients Intraoperative Cesarean Section, Yehia Abdel Salam Wafa, Mofeed Fawzy, Mohamed Othman Mahmoud Nagy

Al-Azhar International Medical Journal

Background: Transversus abdominis plane (TAP) block is a peripheral nerve block that anesthetizes the abdominal wall. The thoracolumbar nerves (T10-L1) are located in the fascial plane (TAP) among the internal oblique & transverses abdominis muscles. Aim of the study: The objective of the research is to analyze the evidence and assess the analgesic efficacy of ropivacaine TAP block for 24 hours following Pfannenstiel incision caesarean surgery. Patients and methods: A prospective randomized controlled clinical trial was conducted on 60 females undergoing cesarean section in the Department of Obstetrics and Gynecology of Al-Azhar University Hospital and El-Fayoum General Hospital. The participants …

Comparison Between Transcerebellar Diameter And Biparietal Diameter And Femur Length For Gestational Age Measurement Accuracy In Third Trimester, Abd Almenem Zakaria, Ahmed Mohamed Saeed, Mohammed Hassan Mohammed

Al-Azhar International Medical Journal

Less of the physiologic diversity of late gestation was evident in transcerebellar diameter (TCD) compared to several other biometric measures. Menstrual history, clinical examination, and ultrasound are all used to estimate the gestational age of a fetus. In the absence of known risk factors, diagnostic ultrasonography is routinely used to monitor fetal development & confirm the presence of clinical complications. Our study aimed at comparison of the current last menstrual period, femur length, as well as biparietal diameter with transcerebellar diameter measurement for estimating gestational age in the third trimester. Our study was an observational trial was carried out on …

Role Of Retro-Chorionic Blood Flow Doppler In Early Prediction Of First Trimsetric Miscarriage, Ismail Mohamed Abd Elazim Mira, Mostafa Mohamed El-Laban, Ehab Taha Anwar Bakhaty

Al-Azhar International Medical Journal

Miscarriage is the most typical early pregnancy complication and a significant clinical problem even today. The etiology of this illness is poorly understood, and as a result, therapy regimens are based on scant evidence. The study objective was to assess the role of retro-chorionic blood flow doppler in early prediction of first trimester miscarriage. This prospective cohort study was carried out at a major medical center at the department of obstetrics & gynecology at Al Sayed Galal University Hospital from June 2022 till March 2023 and performed on total 100 patients who presented with singleton pregnancy and gestational age from …

A Comparative Study Between Cephalexin And Fosfomycin In The Treatment Of Urinary Tract Infection During Pregnancy, Mostafa Ramadan Soliman Mohamed, Ashraf Hamdy Mohamed, Mohamed Ibrahim Mohamed Ibrahim

Al-Azhar International Medical Journal

Urinary tract infection is the most common bacterial infection in pregnancy which has a serious complications for mother and fetus, so management of it by serial antibiotics is important. Aim of this Work was to compare between Cephalexin and Fosfomycin in the treatment of urinary tract infection during pregnancy. This randomized controlled study was conducted on 200 women attended at the Obstetrics and Gynecology department in Shebin El-Kom teaching hospital from October 2021 through April 2022. Patients were randomized to: (F) group: includes 100 cases treated with fosfomycin, and (C) group: includes 100 cases treated with cephalexin. Redarding our results …

Gray Scale 2d Ultrasound In Relation To Coagulation Profile And Uterine Artery Doppler Indices In Women With Postmenopausal Bleeding, Lamiaa Mohammed Yosri, Reham Saeed Mohammed Aly, Asmaa Abady Awad

Al-Azhar International Medical Journal

Background: Abnormal uterine bleeding in postmenopausal women is a common complaint in general gynecological practice. Progression and prognosis of AUB primarily relies on invasive surgery and pathology so our research aimed to evaluate the use of non-invasive procedures such as uterine artery Doppler indices and coagulation profile in detecting some underlaying causes of AUB. Aim and objectives: To evaluate the coagulation profile (PT, PTT, INR and platelete count) in women with postmenopausal bleeding in relation to 2D ultrasound endometrial thickness and uterine artery Doppler. Patients and methods: This longitudinal observational study was performed at the departments of Obstetrics and Gynecology …

Laparoscopic Tubal Salpingotomy Versus Salpingectomy In Management Of Tubal Ectopic: Impact On Future Fertility, Ahmed Maher El Awadi, Abd Elrhman Mostafa Abd Elrhman Anbar, Ahmed Shaaban Mohamed

Al-Azhar International Medical Journal

Background: Ectopic pregnancy (EP) is the main cause of maternal death during the first trimester of pregnancy and accounts for approximately 10% of all pregnancy related deaths.

Aim of the work: The aim of this research is to observe fertility outcomes after laparoscopic tubal salpingotomy vs laparoscopic tubal salpingectomy in management of tubal ectopic. As regards decline in HCG and hystrosalpingogram (HSG) done 3 months post-operative.

Patient and Method: This prospective observational study was carried out in Gynecology and Obstetrics Department, El-Hussein University Hospital on 52 pregnant women diagnosed as tubal ectopic pregnancies in the period from 5/2021 to 10/2022. …

Post-Caesarean Section Niche-Related Impaired Fertility, Fahd Abdelal El Omda, Mohamed Ibrahim Mohamed, Mohamed Elbayoumy Mohamed

Al-Azhar International Medical Journal

A cesarean section is a common surgical operation all around the world. Post-caesarean niches, sometimes called isthmoceles, are anechoic myometrial indentation at the caesarean scar site caused by improper healing. Our study aimed to examine the role of the postoperative niche in reducing fertility following a cesarean surgery. 50 cases were randomly recruited from those who visited the obstetrics and gynecology outpatient clinics at Al Azhar University Hospitals for this prospective observational, cross-sectional study. Our results revealed that Mean age in included 50 cases, mean duration of secondary infertility was 2.62 years, 76% of cases had elective CS , 24% …

The Effect Of Diabetes Mellitus On Fetal Hemodynamic Indices In Late Pregnancy And Fetal Birth Weight, Ahmed Altaf Abbas, Ahmed Mohamed Al-Sheikh, Mahamed Hosny Mousa El-Behery

Al-Azhar International Medical Journal

Background: One of the most prevalent adverse pregnancy outcomes is gestational diabetes mellitus (GDM). Different degrees of impaired glucose metabolism characterize GDM, which is typically diagnosed during pregnancy. Consistent economic growth, rising living standards, and the introduction of more stringent diagnostic criteria have all contributed to a rise in GDM morbidity in emerging nations in recent years. Aim and objectives: The purpose of this study was to determine whether or not gestational diabetes has an impact on fetal hemodynamics, fetal growth indices, and birth weight. Subjects and methods: This cross-sectional prospective comparative study included 210 pregnant ladies between 36 – …

Comparison Between Cu T 380 A Iucd Insertion During Cesarean Section With Fixation And 6 Weeks Postpartum, Yehia Abdel Salam Wafa, Fahd Abd Elaal Alomda, Ahmed Shokry Ahmed Nasr

Al-Azhar International Medical Journal

Background: Suturing to the uterine fundus during a cesarean delivery utilizing the hung up approach for immediate post placental implantation of IUCD Cu T 380 A is a safe and successful procedure; no cases of ejection or perforation have been documented. Aim of work: The purpose of this study is to assess the safety and effectiveness of inserting an intrauterine contraceptive device (IUCD) with fixation during a lower segment cesarean section as a method of contraception, as well as the impact of fixation on the expulsion rate in comparison to the traditional approach. Patient and methods: At Al Galaa Maternity …