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Showing 2 results for Esmailzadeh
Zinatossadat Bouzari, Shahla Yazdani, Sedigheh Esmailzadeh, Roza Shahhoseini, Ali Fazli, Mojgan Naeimi Rad,
Volume 2, Issue 1 (Caspian J Reprod Med 2016)
Abstract
Background: Abnormal uterine bleeding (AUB) is the most common gynecological problems that many factors are involved in its creation. Two common methods used to diagnose uterine lesions are vaginal ultraultrasonography and hysteroscopy. The aim of this study was to evaluate the diagnostic value of transvaginal ultraultrasonography and hysteroscopy in the diagnosis of intrauterine lesions leading to the AUB.
Methods: A cross-sectional study was performed on 203 premenopausal post-menopausal women with complaints of abnormal uterine bleeding. A transvaginal ultraultrasonography was performed from the eligible subjects. In the second visit, a hysteroscopy was done and during the hysteroscopy procedure an endometrial biopsy was obtained from all the women. Pathology was considered as the gold standard and sensitivity, specificity, positive predictive value and negative predictive value were calculated for both methods using the Cat maker software.
Results: The mean age of 203 patients who precipitated in this study was 43.1±2.7. Leiomyoma was the most common leading cause of abnormal uterine bleeding (36%). Sensitivity, specificity, positive predictive value and negative predictive value of ultraultrasonography in the diagnosis of intrauterine lesions were 74.2%, 49.75%, 71.9% 54.3%, respectively and for hysteroscopy were 91.67%, 86%, 85.9% and 88.7, respectively.
Conclusion: Hysteroscopy results were more consistent with the results of pathology and it was more accurate than transvaginal ultraultrasonography in the diagnosis of intrauterine lesions leading to the AUB.
Sedigheh Esmailzadeh, Mouloud Agajani Delavar, Fatemeh Hosseinpour Haydari,
Volume 3, Issue 1 (Caspian J Reprod Med 2017)
Abstract
Background: Studies have revealed that Polycystic Ovary Syndrome (PCOS) usually begins in adolescence and it might manifest differently in different populations. The aim of this study was to estimate prevalence and clinical characteristics of PCOS in a community setting in Iran.
Methods: In a community-based cross-sectional study 401 young women aged 18-33 years selected by cluster sampling proportionate to population size. An interviewer-administered questionnaire was used to screen predisposing factors for PCOS based on menstrual history and clinical manifestations of hyperandrogenism. PCOS be defined presence of least two criteria were considered diagnostic of PCOS, after exclusion of other etiologies.
Results: The overall prevalence of PCOS among young women was 19.0% (CI 95%; 15.0%, 23%). Compared with non-PCOS young women, The adjusted age OR of young women PCOS for problem in abnormal hair growth 5.07 (CI, 2.87-8.99; P< 0.0001) weight loss 4.72 (CI, 2.75-8.09; P< 0.0001), abdominal obesity was 1.83 (95% CI, 1.00 -3.11; p= 0.026), paternal alopecia was 1.760 (CI 95%, 1.03-3.02; p = 0.040), and consume pill for menstruation 18.75 (CI 95%, 6.53-53.96; p< 0.0001). There were no significant difference between acne, increased weight, and depression with PCOS. The women with regular cycles in the absence of clinical hyperandrogenism 98.9% were confirmed as normal. While 93.9 % women with irregular cycle and clinical hyperandrogenism were confirmed to have PCOS.
Conclusions: The results of this study indicated that counseling and evaluating of the women with irregular cycle and clinical hyperandrogenism using an interviewer-administered questionnaire may be benefit for diagnosis of PCOS.
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