American Research Journal of Gynaecology

Malaz Bashir Alemam1, Mohammed Rida2, AbdElkarim A. Abdrabo1*

Background: A lower level of Anti-mullerian Hormone (AHM) is associated with reduced ovarian reserve and reduced chance of pregnancy with IVF treatments. Previous reports indicated that AMH should not be used as the criteria to exclude couples from performing additional IVF treatments. Aim: The aim of the current study was to assess the outcome of IVF/ICSI in women with low circulating AMH level (< 1.3 ng/ml) and to examine the difference in IVF/ICSI outcome between women with low serum AMH (0.2-1.3ng/ml) and extremely low serum AMH (

Mohamed Tawfik Gad Al-Rab, Emad MossaI brahim, Momen Mohamed Hassan, Dina Hisham Hussain Emam Abdallah*

Objective: To evaluate the role of sonographic markers of ovarian morphology versus hirsutism indices in the prediction of serum total testosterone in hirsute women Study Design: Cross sectional observational Study. Subjects: Eighty women (aged 18 to 40 years) form among the attendants of the Gynecology Clinic of Minia University Hospital complaining of hirsutism were recruited into the Study in the period between January and May 2017 after obtaining their informed consent. Participants were evaluated regarding self-reported menstrual cycle history to determine the extent of any menstrual cycle disturbance; male-pattern hair growth was assessed on nine regions of the body using the modified Ferriman-Gallwey (mFG) scoringsystem, a transvaginal ultrasound scan to characterize ovarian morphology and fasting blood sample for testosterone assay. Main Outcome Measures: Regional and total modified Ferriman-Gallwey (mFG) scores, number of follicles per follicle size category, follicle number per ovary (FNPO), ovarian volume (OV), ovarian area (OA), stromal to ovarian area ratio (S/A), stromal echogenicity index (SI), total testosterone (TT) and menstrual cycle length. Results: There were no correlations between any of the demographic characteristics of the study participants and total testosterone. There were no correlations between hirsutism scores and total testosterone of all study participants. However, there were some association between hirsutism scores (upper lip, chin and lower abdomen) and total testosterone of all study participants. There were correlations between the three ovarian dimensions, ovarian volume, ovarian area, stromal echogenicity and ovarian echogenicity and total testosterone. However, there were no correlations between 2-5 mm FNPO, 6-9 mm FNPO, 2-9 mm FNPO, stroma to ovary ratio & stromal echogenicity index and total testosterone. Conclusion: Sonographic markers particularly ovarian dimensions, ovarian volume, ovarian area, stromal echogenicity and ovarian echogenicity are good predictors of total testosterone levels in women with hirsutism whether having regular or irregular menstrual cycles. They are better predictor of total testosterone levels than other Sonographic markers namely number of follicles of different sizes , stroma to ovary ratio and stromal echogenicity index. They are much more sensitive predictors of total testosterone than hirsutism scores whether regional or total scores.

Fatma Saber Nady Mohammed1, Mamdouh El-Sherbiny Ramadan Shahin2, Entisar Mohammed Youness3, Hanan Elzeblawy Hassan*4

Background: Quality of life data, in cancer care, have played а crucial role in the selection of therapeutic agents that have become the standard of care. However, the dramatic increase in the number of survivors living, five years post-diagnosis of breast and gynecological cancer, benefits related to quality of life have not been achieved. Quality of life issue is of interest in oncology because effective modern methods of treatment and detection have led to an increase in the number of long-term survivors. Aim: assess the effectiveness of an educational program on quality of life improvement in women undergoing treatment for gynecological and breast cancer. Study design: Α quasi-experimental study design. Sample and settings: Α randomly selected sample of 100 women diagnosed with gynecologic and breast cancer that attended El-Miniа Oncology Institute. Tool: Α structured interview questionnaire included Female Sexual Function Index, Cancer-Specific Stress, and The Functional Assessment of Cancer Therapy-General. Results: Quality of life of the studied women with breast and gynecological cancer have been improved under the influence of educational program and this improvement has not been only related to the total score of the quality of life but also has occurred in physical, social, emotional, and functional well-being subscales. Conclusion: The educational program showed evidence of improved quality of life, with a reduction in the sexual dysfunction, and lower stress levels. Recommendations:Based on findings of the current study, it is suggested to heighten awareness and knowledge about the breast and gynecologic cancer treatment-related side effects among the nursing staff. Keywords: Survivorship, Gynecological Cancer, Breast Cancer, Sexual Dysfunction, Quality of Life.