Abdibasid Shariff Ali; Yakub Mohamud; Yakub I. Kune; Byonanuwe Simon
Abstract
Introduction: Uterine didelphys is an exceptionally rare Müllerian duct anomaly that, when incidentally discovered, can be profoundly disconcerting for attending clinicians, patients, and their families. In this case report, we described an instance of undiagnosed uterine didelphys in a pregnant ...
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Introduction: Uterine didelphys is an exceptionally rare Müllerian duct anomaly that, when incidentally discovered, can be profoundly disconcerting for attending clinicians, patients, and their families. In this case report, we described an instance of undiagnosed uterine didelphys in a pregnant woman who was admitted at 39 weeks and 4 days of amenorrhea for her third delivery, wherein the condition was coincidentally identified during an elective cesarean section, resulting in a favorable fetal outcome.Case Presentation: We presented the case of a 32-year-old gravida 4 para 3+0 patient who was admitted at 39 weeks and 4 days of amenorrhea and had a history of three prior cesarean deliveries. She underwent an elective cesarean section. A second nongravid uterus with an ipsilateral fallopian tube and ovary was incidentally observed intraoperatively. Furthermore, a contralateral fallopian tube without an ovary was noted within the same uterus. Subsequent exploration revealed that each uterus had one fallopian tube and ovary, and both uteri shared a single cervix.Conclusion: Vigilant preoperative assessment of all women scheduled for surgery is imperative to prevent such disconcerting, avoidable occurrences.
Seyed Ali Hosseini; Nasibeh Kazemi; Saeedeh Shadmehri; Shariat Jalili; Mozhgan Ahmadi
Abstract
Objectives: This study aimed to investigate the effect of resistance training in water and land with vitamin D on anti-Mullerian hormone in women with polycystic ovary syndrome (PCOS). Methods: Sixty women with PCOS (20 - 35 years old) referred to the Hafez Hospital in Shiraz in 2018 were selected and ...
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Objectives: This study aimed to investigate the effect of resistance training in water and land with vitamin D on anti-Mullerian hormone in women with polycystic ovary syndrome (PCOS). Methods: Sixty women with PCOS (20 - 35 years old) referred to the Hafez Hospital in Shiraz in 2018 were selected and randomly divided into six groups of (1) control, (2) water training, (3) land training, (4) vitamin D, (5) water training with vitamin D, and (6) land training with vitamin D. Groups 2, 3, 5, and 6 performed resistance training in water and land for eight weeks, three sessions per week, while groups 4, 5 and 6 consumed vitamin D for eight weeks. For statistical analysis of data independent samples t-test, one-way ANOVA and Tukey’s post hoc tests were used (P ≤ 0.05). Results: Training in water and land have no significant effect on anti-Mullerian hormone (P ≥ 0.05); vitamin D, training in water with vitamin D, and training in land with vitamin D have significant effect on reduction of anti-Mullerian hormone (P = 0.001); training in water with vitamin D and training in land with vitamin D have more effect on reduction of anti-Mullerian hormone rather than vitamin D (P ≤ 0.05) and after training in water with vitamin D (P = 0.01) and training in land with vitamin D (P = 0.001) there is a significant relationship between anti-Mullerian hormone changes and weight. Conclusions: It appears that resistance training in water and land combined with vitamin D consumption may decrease the anti-Mullerian hormone by reduction in weight and as a result improve ovarian and reproductive function in women with PCOS.
