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A prospective randomized trial comparing clomiphene citrate with tamoxifen citrate for ovulation induction in poly cystic ovarian desease

دراسة ميدانية مقارنة بين سيترات الكلوميفين و التاموكسيفين لتحريض الإباضة عند مريضات متلازمة المبيض عديد الكيسات

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 Publication date 2016
and research's language is العربية
 Created by Shamra Editor




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Objective ; To compare the rates of ovulation and pregnancy after tamoxifen citrate (TMX) or clomiphene citrate (CC) among anovulatory women with (PCOD).. Design : Prospective randomized trial.

References used
Gerhard, I and Runnebaum, B. Comparison between tamoxifen and clomiphene therapy in women with anovulation. Arch Gynecol.2011; 227: 279–288
Messinis, I.E and Nillius, S.J. Comparison between tamoxifen and clomiphene for induction of ovulation. Acta Obstet Gynecol Scand.2012; 61: 377–379
Ruiz-Velasco, V, Rosas-Arceo, J, and Matute, M. Chemical inducers of ovulation(comparative results) . Int J Fertil. 1979; 24: 61–66
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The research was conducted on 60 patients, checking in the Department of Obstetrics and Gynecology at the Assad University Hospital in Latakia, complaining of infertility(an initial or secondary) between2011-2013 A satisfactory detailed story of t he couple was taken with extra focus on the clinical symptoms of polycysticovary of the wife (obesity, hirsutism, irregular menstruation, infertility) and overlooking other feminine or masculine causes of infertility. In addition to the calibration of Fsh, Lh, free testosterone, and ultrasound imaging of the uterus and ovaries, a perforation was performed on the ovaries by laparoscopic surgery. Patients were checked for a year. This check up showed healthy pregnancy in 27 patients by 45%, but this didn't work for 31 patients by 51.66%. In addition, 2 cases of abortion3.33% were reported. . The study showed that age, duration of infertility and the rate of LH had an effect on the success of the laparoscopic ovarian drilling process with patients of Polycystic ovary.
Several methods have been introduced to treat inflammatory gingival enlargement including laser, electrocautery, and surgical scalpel which is the standard method adopted. Recently, however, ceramic bur has emerged as a simple and rapid tool for gingivectomy The aim of this study was to evaluate and compare gingivectomy by using ceramic bur and traditional gingivectomy by using surgical scalpel.
Ploycystic ovary syndrome is one of the most common endocrine disorders in women, affecting 6-10% of reproductive-aged women. The dermatological manifestations of hyperparathyroidism, hirsutism, acne vulgaris, androgenic alopecia and acanthosis nigricans are among the cardinal manifestations of PCOS
Ovarian pathology can occur at any time from fetal life to menopause. And the most common benign and malignant ovarian masses are cystic in origin, so the treatment is very important where continual search about the preferred ways, less invasion an d less complications. The aim of this study is to describe the advantages and disadvantages of the laparoscopic ovarian Cystectomy.
This study was executed at Al Assad hospital, Lattakia . is a retrospective study of ovarian mass patients who had been accepted in the department of gynecology during the period between 1/1/2009 and 31/12/2013 .The aim was to study age distribution of benign and malignant tumors , and to study the relation between Ca125 and pre/postmenopausal benign and malignant tumors. The study included 148 patients . The patients' ages ranged between 13-78 years , and the majority of benign tumors occurred in the age group 21- 40 years and the majority of malignant tumors occurred in the age group 51- 60 years . The commonest tumors were epithelial in origin followed by the germ cell tumors followed by sex cord stromal tumors and metastatic tumors. In benign tumorsCa125>=35u/ml was more frequently with endometriosis followed by serous tumors . and in malignant tumors was more frequently with serous tumors followed by mucinous tumors. The highest sensitivity of ca125 level was in prediction postmenopausal benign tumors but with low specificity followed by prediction postmenopausal malignant tumors with high specificity. The quality of the test was higher in postmenopausal benign/malignant tumors compared to premenopausal tumors

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