Causes and clinical characteristics of women with primary amenorrhea and ovarian or gonadal disorders at a quaternary hospital.

Aim: To evaluate the causes and clinical characteristics of primary amenorrhea and ovarian or gonadal disorders in women.

Methods: The medical records of all women evaluated for primary amenorrhea between January 2002 and December 2023 were retrospectively reviewed. Women with missing data were excluded from the study.

Clinical features and management of women with Mayer-Rokitansky-Küster-Hauser syndrome in a Thai population.

Objective: This study aimed to describe the clinical features, associated extragenital anomalies, and management of Mayer- Rokitansky-Küster-Hauser (MRKH) syndrome in a Thai population.

Methods: This retrospective study analyzed the medical records of 96 patients with MRKH syndrome diagnosed and treated at a university hospital and tertiary referral center in southern Thailand between 2000 and 2022.

Results: The study included 96 patients with MRKH syndrome.

Comparison of hyaluronan binding assay scores of spermatozoa using swim-up techniques and density gradient centrifugation.

Objective: To compare the hyaluronan binding assay (HBA) scores of sperm preparation using two different methods, the swim-up technique and density gradient centrifugation (DGC).

Materials And Method: This experimental study used semen specimens from 54 volunteer subjects with normal semen analysis according to the 2010 World Health Organization criteria. Each semen specimen was split into two portions: one was prepared using the swim-up method and the other the DGC method.

Comparison of the TINTARA uterine manipulator with the Cohen cannula in gynecologic laparoscopy.

Objective: To assess the efficacy of the TINTARA uterine manipulator and the Cohen cannula for gynecologic laparoscopy.

Material And Method: Sixty women scheduled for laparoscopy were randomized for use of TINTARA (n = 30) or Cohen (n = 30) as a uterine manipulator. The degree of anterior and lateral deviation of the uterus, operative time, surgical complications and ease of use were recorded and compared between the two groups.

Sperm motility stimulation and preservation with various concentrations of follicular fluid.

Purpose: The purpose of this study is to evaluate the optimal concentrations of follicular fluid (FF) for sperm motility stimulation and preservation.

Methods: Thirty normal semen samples and FF from women in an in vitro fertilization programme were used in an experiment. The semen was processed and incubated in Earle culture media with 20, 50, 80, and 100% FF (v/v) with controls.

Outcomes of multifetal pregnancies.

Aim: To determine the outcomes of multifetal pregnancies and to compare maternal and neonatal complications between spontaneously conceived and assisted reproductive therapy.

Methods: A retrospective analysis was conducted of the information from medical records relating to all multifetal pregnancies. The outcomes were analyzed and used for a comparison between spontaneous and assisted multifetal pregnancies.

Endometrial thickness screening in premenopausal women with abnormal uterine bleeding.

Aim: To assess the role of measuring endometrial thickness by transvaginal ultrasonography (TVS) as a screening tool for abnormal uterine bleeding triage in premenopausal women.

Methods: Between November 2002 and October 2004, endometrial thickness was measured by TVS in 111 premenopausal women with non-cyclic abnormal uterine bleeding before dilatation and curettage.

Results: Of the 111 women, 31 (27.

Spontaneous intra-abdominal bleeding during pregnancy.

Two cases of spontaneous hemoperitoneum caused by ruptured uterine vessels plexus during the second and third trimester of pregnancy were reported. All presented with acute abdominal pain. Emergency exploratory laparotomy and suture-ligation were performed One case had a recurrent intra-abdominal bleeding.