EFFECTIVENESS OF COMBINED SURGICAL AND HORMONAL THERAPY IN TREATMENT OF ENDOMETRIOMAS.

Introduction: Endometrial cyst, or endometrioma, is a specific form of endometriosis that often reveals with severe symptoms and requires ongoing treatment. High rate of recurrence after surgical intervention presents a significant challenge in the management of this disease.

Aim Of The Study: Aim of the study was to determine the effectiveness of combined therapy (surgical and hormonal) of endometrioma in terms of development of recurrences, the rate of pregnancy and change in pain intensity.

Hyperhomocysteinemia and pregnancy outcomes in women with polycystic ovary syndrome: A case-control study.

Background: One of the reproductive medicine challenges is to determine the role of hyperhomocysteinemia in the pathogenesis of polycystic ovary syndrome (PCOS), especially in women with recurrent pregnancy loss (RPL).

Objective: Determine the correlation between hyperhomocysteinemia and pregnancy outcome in women with PCOS.

Materials And Methods: This case-control study involved 245 women (20-30 yr) and was conducted in Georgia, Tbilisi from 2019-2022.

HOMOCYSTEINE LEVEL IN PATIENTS WITH POLYCYSTIC OVARY SYNDROME WITH AND WITHOUT INSULIN RESISTANCE.

Until recent period, hyperinsulinemia and hyperandrogenism were thought to be involved in the pathogenesis of polycystic ovary syndrome (PCOS), however, in recent years several studies reported that hyperhomocysteinemia, which may be associated with insulin resistance, plays important role in the pathogenesis of PCOS. Therefore, hyperhomocysteinemia (HHcy) can be considered as one of the newly identified characteristics of PCOS. The aim of the study was to evaluate homocysteine (Hcy) levels in patients with PCOS with and without insulin resistance.