36 research outputs found

    Penatalaksanaan Resistensi Insulin pada Keguguran Berulang

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    Aborsus berulang atau keguguran berulang adalah keguguran (recurrent miscariage) adalah keguguran paling tidak sebanyak 2 kali atau lebih berturut-turut pada usia kehamilan dari 20 minggu dan/atau berat janin kurang dari 500 gram

    Analisis haplotipe polimprfisme gen vascular endothelial growth factor (VEGF) pada endometriosis

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    Polimorfisme nukleotida tunggal pada gen VEGF -460 pada daerah promoter dan +450 pada daerah 5' -untranslated diuji hubungan pada penelitian kasus kontrol terhadap 50 perempuan dengan endometriosis dan 28 perempuan tanpa endometriosis. setelah ekstraksi genom DNA, dilakukan pemeriksaan polymerase chain reaction (PCR) and restriction fragment length polymorphism (RFLP) untuk analisis genotip polimorfisme VEG

    Penanganan Praktis terkait Endometriosis

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    Infertilitas merupakan ketidakmampuan untuk memperoleh suatu kehamilan setelah satu tahun berhubungan seksual tanpa alat kontrasepsi. Terdapat lima faktor penyebab infertilitas yang paling sering ditemukan atau biokimia pada serviks, kelainan atau kerusakan tuba falopi dan atau uterus, disfungsi ovulasi, serta faktor peritoneum (adhesi dan endometriosis)

    Ovarian Reserve Test L The Use in Daily Clinical Practice

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    To Evaluate the significance of conducting ovarian reserve testing decide when to order this testing in the clinical setting. and also to give individualized counseling to patients regarding the prognosis of infertility treatment based on their ovarian reserve tests, such as; basal antral follicle count, basal ovarian volume, ovarian stromal blood flow, ovarian biopsy, basal serum follicle stimulating hormone (FSH), basal serum estradiol, basal serum inhibin B, basal anti-Mullerian hormone serum. Clomphine Citrate challenge test (CCCT), GnRH Agonist Stimulation Test (GAST) and Exogenous FSH Ovarian Reserve Test (EFORT

    Hormonal approach in Hirsutism

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    Hinsutism is a clinical sign that primarily indicate androgen excess and open\ud caused hy relatively benign junctional conditions. Hirsutism requires a careful\ud and systematic clinical evaluation coztoleal with a rational approach to treatment.\ud Initiate therapy only in patients who give informed consent after a complete\ud explanation of the potential benejits and risks of a particular treatment and\ud alternative approaches. The goals ofthe correct management of hirsutism are to\ud ameliorate the hirsutism and reproductive complaints, to prevent anchor treat the\ud possible associated metabolic derangements and to treat the underlying cause\ud Management of hirsutistn is based upon a dual approach which may be\ud used either individualhf or in combination: pharmacological therapies that target\ud androgen production and action and/or direct methods to reduce and remove\ud hair including cosmetic approaches, electrolysisgand photoepilation [laser and\ud intense pulsed light (lPL)]. Instead the cosmetic method that ojten caused\ud discomfort and may reverse to their pretreatment level, the use of hormonal\ud treatment is really promising. In most cases, hinsutism is a chronic disorder\ud benefiting from long-term follow-up. The use of evidence-based strategies to\ud improve the hirsutism and to treat the underlying disorder is essential for the\ud proper management ofwomen with hirsutism

    Ovarian Reserve Tests: The Use in Daily Clinical Practice

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    Objective: To evaluate the significance of conducting ovarian reserve testing and decide when to order this testing in the clinical setting. And also to give individualized counseling to patients regarding the prognosis of infertility treatment based on their ovarian reserve tests, such as: basal antral follicle count, basal ovarian volume, ovarian stromal blood flow, ovarian biopsy, basal serum Follicle Stimulating Hormone (FSH), basal serum estradiol, basal serum inhibin B, basal anti-Mullerian hormone serum. Clomphine Citrate Challenge Test (CCCT), GnRH Agonist Stimulation Test (GA ST), and Exogenous FSH Ovarian Reserve Test (EFORT). Method: Literature study on published studies about the methods of ovarian reserve testing. Conclusion: Ovarian reserve is an important key in initial assessment of the infertile patients and as a predictor of the success of infertility treatment. Currently, there is no single test which is highly reliable for assessing ovarian reserve. AMH serum may be a future hope and suggested as the best biomarker. [Indones J Obstet Gynecol 2011; 35-4:235-40] Keywords: ovarian reserve tes

    Step by Step; Penanganan Kelainan Endokrinologi Reproduksi dan Fertilitas Dalam Praktik Sehari-hari

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    Endometriosis didefinisikan sebagai adanya stroma dan kelenjar-kelenjar endometrium di luar rongga endometrium. Implantasi abnormal paling sering terjadi pada permukaan peritoneum dan organ-organ pelvik namun dapat juga muncul di tempat-tempat yang lebih jauh dalam tubuh. Aktivitas hormonal endometrium ektopik dapat menyebabkan inflamasi dan parut, yang mengakibatkan nyeri dan infertilitas. Lesi-lesinya memiliki beragam rupa, pigmentasi, dan derajat aktivitasny
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