Objective: The purpose of this study was to determine the efficacy of Evening Primrose Oil as a cervical ripening agent when used prior to operative hysteroscopy. Study Design: A randomized, double-blind, placebo-controlled trial included a total of 42 patients randomly assigned to the Evening Primrose Oil group (24) and to the placebo group (18). The primary outcome was initial cervical dilatation prior to hysteroscopy. The number of patients requiring cervical dilatation and duration of cervical dilatation to Hegar dilator size 10 were included as secondary outcomes. Results: There was a statistical and clinically significant difference between the initial cervical dilatation in the treatment and placebo groups (7.81 mm vs. 4.33mm). All patients in the placebo group required cervical dilatation prior to hysteroscopy while only 47.62 percent of patients in the treatment group required any dilatation. It took an average of 53.56 seconds to dilate the cervix to Hegar size 10 in the placebo group compared to 17.43 seconds in the treatment group. Conclusion: Similar to trials in pregnant patients, this study proved that Evening Primrose Oil can be used as a cervical priming agent prior to gynecologic procedures.
EVENING PRIMROSE OIL ; CERVICAL PRIMING ; HYSTEROSCOPY

GENERAL OBJECTIVE: This study aims to determine the prevalence of postpartum depression among mothers who delivered in a tertiary hospital in Dasmariñas, Cavite from April to May 2013. Specifically, it aims to determine the proportion of mothers experiencing postpartum depression on the basis of the following socio-demographic factors: age, marital status, employment status, manner of delivery, parity, age of gestation upon delivery, gender of the newborn and breastfeeding status.

METHODOLOGY: A total of 115 postpartum patients were included in this descriptive study. The Edinburgh Postnatal Depression Scale (EPDS) for screening postpartum women was used in this study. It was translated in Filipino language, back translated and validated prior to its use on the women. A score of at least 10 points indicates possible postpartum depression (PPD). A score of at least 1 point in question #10 indicates suicidal ideation.

RESULTS: Out of 115 patients, 89 had an EPDS score below 10 points corresponding to 77.39% of the total population studied, while 26 participants had a score of at least 10 points corresponding to 22.61%. There were 9 respondents who scored at least 1 point in ques­tion #10 pertaining to 7.83% of the population.

CONCLUSION: Postpartum depression is a universal dilemma. In this study, the prevalence of postpartum depression among mothers who delivered in a tertiary hospital in Dasmariñas, Cavite from April to May 2013 is 22.61%. Since postpartum depression is a common condition with serious consequences, screening must be done with a multidisciplinary approach from both the obstetricians and psychiatrists.

Human ; Female ; Adult ; Young Adult ; Depression ; Postpartum Period ; Depression, Postpartum ; Patients ; Women ; Mothers

GENERAL OBJECTIVE: To determine the prevalence of postpartum depression among mothers who delivered in a tertiary hospital.
METHODS: A total of 115 postpartum patients were included in the study. The Edinburgh Postnatal Depression Scale (EPDS) which was developed in 1987 for screening postpartum women was used in this study. It was translated in Filipino language and has been validated. A score of at least 10 points indicates possible postpartum depression. A score of at least 1 point in question it 10 indicates suicidal ideation.
RESULTS: Out of 115 patients, 89 had an EPDS score below 10 points corresponding to 77.39% of the total population studied, while 26 participants had a score of at least 10 points corresponding to 22.61%. There were 9 respondents who scored at least 1 point in ques­tion #10 pertaining to 7.83% of the population.
CONCLUSION: Postpartum depression is a universal dilemma. In this study, the prevalence of postpartum depression among mothers who delivered in a tertiary hospital in Dasmariñas, Cavite from April to May 2013 is 22.61%. Since postpartum depression is a common condition with serious consequences, screening must be done with a multidisciplinary approach from both the obstetricians and psychiatrists.

Human ; Female ; Adult ; Depression ; Postpartum Period ; Depression, Postpartum ; Patients ; Women ; Mothers ; Suicidal Ideation ; Prevalence ; Postpartum Period

Amenorrhea is one of the most taxing cases in the field of gynecologic endocrinology. Turner's and Mayer-Rokitansky-Kuster-Hauser Syndromes are the two most common separate causes of primary amenorrhea worldwide. Presented here is a rare case of an 18-year old female with Turner's Syndrome and concomitant Mayer-Rokitansky-Kuster-Hauser Syndrome. The worldwide incidence of both syndromes occurring simultaneously in an individual is 1 in 15,000,000 livebirths. The index patient presents with primary amenorrhea and chromosomal analysis revealed 45,X. Transrectal ultrasound noted absence of both the uterus and the ovaries. Early detection of this rare case is important for the initiation of hormone replacement therapy. Adoption is the only option to have a child since Assisted Reproductive Technique (ART) by means of in-vitro fertilization is not applicable for patients with both of these syndromes. Parents and children must be educated regarding the limitations of current knowledge about the management of both Turner's and Mayer-Rokitansky-Kuster-Hauser Syndromes and must be given realistic expectations with respect to sexual functionand social acceptance.

Human ; Female ; Adolescent ; Ovary ; Amenorrhea ; Mullerian Aplasia ; Turner Syndrome ; Uterus ; 46, Xx Disorders Of Sex Development ; Hormone Replacement Therapy ; Fertilization In Vitro ; Reproductive Techniques, Assisted ; Parents

Accessory and cavitated uterine mass is a rare developmental mullerian anomaly theorized to be related to gubernaculum dysfunction. It presents typically in young women as severe dysmenorrhea and chronic pelvic pain refractory to medical therapy. It is an accessory cavity lined by functional endometrium and surrounded by myometrium-like smooth muscle located in an otherwise normal uterus, typically located at the right anterior wall at the level of the round ligament attachment. Ultrasound, hysterosalpingography and magnetic resonance imaging are helpful tools to diagnose and distinguish this entity from a wide array of differential diagnoses. Surgical excision and histopathologic studies confirm the diagnosis and effectively relieves severe dysmenorrhea and chronic pelvic pain. This is a case of a 39 year old nulligravid who presented with severe dysmenorrhea initially diagnosed as rudimentary horn versus myoma. Excision revealed a cavitated mass containing chocolate-colored fluid within located at the right postero-fundal area. Histopathology revealed a diagnosis of accessory and cavitated uterine mass.

Dysmenorrhea