Objective: To find out the effect of bacterial vaginosis on preterm delivery. Bacterial vaginosis (BV) is one of most the common presentation of women in their reproductive age group. Its prevalence is relatively high in the obstetric population which is mostly responsible for preterm delivery. Conclusion: This study conclude that abnormal bacterial colonization is indicative of bacterial vaginosis that is strongly associated with preterm delivery.

This randomized case control clinical trial has been designed to assess whether non-descended vaginal hysterectomy (NDVH) can be performed as an alternative to laparoscopic assisted vaginal hysterectomy (LAVH). The study was conducted in the Department of Gynaecology and Obstetrics, Bangabandhu Sheikh Mujib Medical University (BSMMU) Hospital, Dhaka over a period of one year. Patients admitted for hysterectomy were the study population. DUB, fibroid uterus < 12 weeks size and adenomyosis were inclusion criteria. A total of 30 patients were consecutively selected and then randomly assigned by lottery method for LAVH and NDVH. The test statistics used to analyze the data were descriptive statistics, Fisher's Exact Probability test and Mann Whitney Test. The mean age, socioeconomic condition, duration of marriage, parity, size of the uterus and indications of operation was similar in both groups. The patients of LAVH group have had significantly higher mean operation time (p < 0.001). One patient of LAVH group has got bladder injury and the operation had to be switched over to abdominal hysterectomy. The LAVH group exhibited significantly less hemoglobin level on 3rd postoperative day (p < 0.001). However, the total amount of analgesics needed was much higher in the NDVH group (p < 0.005) and the total cost of operation was significantly higher in the LAVH group (p < 0.001). No difference was observed in terms of day of discharge and day of disappearance of pain. Laparoscopically assisted technique in the filed of gynecology of the developing country is newer one. Training on the laparoscopic technique and concomitant reduction of anesthesia and surgeon charges is very much necessary to make the technique popular. Considering the operating time and expenditure the non-descended method might be a very good alternative to laparoscopic one especially in the developing country.

Background: Polycystic ovary syndrome (PCOS) is a heterogenous, multifactorial, complex genetic disorder. Most commonly, it affects the females of reproductive age. This is one of the most widespread diseases across the world and if left untreated, may result in infertility and even uterine cancer. Methods: A cross sectional observation study of 100 PCOS patients was carried out from August 2018 to July 2019 in gynecology out-patient department of Bangabandhu Sheikh Mujib medical university, Dhaka. In this study clinical, biochemical and hormonal profile of these patients were analyzed and correlation was done between clinical features and biochemical and hormonal profile. Results: The prevalence of PCOS was 6.11% in the gynecology out-patient visits and 35.39% among infertile women. The mean age group of the patients was 24.3±5.16 SD. The mean BMI was 24.66±5.34 SD. The mean duration of infertility was 5.17 years. The prevalence of metabolic syndrome in our study was 15.0%. In this study menstrual irregularity was the most common complaint. Spearman’s correlation between various clinical and laboratory parameters showed positive correlation exists between BMI and testosterone (r=0.4824; p<0.0001).Conclusions: The study showed that most of our polycystic ovary syndrome subjects were present with oligomenorrhea. Hirsutism and central obesity were also common presentation. Obese women with PCOS had more severe ovulatory dysfunction and need more attention for their appropriate management.