Background. Trichomonas vaginalis (T. vaginalis) infection has been long considered among the sexually transmitted diseases that possesses a clear effect on women’s health especially in the childbearing period. Methods. A 234 females of age range 18-45 years old attending the Gynecology and Obstetrics Outpatient Clinic of Kasr El Aini Hospitals were enrolled in a cross-sectional study. The taken vaginal swabs were subjected to wet mount microscopy, Giemsa stain, modified Diamond’s culture, and nested polymerase chain reaction (nPCR) amplification. Multiattribute and analytical hierarchy processes were conducted to detect laboratory utility. Univariate and multivariate analyses were done to detect the multiple risk factors that may be associated with Trichomonas infection. Results. Based on nPCR, the prevalence of trichomoniasis was 26.9%. Wet mount, Giemsa stain, and culture showed 100% specificity but of low sensitivity (28.57%, 28.57%, and 57.14%, respectively). On the multivariate analysis, nPCR showed the highest rank for diagnostic performance and culture had the lowest rank. For univariate analysis, there was a significant correlation between T. vaginalis infection and vaginal discharge, burning sensation, dyspareunia, and the use of intrauterine device (IUD) ( P value < 0.05). Conclusion. The routine screening of trichomoniasis using nPCR was reliable, sensitive, and specific. Also, it could financially be considered a more suitable option in batch screening. Significant higher rates of infection were reported among IUD users compared to condom or hormonal-based methods.

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Objectives : To compare efficacy and safety of the Transradial approach (TRA) with that of the transfemoral approach (TFA) in uterine artery embolization (UAE) for the management of uterine fibroids. Methods: We searched PubMed, SCOPUS, and Web of Science for relevant clinical trials and observational studies. Quality appraisal was evaluated according to GRADE and we assessed the risk of bias of the trials using Cochrane's risk of bias tool. Observational studies were evaluated according to the National Heart, Lung, and Blood Institute (NHLB). Results: We included a total of four studies one of them is a RCT and the others are obsrvitional studies. The pooled analysis showed that TRA was associated with a significant reduction of the procedure time , (P = 0.001). There is no significant difference between both groups regarding the fluoroscopy time (MD= -1.07 [-3.92, 1.78], (P = 0.46), radiation exposure (MD= -0.14 [-0.35, 0.08]), (P = 0.21), major access site complications (OR= 0.66 [0.24, 1.85], (P = 0.43), and minor access site complications (OR= 0.69 [0.33, 1.43]), (P = 0.32). Conclusion:Transradial and transfemoral approaches have the same safety and efficacy but the transradial was associated with a short duration of the procedure.