Imperforate Hymen (IH), an obstructive congenital anomaly of the female genital tract, is seen in 1 in 2000 female births. Treatment of IH is hymenotomy or hymenectomy. Different types of incisions are mentioned in the literature. We reported two cases of IH with different clinical presentations and described a simple virginity preserving and socially acceptable procedure to protect the virginity of the patient. In cultures and religions where the destruction of the hymen is a social problem in unmarried girls, virginity sparing surgery should be chosen in gynecological practice. Here we described a simple procedure without need for prophylactic antibiotic treatment and foley catheter application to form an intact annular hymen in two cases. Abstract ÖzetCase Report 278

Basal magnesium levels in preterm labor had a predictive value in evaluating MgSO4 tocolysis response. It may help to select patients who are appropriate for MgSO4 tocolysis.

Objective. Polycystic ovarian syndrome (PCOS) is the most common endocrine disorder affecting 5–10% of women in reproductive age. Insulin resistance, dyslipidemia, glucose intolerance, hypertension, and obesity are metabolic disorders accompanying the syndrome. PCOS is a chronic proinflammatory state and the disease is associated with endothelial dysfunction. In diseases with endothelial damage, hearing in high frequencies are mostly effected in early stages. We evaluated extended high frequency hearing loss in PCOS patients. Material Methods. Forty women diagnosed as PCOS and 25 healthy controls were included in this study. Age and BMI of PCOS and control groups were comparable. Each subject was tested with low (250–2000 Hz), high (4000–8000 Hz), and extended high frequency audiometry (8000–20000). Hormonal and biochemical values including LH, LH/FSH, testosterone, fasting glucose, fasting insulin, HOMA-I, and CRP were calculated. Results. PCOS patients showed high levels of LH, LH/FSH, testosterone, fasting insulin, glucose, HOMA-I, and CRP levels. The hearing thresholds of the groups were similar at frequencies of 250, 500, 1000, 2000, and 4000 Hz; statistically significant difference was observed in 8000–14000 Hz in PCOS group compared to control group. Conclusion. PCOS patients have hearing impairment especially in extended high frequencies. Further studies are needed to help elucidate the mechanism behind hearing impairment in association with PCOS.

Sexual dysfunction is common in women with infertility and interferes with the marital relationship. The study aims to compare sexual function among women with different infertility causes. The authors used a cross-sectional study design with 142 infertile women. Sexual functions and depression prevalence of infertile women were assessed using the Female Sexual Function Index and the Beck Depression Inventory. The prevalence of female sexual dysfunction was 43.3% (n = 13) in the female infertility group (Group A), 54.8% (n = 17) in the male infertility group (Group B), and 51.9% (n = 42) in the unexplained infertility group (Group C). There was no statistically significant difference in the prevalence of sexual dysfunction between the groups (p =.635). There was no significant difference in mean Beck Depression Inventory scores between the groups (p =.832). However, Beck Depression Inventory scores and depression prevalence were significantly higher in women with sexual dysfunction (p <.001). The total Female Sexual Function Index score and all subgroup scores were inversely correlated with the Beck Depression Inventory score (p <.01). Infertile women with sexual dysfunction were more likely to have depressive symptoms. Psychiatric assessment should be introduced in the management of infertility.

Amaç: Bu çalışmada benign ön tanılarla yapılan histerektomilerin, endikasyonlar ve histopatolojik tanılar açısından değerlendirilmesi amaçlandı. Yöntem: Ocak 2011 ile Aralık 2012 yılları arasında yapılmış olan 258 histerektomi olgusu endikasyonlar ve histopatolojik tanılar açısından retrospektif olarak değerlendirildi. Bulgular: En sık histerektomi endikasyonu anormal uterin kanama idi 87 (%33,72). Daha sonra sırası ile myoma uteri 73 (%28,29) ve endometrial hiperplazi 67 (%25,96) olarak tespit edildi. Diğer klinik endikasyonlar adenomyozis 25 (% 9,68) ve uterus prolapsusu 6 (% 2,32) idi. Histerektomi materyallerinin histopatolojik raporları incelendiğinde, en yaygın patoloji leiomyoma 83 (%32,17), takiben adenomyozis 78 (% 30,23) ve endometrial hiperplazi 77(29,84) idi. Endometrial polip 13 (% 5,04) vakada tespit edildi. 7 (% 2,71) vakada ise atrofik endometrium mevcuttu. Yine histerektomi materyallerinin serviks incelemelerinde olguların % 54,26'sında kronik servisit olduğu gözlendi. Sonuç: Myoma uteri ile endometrial hiperplazilerin yüksek oranda birlikteliği nedeniyle myoma uteri tanısıyla histerektomi planlanan hastalarda menometrorajide mevcutsa mutlaka endometrial örnekleme de yapılmalıdır.Objective: To evaluate hysterectomy procedures performed for benign conditions in terms of indications and histopathological results. Method: Retrospective analysis of 258 hysterectomy cases, which were performed between January 2011 and December 2012, was conducted to review indications and histopathological diagnoses. Results: The most frequent indications for hysterectomy were abnormal uterine bleeding 87, (33,72%), myoma uteri 73, (28,29%) and endometrial hyperplasia 67, ( 25,96%), respectively. Other clinical indications were adenomyosis 25, ( 9,68%) and uterine prolapse 6, (2,32%). The most common histopathological diagnoses reported for hysterectomy specimens were leiomyoma 83, (32,17%), adenomyosis 78, (30,23%) and endometrial hyperplasia 77 (29,84%), respectively. Endometrial polyp was diagnosed in specimens of 13 patients (5,04%). Endometrial atrophy was reported in 7 patients ( 2,71%). Cervical histopathology of hysterectomy materials revealed chronic cervicitis in 54,26% of the patients. Conclusion: Due to the high coincidence of myoma uteri and endometrial hyperplasia, endometrial sampling should be performed in patients who are being considered for hysterectomy for myoma uteri and also have menometrorrhagia.Anahtar Kelimeler: Histerektomi, Endikasyon, Patoloji.