Primary ovarian leiomyoma is a rare benign tumour of the ovary, which is seen in women who are aged between 20 years to 65 years. Ovarian leiomyomas can be confused with other spindle cell tumours which display gross anatomical and histological similarities. A case of a primary leiomyoma of the ovary in a pre-menopausal female is being presented here, due to its huge size and unusual presentation.

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Background: India has one of the largest road networks in the world and an estimated 5 million long distance lorry drivers. These men are away from their families for long durations, and in the unhealthy environment along the highways they become easy prey for commercial sex workers. Methods: This study is based on information collected from a sample survey of long-distance truck drivers and their assistants by pre-coded questionnaire administered to each respondent in a face-to-face interview. Result: In our study 73.3 % truckers were in 21-40 age group. 77 % truckers were married. 95.1 % truckers have heard name of HIV/AIDS. The truckers generally knew that HIV could be transmitted by infected needles /blood transfusion (90.8%) or from sexual route (88.0 %), or from mother to child during pregnancy (65.8 %). However 15.1 % of the men thought mosquito bites could transmit HIV and 5.3 % believed that one could get infected by sharing meals. Almost one-third (26.1%) reported intercourse with at least one 'commercial' partner (partner with whom sex was exchanged for money) in last 3 months. Though 75.0 % truckers knew that HIV can be prevented by use of condom, only 70.3 %(out of sexual promiscuous) used a condom while having sexual intercourse with a commercial partner. Conclusion: The study highlights high-risk behavior of long distance truck drivers in-spite of having knowledge regarding route of transmission and prevention of HIV. The HIV/AIDS prevention projects in truck drivers should focus on behavior change and enhancing condom use both with commercial and casual partners.

Hypertrophy of the breast is a rare medical condition of breast connective tissue. It is listed as a 'rare disease' by the 'Office of Rare Diseases' of National Institute of Health (NIH). A woman aged 20 years presented to our antenatal clinic in her first pregnancy at 23 weeks of gestation with excessive enlargement of breasts since conception. Although its etiology has yet to be clarified, it has been associated with the response of breast receptors to gestational hormones. Gestational gigantomastia is a complication whose etiology and pathogenesis have yet to be fully clarified. However it has been speculated that placental hormones may trigger the condition.

Background Bacterial vaginosis (BV) is highly prevalent among women especially in reproductive age group but it is found also in other age groups. Bacterial vaginosis is a great health concern in India because of its complications. Most of the healthcare centers in India are not well-versed in advance diagnostics for BV. Aim To assess the utility of conventional methods for diagnostic evaluation of BV in the patients of different age groups. Materials and methods In this 1 year cross-sectional study, the vaginal swabs were collected from women with signs and symptoms of BV like complaints of vaginal discharge, odor, itching, back ache, etc. attending the department of obstetrics and gynecology of a tertiary care hospital in Western UP. These specimens are subjected to vaginal pH determination and are sent to department of microbiology for Gram stain, wet-mount and whiff test. Amsel's criteria were used for confirming BV. Results A total of 206 women included in the study, n = 63 (29.61%) were found to be having BV based on Amsel's criteria. The mean age of the females were found to be 30.77 years. The most affected age group was found to be 26 to 35 years, n = 33 (54%). The vaginal pH was significantly higher in n = 61 (29.61%) women with BV. Vaginal discharge was prevalent in n = 108 (52.43%) women. Presence of clue cells and positive whiff test were found to be in n = 63 (30.58%) and n = 61(29.61%). Conclusion The characteristics of vaginal discharge, vaginal pH determination, clue cells and whiff test is relatively easier conventional methods for diagnosis of women with BV where better facilities are lacking. These tests are suitable for screening women with BV and in formulating the treatment to check the complications. How to cite this article Mishra PP, Prakash V, Agrawal L, Premi HK. Diagnosis of Bacterial Vaginosis by Conventional Methods in the Patients at a Tertiary Care Hospital. Int J Adv Integ Med Sci 2016;1(1):1-3.