Background: To determine the level of knowledge on human papillomavirus (HPV) infection and vaccination, and the attitude towards HPV vaccination in pediatricians, obstetricians and gynecologists (OBG). Materials and Methods: Participants were administered a 40-question survey, investigating the demographic properties, the knowledge on the HPV infection-vaccination and attitudes towards vaccination. Results: The study enrolled a total of 228 participants (131 pediatricians and 97 OBGs). At a rate of 99.6%, the participants agreed with the fact that the HPV infection was the most common sexually transmitted disease and 33.8% of the participants had the opinion that the HPV vaccination should be administered only in women. The lowest level of HPV vaccine recommendation was among the pediatrics specialists (59.4%, p=0.012). When asked whether they would have their daughters receive HPV vaccination, 79.5% of the participants answered favorably; this rate was 36.7% for the sons. At a rate of 59.5% of the participants thought that the HPV vaccine needed to be included in the national vaccine schedule. Most of the participants (91.6%) had the idea that reduction of the vaccine costs would increase the vaccination frequency. Conclusions: We observed that the consideration of the costs and the prejudices relating to the inefficacy of vaccination as well as the inadequate level of knowledge were involved in the physicians' resistance to HPV vaccination. We believe that the healthcare professionals should be informed adequately to overcome false beliefs, thereby ensuring success of the HPV vaccine upon inclusion in the national vaccine schedule in the future.

Aim: Approximately 1-2% of reproductive women have faced recurrent pregnancy loss (RPL). Ovarian reserve testing in the prediction of recurrent pregnancy loss is not usually performed. In this study, we aim to evaluate whether there were any differences between patients with and without a history of recurrent pregnancy loss (RPL) with regards to anti-Mullerian hormone (AMH), follicle stimulating hormone (FSH), luteinizing hormone (Lh), estradiol (E2) levels and basal follicle count. Methods: This case-control study was conducted between 1 January 2013 and 1 January 2015 in the Gynecology and Obstetrics Clinic of Adana Numune Training and Research Hospital. A total of 370 patients aged 17-37 years with a diagnosis of RPL during that 2-year period were contacted by telephone. Further evaluation was made of 40 patients who met the study criteria and gave verbal consent. Patients were called to the Gynecology Polyclinic for assessment on the 3rd day of their menstrual cycle, and a control group was formed of 40 patients with similar demographic characteristics who were referred to the Gynecology Polyclinic and met the study criteria. Results: The mean basal follicle count was determined as 9.4 (2.7) in the study group and 8.9 (2.5) in the control group (P=0.092). The mean AMH values in the RPL and control groups were 3.50 (1.92) ng/mL and 3.66 (2.14) ng/mL, respectively (P=0.718). The mean FSH values in the RPL and control groups were 6.77 (1.87) mIU/mL and 7.01 (1.90) mIU/mL, respectively (P=0.494). Mean LH values were measured as 5.6 (1.8) mIU/mL in the study group and 4.9 (1.7) mIU/mL in the control group. Mean E2 values were 87.7 (83.9) pg/mL and 48.4 (27.9) pg/mL in the study and control groups, respectively. Conclusion: While no difference was found between the RPL and control groups in respect of AMH and FSH values in the ovarian reserve tests, the basal follicle count of the patients with recurrent pregnancy loss was found lower than that of the control group.

Araştırmalar / Researches ÖZET Benign endikasyonlarla yapılan histerektomi materyallerinde adenomiyozis sıklığı ile preoperatif endometrial biyopsi ve pelvik semptomlarla ilişkisi Amaç: Benign endikasyonlar ile yapılan histerektomi materyallerinde adenomiyozis sıklığının değerlendirilmesi. Gereç ve Yöntem: Adana Numune Eğitim ve Araştırma Hastanesi Kadın Hastalıkları ve Doğum Kliniği'nde 2012-2014 yılları arasında bening nedenlerle abdominal, laparoskopik ve vaginal yöntemlerle yapılan 299 histerektomi olgusuna ait materyallerinin histopatolojik değerlendirmelerinde adenomiyozis sıklığı ve bu vakaların preoperatif şikayet ve endometriyal biopsi sonucuna göre adenomiyozis tespit etme değeri retrospektif olarak incelendi. Bulgular: 299 histerektomi materyalinden 79 tanesinde (%26.4) adenomiyozis varlığı tespit edildi. Düzensiz kanama şikayeti ile başvuran hastalarda ve preoperatif endometriyal örneklemelerinde düzensiz proliferatif endometrium, endometrial hiperplazi ve endometrial polip olanlarda postoperatif adenomiyozis görülme oranı daha yüksek saptanır iken (p<0.001); kasık ağrısı şikayeti olan hastalarda anlamlı bir fark saptanmamıştır. Sonuç: Adenomiyozis, benign nedenlerle yapılan histerektomilerde sıklıkla rastlanılan bir olgudur. Anormal uterin kanama ile birlikte endometriyal örneklemelerinde düzensiz proliferatif endometrium, endometrial hiperplazi ve endometrial polip olanlarda postoperatif adenomiyozis görülme sıklığı yüksektir.