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Query: UMLS:C0003128 (anovulation)
 1,718 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

As a basis for the clinical diagnoses of reproduction disturbances in indigenous cows in Uganda the normal and diseases conditions of the reproductive organs of 438 Ankola and Nganda cows slaughtered at Mukono were examined. Gravid genitals formed 30.13% of the whole material, the proportion of abnormal genitals was 39.28%. Bursitis, salpingitis, and ovario-bursal adhesions were the most prevalent abnormalities. Genital tuberculosis was found in 3.02% of the material. Ovarian dysfunctions were frequent in otherwise normal genitals: anovulation 31.44%, inactive ovaries 12.16%, follicular cysts 3.9%, cystic corpora lutea 0.56%, ovarian hypoplasia 1.12%. The individual findings are summed up in 7 tables. Four figures are added showing ovario-bursal adhesions and uterus ovarian tuberculosis. 54 references.
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PMID:A preliminary study of the genital organs of indigenous cows in Uganda. 98 7

To evaluate the reproductive consequences of prenatal diethylstilbestrol (DES) exposure, 33 infertile couples were studied in whom the female had been exposed to DES in utero. Infertility was attributed to uterotubal junction obstruction in 3 couples, anovulation in 7, endometriosis in 11, cervical obstruction in 2, adnexal adhesions in 2, oligospermia in 1, and luteal insufficiency in 3; in 4 couples no cause of infertility could be identified. No unique intraabdominal abnormalities attributable to DES exposure were observed. 4 tubal pregnancies occurred in women with grossly normal oviducts. 9 of 11 women who had previously undergone surgical manipulation of the cervix (cryosurgery, cautery, or conization) developed cervical stenosis, and 8 were found to have endometriosis. Despite our not having an appropriate referral infertility population for comparison, these findings are consistent with these hypotheses regarding women prenatally exposed to DES: 1) surgical manipulation of the cervix more frequently leads to cervical stenosis and ultimately pelvic endometriosis; 2) tubal pregnancies may occur by a mechanism unrelated to salpingitis; and 3) the spectrum of problems causing infertility is similar to that in the non-DES-exposed population.
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PMID:Infertility in women exposed to diethylstilbestrol in utero. 666 85

This discussion of vaginal bleeding in adolescents reviews the causes of dysfunctional uterine bleeding (complications of pregnancy, pelvic inflammatory disease and/or complications of the use of oral contraceptives or IUDs, blood dyscrasias, trauma and foreign bodies, tumors, and other causes) as well as the diagnosis and treatment of dysfunctional uterine bleeding. Menstrual irregularities are the most common cause of abnormal vaginal bleeding in adolescence and can be managed easily in the office. On occasion an adolescent needs to be hospitalized for acute menorrhagia; very rarely a surgical procedure such as dilatation and curettage is necessary. Dysfunctional uterine bleeding is defined as abnormal uterine bleeding without local anatomic causes. It is a diagnosis of exclusion and requires an adequate examination of the vagina, cervix, and other pelvic organs. Some local bleeding presents as irregular vaginal bleeding in adolescents and is diagnosed as dysfunctional bleeding. The diagnosis of pregnancy and related complications (threatened abortion, incomplete or complete abortion, ectopic pregnancy, and postabortal trophoblastic disease) may present as irregular bleeding in the practitioner's office. A teenager may give a history of pregnancy if she is questioned about it closely and confidentially. A high index of suspicion will help the clinician to make this diagnosis. Salpingitis should be suspected in any teenager who presents with low abdominal tenderness, pain, abnormal bleeding, low grade fever, and tenderness on cervical movement. Approximately 10% of teenagers with blood dyscrasias present with cyclic hypermenorrhea. Vaginal ulcerations and objects introduced into the vagina occasionally cause irregular bleeding. Such tumors as clear cell adenocarcinoma of the vaginal and sarcoma botyroides may present as metrorrhagia. These etiologic factors comprise as most only about 5% of adolescents who complain of irregular vaginal bleeding. The most common cause of such bleeding is anovulation or oligoovulation due to the noncyclic release of follicle stimulating hormone (FSH) and luteinizing hormone (LH) during adolescence. Although the most common cause of this cyclic disturbance is the hypothalamic pituitary ovarian axis, some well known endocrine disorders can also produce this picture. 95-97% of adolescents will have no organic reason for their irregular bleeding. The diagnosis of dysfunctional uterine bleeding is then made. Detailed suggestions are provided on how to proceed which will prevent grave errors in the diagnosis and treatment of dysfunctional uterine bleeding in adolescents. The patient who has been bleeding very heavily and has a hematocrit less than 30 may have to be hospitalized. A medical D and C can be done with a progestational agent. Such patients may need a transfusion of packed cells and should be kept on oral iron. They also need cycling with Ovral for 2-3 months and must be followed carefully.
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PMID:Vaginal bleeding in adolescents. 674 72

Seventy-one cases of infertile women with both normal menstrual cycle and biphasic BBT were studied with ultrasonography, laparoscopy, hormonal assay and endometrial histology. Signs for follicular development and ovulation were divided into four types: (1) normal ovulation in 12 cases; (2) ovulation of small follicle in 21 cases; (3) luteinized unruptured follicle in 15 cases; (4) small luteinized follicle in 23 cases. Mean serum progesterone levels in the luteal phase were within normal limits in all cases. Secretory endometrium accounted for 77.46%. Proliferative or hyperplastic endometrium accounted for 22.54%. The Authors conclude that the criteria of biphasic BBT, P levels and endometrial histology are not reliable enough for determine the cause of female infertility women. In this study the rate of salpingitis: and the rate of aberration of follicular development and chronic anovulation was 7.04%, 83.10% respectively. The latter played an important role in causing female infertility.
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PMID:[Follicular development patterns in infertile women with biphasic basal body temperature]. 850 4