Browsing by Author "Tamay, AG"

Now showing 1 - 6 of 6
  • No Thumbnail Available
    Item
    Hyperemesis gravidarum: Current aspect
    Tamay, AG; Kusçu, NK
    An advanced state of nausea and vomiting, which are common symptoms of early pregnancy, is known as hyperemesis gravidarum and may result in dehydration, ketonuria, catabolism and require hospitalisation. Aetiological factors include increased hCG and steroids, multiple pregnancy and vitamin deficiency. Differential diagnosis of nausea and vomiting should be made and supportive treatment as well as antiemetic therapy is recommended. This review discusses aetiology and management modalities of hyperemesis gravidarum including fluid therapy, antiemetics, vitamins, psychological support and non-pharmacological measures.
  • No Thumbnail Available
    Item
    Chronic Cervical Perforation by an Intrauterine Device
    Koltan, SO; Tamay, AG; Yildirim, Y
    The intrauterine device (IUD) is a widely used, highly effective method of birth control. Uterine perforation is a rare yet serious complication and is usually seen during insertion of the IUD. A regular examination is necessary for follow-up. We present a patient with an IUD that had perforated the cervix. The diagnosis was made during routine gynecological examination, and the patient was treated in a timely manner before any complications such as ectopic pregnancy, intrauterine pregnancy, infection or irreversible harm to the cervix arose. This case stresses the importance of regular visits to maintain health and diagnose possible adverse effects of intrauterine contraceptive methods. [J Chin Med Assoc 2010;73(6):325-326]
  • No Thumbnail Available
    Item
    MANAGEMENT OF ECTOPIC PREGNANCY: A RETROSPECTIVE ANALYSIS OF 74 CASES
    Tamay, AG; Yildirim, Y; Koltan, SO; Adiyeke, M; Koyuncu, FM
    Objective: To analyse different management strategies of ectopic pregnancy and their effectiveness retrospectively. Materials and methods: Seventy four patients with a diagnosis of ectopic pregnancy who applied to Celal Bayar University Obstetrics and Gynecology Department between November 2006 - July 2009 have been evaluated. Results: Forty four patients with a diagnosis of ectopic pregnancy have received methotrexate therapy, 23 patients were surgically treated and 7 patients were managed expectantly. The success rate of methotrexate was found to be 90.9% and indications for surgery were rupture and cornual pregnancy. Conclusion: Early diagnosis of ectopic pregnancy is important for the prevention of morbidity and mortality. Methotrexate treatment, surgical intervention or expectant management prove successful in correctly chosen patients with low complication rates.
  • No Thumbnail Available
    Item
    Intrauterine Diagnosis and Management of Fetal Goiter: A Case Report
    Koyuncu, FM; Tamay, AG; Bugday, S
    Fetal goiter can be the result of maternal hyperthyroidism treated with antithyroid drugs. Polyhydramnios may be the presenting symptom and can be diagnosed prenatally by sonography. We report a case of fetal goiter diagnosed at 30 weeks of gestation and fetal hypothyroidism confirmed by cordocentesis. Intra-amniotic levothyroxine was administered. Onset of preterm labor could not be prevented. The risks and benefits of intrauterine treatment of fetal goitrous hypothyroidism are discussed. (C) 2010 Wiley Periodicals, Inc. J Clin Ultrasound 38:503-505, 2010; Published online in Wiley Online Library (wileyonlinelibrary.com). DOI: 10.1002/jcu.20717
  • No Thumbnail Available
    Item
    Relationship between women's attitude towards menopause and quality of life
    Yanikkerem, E; Koltan, SO; Tamay, AG; Dikayak, S
    Objectives The aim of the study was to assess the symptoms of women and to describe the relationship between women's attitude towards menopause and quality of life. Methods This study was conducted from November 2010 to April 2011 at Celal Bayar University Faculty of Medicine and 494 women agreed to participate in the study. Women's attitudes towards menopause and quality of life were evaluated by Menopause-specific Quality of Life (MENQOL) questionnaires. Results Women with no education had the highest scores for vasomotor, psychosocial and physical cluster symptoms (4.1 +/- 2.0, 3.1 +/- 1.6, 3.2 +/- 1.4, respectively). Vasomotor (4.0 +/- 1.9) and physical quality-of-life scores (3.2 +/- 1.40) were significantly higher among housewives. Psychosocial (3.6 +/- 1.8) and physical scores (3.5 +/- 1.5) of women who had no health insurance were found to be higher. The highest scores reported by the women were as follows: vasomotor, physical, psychosocial and sexual cluster (3.8 +/- 1.9, 3.1 +/- 1.4, 2.9 +/- 1.6, 2.7 +/- 1.8, respectively). Women with a negative attitude towards menopause were associated with more frequently reported symptoms compared to women with a positive attitude. The women whose relationships with their husband were negatively affected had higher vasomotor, psychosocial, physical, and sexual symptom scores (4.2 +/- 1.7, 3.7 +/- 1.7, 3.5 +/- 1.5, 3.5 +/- 1.8). Similarly, the vasomotor, psychosocial, physical, and sexual symptom scores were high in women who declared an unfavorable relationship with their children (4.5 +/- 1.8, 3.8 +/- 1.6, 3.7 +/- 1.4, 3.2 +/- 1.9). Conclusion Health-care professionals should understand women's attitudes towards menopause, in order to give optimal information and help the women create positive attitudes and healthy perceptions of this period of life.
  • No Thumbnail Available
    Item
    Evaluation of the effects of gonadotropin-relasing hormone antagonist (GnRH-ant) and agonist (GnRH-a) in the prevention of postoperative adhesion formation in a rat model with immunohistochemical analysis
    Tamay, AG; Guvenal, T; Micili, SC; Yildirim, Y; Ozogul, C; Koyuncu, FM; Koltan, SO
    Objective: To investigate the effects of GnRH antagonist (GnRH-ant) and agonist (GnRH-a) in the prevention of postoperative pelvic adhesions by a visual scoring system and immunohistochemical methods in a rat uterine horn model. Design: Controlled experimental animal study. Setting: Animal laboratory at an academic research environment. Animal(s): Twenty-one Wistar albino rats. Intervention(s): Rats were randomized into three groups. One week before the operation the rats received either GnRH-ant or GnRH-a or saline solution; they then underwent surgical laparotomy, and both uterine horns were traumatized by a scalpel. Three weeks later, all rats were sacrificed and extension and severity of the adhesions in each group were scored by a visual scoring system. Adhesion tissues were evaluated immunohistochemically for vitronectin and u-PAR. Main Outcome Measure(s): Scores of extend and severity of adhesions and staining of vitronectin and u-PAR. Result(s): The extent of adhesion scores were 1.85 +/- 0.86, 0.78 +/- 1.05, and 0.42 +/- 0.64, and the severity of adhesion scores were 1.71 +/- 0.91, 0.57 +/- 0.85, 0.50 +/- 0.75 for control, GnRH-ant, and GnRH-a groups, respectively. The extent and severity of adhesions were significantly lower in both GnRH-ant and GnRH-a groups when compared with the control group. Adhesion extent scores in the GnRH-a group were lower than in the GnRHant group, but this difference was not significant. vitronectin and u-PAR staining were significantly greater in both the GnRH-ant and GnRH-a groups than in the control group. Conclusion(s): GnRH-ant as well as GnRH-a reduced postoperative adhesion formation in a rat model. This finding was supported immunohistochemically by vitronectin and u-PAR staining. (Fertil Steril (R) 2011; 96: 1230-3. (C) 2011 by American Society for Reproductive Medicine.)