OBJECTIVE: To compare the clinical effectiveness of combined oral contraceptive pills (levonorgestrel-containing COC) and dienogest in the management of endometriosis-associated chronic pelvic pain and related symptoms. METHODS: This prosp…
Kratom (Mitragyna speciosa) is an increasingly used botanical substance with opioid-like properties. Products containing 7-hydroxymitragynine (7-OH), a potent μ-opioid receptor agonist, have been associated with severe toxicity, though clin…
Endometriosis is a benign gynecological condition that commonly affects women of reproductive age. It is characterized by the presence of ectopic endometrial tissue, predominantly within the pelvic cavity. Ovarian endometriosis usually pres…
INTRODUCTION: Adenomyosis associated abnormal uterine bleeding (AUB-A) often remains non-responsive to medical management. Uterine sparing treatment in young patients presenting with refractory AUB-A poses a challenge. CASE REPORT: A 28-ye…
STUDY OBJECTIVE: The objective of this study was to prospectively analyze the risks and benefits of total laparoscopic hysterectomy (TLH) compared with total abdominal hysterectomy (TAH) and the effects of learning curve on them over 4 year…
Laparoscopy is considered as the preferred modality for the diagnosis of pelvic pathology but its timing and use in the investigation of infertility is an area of debate. A prospective observational study was conducted between 1 November, 2…
STUDY OBJECTIVE: To highlight a recently identified rare cause of severe dysmenorrhea in young patients with poor response to medical management. DESIGN: Evidence obtained from several timed series with or without intervention (Canadian Ta…