Infertility

PCOS: An Epidemic • An epidemic in developing countries (ED & PCOS!!!). • About 20% of reproductive age women demostrate the ultrasound picture of polycystic ovaries. • About 5-10% have clinical or biochemical signs of Anovulation and androgen excess. (These date were collected prior to Rotterdam diagnostic consensus).

• The name of this group of diseases was changed from "venereal diseases" to "sexually transmitted diseases" or "STDs" • Now many persons call them "sexually transmitted infections" or "STIs."

Serial BSU's • -hCG Levels Double Every 48 Hrs • < 66% Rise / 48 Hrs Consistent With Ectopic • Single Determination Not Helpful • Best If Done Within Same Laboratory • Never Rules Out Ectopic

Anti-Mullerian Hormone (AMH) in Female Reproduction (Part 1)Essay Submitted by: Mohamed D. MansySpecialist of Obstetrics and GynecologyMinistry of Health & Population (MOHP) Port Said2009

D17 ET - After ET, 14th day β hCG If pregnancy is present, E2 ve P dose administered until placental autonomy. Muasher;1991