مجله زنان مامائی و نازائی ایران
سال هجدهم شماره 171 (هفته اول آذر 1394)

Anaemia impairs health and well being in women and increases the risk of maternal and neonatal adverse outcomes. So، this study was performed with aim to determine anemia related factors in pregnant women referring to health centers of Mane and Samalqan city.

This cross-sectional study was performed on 221 pregnant women referred to health centers of Mane and Samalqan city in 2013. Data related to demographic characteristics، parity، gravidity، age، job، and age at marriage were collected via checklist.

The prevalence of anemia between pregnant women in this study was 17. 5% in 6-10 gestational weeks and 18. 9% in 26-30 gestational weeks. Mean of Hb was lower in women who had history of anemia in previous pregnancy than those who didn’t have. There was a statistical significant relationship between previous mode of delivery، husband’s job، anemia in 6-10 gestational weeks، weight، BMI، Height، Hb and hematocrit in 6-10 gestational weeks (P<0. 05). Also، there was statistical significant relationship between history of anemia in previous pregnancy and anemia of pregnant women in 6-10 and 26-30 gestational weeks (P<0. 05).

A history of anemia and cesarean section in previous pregnancy leads to increased prevalence of anemia. Also، there is a positive correlation between weight and body mass index and mean hemoglobin. Therefore، performing the procedures by the authorities about determinant factors in reducing anemia in the society seems to be necessary.

In menopause, decreased estrogen and androgen physiologically levels leads to decrease in blood flow to the vulva and vagina, and thus reducing sexual desire and arousal. Vaginal dryness can decrease sensory threshold of genital area, dyspareunia and reduced libido. The satisfaction in sexual relationship has an important role in mental health of people.This study was performed with aim to evaluate the effect of fennel vaginal cream on dyspareunia and sexual satisfaction among postmenopausal women. This randomized, double-blind controlled trial was performed on 60 postmenopausal women referred to No 1 Eastern health center in Ahvaz with aim to evaluate the effect of fennel vaginal cream on sexual satisfaction in 2014. Sixty postmenopausal women with diagnosis of vaginal atrophy were randomly divided into two 30 cases groups to receive fennel vaginal cream 5% and placebo for 8 weeks. The sexual satisfaction was measured using Larson Questionnaire. Data were analyzed using SPSS software (version 22), and paired t-test, independent t-test, Chi-square, Mann-Whitney and GEE. After the intervention, sexual satisfaction was significantly improved in fennel vaginal cream group than placebo group (P<0.001), and a significant reduction in dysparonia was observed in fennel vaginal cream (P<0.05). The results of the study showed that use of fennel vaginal cream was effective in reducing dysparonia and increasing sexual satisfaction.

Pre-sacra Epidermoid cyst is a rare diagnosis in middle-aged women which is often asymptomatic and discovered incidentally. Pre-operative biopsy is not recommended and surgical resection is the best diagnostic and therapeutic modality. This article presents a case of pre-sacral epidermoid cyst which was discovered during the staging of cervical cancer. The patient was a 47-year-old woman complaining of menometrorrhagia in May 2015. After gynecological examination and biopsy, squamous cell carcinoma of the cervix was diagnosed for her. CT scan and ultrasound for ruling out cervical cancer metastasis revealed a large cystic mass in pre-sacral area. The patient initially underwent hysterectomy and bilateral salpingo-oophorectomy. Then, laparotomy was performed for resection of pre-sacral lesion in Mashhad Omid oncology hospital. Histopathological examination showed the diagnosis of pre-sacral epidermoid cyst. Epidermoid cyst should be considered in the differential diagnosis of any asymptomatic pre-sacral cystic lesion in middle-aged women. Surgery is the optimal diagnostic and therapeutic method. The selection of surgery route depends on the size of the lesion and the surgeon's experience.