مجله زنان مامائی و نازائی ایران
سال هجدهم شماره 147 (هفته اول خرداد 1394)

appropriate policies to prevent and control these infections، at first، the epidemiology of this infection should be determined in various populations، therefore، this study was performed with aim to evaluate the prevalence of Chlamydia trachomatis according to different variables in the city of Mashhad. This basic-applied study was performed on 92 women referred to the maternity clinics. In this study، after completing the questionnaire، cervical samples of 70 patients were evaluated by cell culture and PCR methods. Analysis of data was performed by SPSS statistical software (version 16). Among 70 patients evaluated by cell culture method، 6 patients (8. 6%) were positive and by PCR molecular methods، 7 patients (10%) were positive. The most common symptom in positive patients was vaginal discharge. Chlamydia prevalence in the city of Mashhad is significantly high and it is necessary to screen and treat it. Therefore، tests for detection of Chlamydia in genitourinary infections should be considered as one of the routine tests for evaluation of genital infections.

Hirsutism is one of the major problems in women referring to skin clinics. One of the causes of hirsutism is hyperprolactinemia. This study was performed with aim to evaluate the changes in prolactin hormone in women with this disease.

This cross-sectional study was performed on 200 patients with hirsutism referring to skin clinic of Babol Yahyanejad Hospital in 2013. At the second or third day of menstruation، experiments were performed for all the patients to determine hormone levels. Finally، 200 patients without PCOS were studied. Also، a questionnaire including a careful history and physical examination was scheduled for all the patients. Data was analyzed by SPSS statistical software (version 16). P

Twenty five patients (12. 5%) had Hyperprolactinemia. No significant relation was found between hyperprolactinemia with marital status، history of galactorrhea، family history of hirsutism and infertility (P>0. 05). However، significant difference was observed between hyperprolactinemia and menstrual disorders (P=0. 043).

Although hyperprolactinemia is a rare cause of hirsutism، but its prevalence was high in this study. Therefore، evaluation of blood prolactin levels should be considered in hirsute patients.

Peripartum Cordiomyopathy is a disease of unknown cause during the last trimester of pregnancy or puerperium. Considering to new treatment in addition to conventional treatments of heart failure، in this report، a case of PeriPartumperiod heart failure is introduced. Case report: A 32 years old lady in 37th week of pregnancy referred with dyspnea NYHA Class III، and had no history of heart disease، and in examination، the lungs were clear and there was a systolic murmur III/IV in LV apex. Left Ventricular dysfunction was 25-30% with Right ventricular dysfunction. These findings were suggestive of PPCM. The patient underwent treatment of heart failure، but Exacerbated after delivery and underwent treatment with bromocriptine. After 1 year، symptoms improved and LVEF was 45-50% in re-echocardiography. Bromocriptine can be effective in improvement of ventricular function of patients with heart failure.