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Puri, India

Dahiya P.,Akanksha Center | Nayar K.D.,Akanksha Center | Gulati A.J.S.,Mata Chanan Devi Hospital | Dahiya K.,Pt B D Sharma Post Graduale Institute Of Medical Science Pgims
Journal of Reproduction and Infertility | Year: 2012

Background: Placenta accreta is a rare obstetrical condition that mainly occurs in the third trimester leading to life-threatening complications. Hereby, a case of uterine rupture due to placenta accreta occuring in the second trimester is presented. Case Presentation: A forty-year old patient who conceived after in vitro fertilization treatment (oocyte donation and embryo transfer) presented in emergency department in the nineteen weeks of gestation with acute abdominal pain, heamoperitoneum and fetal death. Emergency laprotomy showed uterine rupture along with placenta accreta for which the patient underwent subtotal hysterectomy. Conclusion: Although, an uncommon occurrence, physicians in assisted reproductive techniques (ART) clinics should consider placenta accreta in gravid patients who present with acute abdominal pain and shock, considering the fact that they usually have associated high risk factors for abnormal placentation.

Dahiya P.,Akanksha Center | Dahiya P.,Spectrum | Dahiya K.,Akanksha Center | Dahiya K.,Spectrum | And 6 more authors.
Journal of Clinical and Diagnostic Research | Year: 2011

The Anti- Müllerian hormone (AMH) is a recent biomarker for the ovarian reserve. Initially, it was considered mainly in the context of the müllerian regression and the sexual differentiation in males, but its role in ovarian functions is gaining interest very fast. It is mainly expressed in the small antral follicles and its levels decline with the growth in the follicular size. Its capability as a predictor for ovarian response can be utilised to devise a more individualised approach in the patients who opt for assisted reproductive technology (ART). It has an inhibitory effect on the primordial follicular recruitment in the ovary and on the responsiveness of the growing follicles to the follicle stimulating hormone (FSH); thus it is important in patients with polycystic ovary syndrome. This review summarizes the recent findings which concern AMH and its role in the female fertility.

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