Day 2 :
KK Hospital, Singapore
Time : 9:00 AM -10:00 AM
Dr Julia Tan completed MbChB (Hons) from the University of Liverpool. She is currently a senior O&G resident in a tertiary O&G hospital in Singapore.
Most ovarian torsion(OT) occur in ovaries containing solid or cystic masses. It is uncommon to find torsion in normal ovary. Case: A 27 y.o.lady presented to ER at a non O&G hospital, with 1-day history of RIF pain. Urine pregnancy and urine dipstick were negative. Abdominal x-ray was normal. She was treated with fleet enema and the pain improved after defecation.She re-presented the following night at our hospital with similar pain. US revealed an enlarged right ovary with oedematous heterogenous central stroma. There was whirlpool sign between uterus and right ovary. A diagnostic laparoscopy was performed. Intraoperative findings revealed gangrenous right ovary and tube, twisted once. Detorsion of the ovary was performed and ischaemic appearance of ovary improved. Postoperative recovery was uneventful.
Far Eastern University , Philippines
Time : 10:00 AM -11:00 AM
Marion Ariadne C. Burgos has completed her Doctor of Medicine degree from Far Eastern University-Nicanor Reyes Medical Foundation at age of 23. She is currently an obstetrics and gynecology resident at the same hospital institution
Obstetrical hemorrhage is one the leading causes of maternal morbidity and mortality in our country. The objective of this report is to present a case of a 30-year-old, Gravida 3 Para 1 (1021) who had persistent vaginal bleeding post dilatation and curettage due to missed abortion at 11 weeks gestational age. Differential diagnosis included retained secundines, gestational trophoblastic neoplasia, uterine arteriovenous malformation, and placental accrete syndrome. This could be differentiated by beta human chorionic gonadotrophic hormone and transvaginal ultrasound. What made the case interesting is the dilemma in the diagnosis. In a case of persistent vaginal bleeding after curettage and with a history of cesarean delivery, one will initially think of placenta accrete syndrome. But then, initial diagnostic tests pointed out to uterine arteriovenous malformation. Due to the dilemma of the service team in clinching the diagnosis for a single disease entity, pelvic magnetic resonance imaging with contrast was done revealing a possible placenta accreta, but cannot totally rule out vascular tumor.
Since patient was initially desirous of future pregnancy, medical management was started and was scheduled for CT angiography. However, due to persistent vaginal bleeding, she underwent Total Abdominal Hysterectomy. Histopathology result revealed a placenta increta.
In the advent of technology, a wide array of diagnostic modalities can be used to make an appropriate diagnosis. Clinical correlation and a high index of suspicion must be at all times considered above all. No matter how rare the condition, it should still be at the back of our minds.
Western Sydney University,Australia
Keynote: Evaluation of the effect of an antenatal pelvic floor muscle exercise programme on female sexual function during pregnancy and the first 3 months following birth: study protocol for a pragmatic randomised controlled trial
Time : 11:15 AM -12:15 PM
I am Mrs Sahar Sobhgol . I have research on Evaluation of the effect of an antenatal pelvic floor muscle exercise programme on female sexual function during pregnancy and the first 3 months following birth: study protocol for a pragmatic randomised controlled trial.
The current data on the effectiveness of antenatal pelvic floor muscle exercises (PFME) on childbirth outcomes is controversial and limited. Therefore, this study assessed the effect of antenatal PFMEs on labour and birth outcomes by undertaking a meta-analysis. Sexual dysfunction can have a negative impact on women’s quality of life and relationships. There is limited information about female sexual function and treatment, particularly during pregnancy and the postpartum period. The effect of pelvic floor muscle exercise (PFME) on sexual function (SF) has not been studied adequately. The purpose of this study is to investigate the effect of antenatal PFME on female SF during pregnancy and the first 3 months following birth.
Management & Science University, Malaysia
Keynote: Wnhancing the knowledge on Sexually transmitted diseases prevention while prescribing contraception
Time : 12:15 PM- 1:15 PM
Sexually transmitted diseases (STD) are important causes of gynaecological problems like menorrhagia, dysmenorrhea, dyspareunia, infertility, ectopic pregnancy, chronic pelvic pain, cervical cancer and many other serious conditions. 40-50% of the ectopic pregnancies are caused by pelvic infection. Nearly a million people acquire STD including HIV/AIDS daily. There are 90,000 people are living with HIV/AIDS in Malaysia. In pregnant women with untreated early syphilis, 25% of pregnancies result in stillbirth and 14% in neonatal death – an overall perinatal mortality of about 40%. Around 4000 newborn babies become blind due to maternal untreated Gonococcal and Chlamydial infections. More than 30 bacterial, viral, parasitic pathogens are transmitted sexually The victims suffer from mobility, disability and they are incapacitated.
KLE Dental College,India
Keynote: Effect of autologous PRP on patients with persistently thin endometrium undergoing frozen embryo transfer cycles
Time : 2:00 PM - 3:00 PM
I am Dr Yogitha Rao from India. A practitioner, advocate for social causes and a mother, Dr Yogita Rana, dons many hats. Despite being brilliant in academics, she quit her profession as a doctor and qualified for IAS in 2003. She says, “I aimed to be a gynaecologist, but as I was doing my internship, I realised I wanted to do a lot more for the patients. I noticed that there was no transparency — drugs for the patients were used for other purposes and there were other such laxities.
Objective: Persistent thin endometrium is a major challenge in ART. Couple phase cycle cancellations due to this problem. There are many methods which have come up recently to resolve this challenge. One of such treatment involves PRP instillation. This study was conducted to evaluate the effect of PRP in persistently thin endometrium. Design: Prospective interventional study Materials &methods : Thirtyone women who were scheduled for FET , and were diagnosed to have persistently thin endometrium were involved in this study. These patients also had 2 or more cycle cancellations. In addition to HRT with estradiol valerate, 0.5 ml of autologous PRP was instilled into uterine cavity 48-72 hours before progesterone exposure. Frozen embryo transfer was performed when the endometrium reached an optimal pattern in thickness & vascular it you. Results: Mean endometrial thickness was increased from 5.83 to 7.13 mm post PRP. Power Doppler showed good vascularity , reaching the zones 3 & 4 of endometrium. Positive beta Hcg was 73.3%. Twenty two pregnancies documented. Conclusion: Autologous PRP use in persistently thin endometrium sounds reassuring considering endometrial expansion post PRP