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It is asserted that examination of the endometrium during the secretory phase yields more information about the time of ovulation, degree of progestational change, and normality of the endometrium than any other test used in sterility studies. Attention to qualitative changes in 8 morphological factors is most useful in dating the endometrial biopsy. During the 1st week of luteal activity, attention should be focused on changes occurring in gland epithelium: During the 2nd week , stromal changes including edema , predecidual reaction, stromal mitosis, and leukocytic infiltration are the key criteria. Tissue from the fundus of the uterus gives the most reliable information. These critera were used in sterility biopsies taken from normally menstruating women over a 3-year period. Absence of organic endometrial disease and availability of accurate menstrual history were the only selection criteria. To test the validity of the dating criteria, change in basal body temperature was used to correlate endometrial dating with ovulation rather than onset of menstruation. To determine whether biopsy caused early menstruation, the secretory phases of the 25 patients who had recorded temperatures in at least 2 cycles in addition to that in which the biopsy was taken were examined. The secretory phase was definitely shorter in the biopsied than control cycle, suggesting that biopsy does accelerate the onset of flow.

Host Resistance to Viral Infections

Product of conception Villi Decidua 25 Post-menopausal cystic atrophy: Swiss-cheese endometrium mimics simple hyperplasia: Swiss-cheese endometrium mimics simple hyperplasia 26 Aglandular endometrium: Submucosal leiomyoma 27 Common artifacts: Accurate dating not possible Contaminants:

Emergency Contraception. K Gemzell Danielsson ”the woman ought, in the moment during coitus when the man ejaculates his sperm, to hold her breath, draw her body back a little so that the.

Dating of endometrium ppt Personalised recommendations Studies of ivf cycles with luteal support revealed normal in-phase histology irrespective of the type of luteal support. The management of infertility. If adequate secretory phase is seen, it means that the endometrium is properly getting prepared for implantation but deficient secretory phase needs correction. He is the ex-president and ex-secretary of state and city chapter of iapm. However, the results are controversial.

Endometrial hyperplasia Integrin on the invading cytotrophoblast, thus inhibiting its invasiveness. The embryo apposes and attaches to the endometrial epithelial cells and invades the endometrial stroma. In patients treated with clomiphene citrate, data concerning pregnancy rate are controversial. In humans, initial experiments have studied the applicability of transfection to human endometrial cells.

Early Pregnancy Loss

Accessed January 28th, Diagrams Phases Proliferative phase: Early proliferative endometrium Mid proliferative days 8 – Mid proliferative endometrium and Ki67 staining Late proliferative days 11 – Day 10 – 12 endometrium shows glands that are more tortuous and crowded; intraglandular nuclear pseudo- stratification and mitotic activity are more prominent see inset and the stroma is edematous and mitotically active Ovulation:

Practice Bulletins are evidence-based documents that summarize current information on techniques and clinical management issues for the practice of obstetrics and gynecology.

All subinvolution of uterus and puerpural sepsis Admin Created Date. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. If needed, use tenaculum, grasping the anterior lip of cervix, for counter-traction. Procedure May need cervical dilators if sound will not pass through internal os.

Insert sterile endometrial biopsy catheter tip into cervix to the fundus, or until resistance is felt, avoiding contamination from dating of endometrium ppt tissues. Allowing tip to exit endometrial cavity dating of endometrium ppt lose suction.

Dating of endometrium ppt

Ability to attach, invade, and multiply in the host i. It is caused by varicella zoster virus, the same herpesvirus that causes chickenpox or varicella. After someone is infected with varicella zoster virus, the viral DNA remains as a provirus inserted within the DNA of nuclei present in the sensory ganglionic neurons along the entire axis of the central nervous system neuraxis.

The provirus replicates silently along with the ganglia DNA and the herpesvirus infection is maintained in a dormant or latent state in which viral components are not produced and assembled to form new infectious viruses.

Practicing abstinence can mean different things to different people. The meaning of sexual abstinence is when you don’t have sex. Practicing abstinence can mean different things to different people. Go to Content Go to Navigation Go to Navigation Go to Site Search Homepage.

Dating secretory endometrium Endometrial development under controlled hormonal stimulation However, even though ultrasound of the endometrium is easy to perform and therefore the imaging modality of choice in a clinical setting, its prognostic value in determining pregnancy rate is low. Ovarian stimulation produced significant differences to the natural cycle. The main feature of the endometrial tissue during the proliferative phase is active proliferation and angiogenesis to ensure nutrition of the developing new tissue, while suppressing apoptotic factors.

Three studies evaluated the mid-luteal phase echo pattern compared with endometrial biopsy results. Surface of the endometrium; subnuclear. Clinical assessment of endometrial function Could not correlate analysis of endometrial vascularization by pde with pregnancy rate. Furthermore, new technologies of molecular genetics, in particular the microarrays. Therefore, knowledge is still mostly restricted to descriptive experiments, Intensive research work has been performed to better understand the regulation of the endometrium and its clinical implications to improve implantation.

Membranebound autophagosomes arrows with incorporated collagen fibers

Dating of endometrium ppt

Pengertian lansia Penduduk Lanjut Usia merupakan bagian dari anggota keluarga dan anggota masyarakat yang semakin bertambah jumlahnya sejalan dengan peningkatan usia harapan hidup. Menurut Undang-undang Nomor 13 tahun tentang Kesejahteraan Lanjut Usia, yang dimaksud dengan lanjut usia adalah penduduk yang telah mencapai usia 60 tahun ke atas. Sedangkan menurut Undang-undang No. Berikut adalah batasan-batasan pada lansia:

Background. Ovarian masses are very common in pre- and postmenopausal women and are typically an incidental finding. Objective/s. This article aims to provide a systematic approach to an ovarian mass for general practitioners including investigations, risk of ovarian cancer and referral considerations.

Pengeluaran lochia bercampur nanah. Mobilisasi terbatas karena rasa nyeri. Temperatur badan dapat meningkat. Tampak Sakit dan Lemah 2. Temperatur meningkat diatas 39 oC. Tekanan darah dapat menurun dan nadi meningkat. Pernapasan dapat meningkat dan napas terasa sesak. Kesadaran gelisah sampai menurun dan koma. Terjadi gangguan involusi uterus. Faktor Predisposisi Infeksi Masa Nifas a. Persalinan berlangsung lama sampai terjadi Persalinan Terlantar b. Tindakan Operasi Persalinan c.

Tertinggalnya plasenta selaput ketuban dan bekuan darah. Ketuban pecah dini atau pada pembukaan masih kecil melebihi enam jam.

The endometrium undergoes a well-establishedseries of histological and ultrastructuralchangesunder the influence of estrogen and progesterone during the menstrual cycle. Morphological changes include characteristic histological transformations, such as reduced mitotic activity, glandular secretion, and stromal edema, that are often accompanied by the presence of globular protrusions in the surface membrane of epithelial cells, named pinopodes.

Dating the endometrial biopsy.

Jan 04,  · Apabila usia lanjut tidak dating pada bulan tersebut kosongkan 0kolom untuk bulan tersebut dan pencatatan berpindah utnuk bulan berikutnya. · Kegiatan hidup sehari-hari 1.

Komplikasi ini juga tergantung dari lokasi tumbuh berkembangnya embrio. Pada keterangan sering terjadi pada usia produktif 25 — 45 tahun Prawiroharjo S, ; Keluhan Utama Nyeri hebat pada perut bagian bawah dan disertai dengan perdarahan selain itu klien ammenorrhoe. Riwayat Penyakit Sekarang Awalnya wanita mengalami ammenorrhoe beberapa minggu kemudian disusul dengan adanya nyeri hebat seperti disayat-sayat pada mulanya nyeri hanya satu sisi ke sisi berikutnya disertai adanya perdarahan pervagina: Kadang disertai muntah Keadaan umum klien lemah dan adanya shock Terkumpulnya darah di rongga perut: Menegakkan dinding perut Nyeri Dapat juga menyebabkan nyeri hebat sehingga klien pingsan Perdarahan terus menerus kemungkinan terjadi shock hipovolemik.

Status Obstetri Genekologi Usia perkawinan Sering terjadi pada usia produktif 25 — 45 tahun, berdampak bagi psikososial, terutama keluarga yang masih mengharapkan anak. Riwayat persalinan yang lalu. Apakah klien melakukan proses persalinan di petugas kesehatan atau di dukun Grade multi Abortus yang sering curettage yang sering Riwayat penggunaan alat kontrasepsi. Seperti penggunaan IUD Adanya keluhan haid, keluarnya darah haid dan bau yang menyengat.

Riwayat kesehatan keluarga Hal yang perlu dikaji kondisi kesehatan suami Suami mengalami infeksi system urogenetalia, dapat menular pada istri dan dapat mengakibatkan infeksi pada celvix.

AP2: MENSTRUAL CYCLE: CHANGES IN THE ENDOMETRIUM