Infertility: still an enigma; an overview of infertile couples in outpatients of gynae

[1] To find out the major causative factors in primary versus secondary infertility in study group. [2] To suggest an easy plan of investigation for an infertile couple. Descriptive study. Gynecology and Obstetric Unit in Independent University Hospital, Faisalabad. Two years from Jan 2008 to Dec 2009. Convenience sample technique was used to collect the patients. Anovulation had contributed 20% in primary infertility and 16% in secondary infertility. Tubal factor was more common in secondary infertility. Male factor was 40% in primary infertility and 16% secondary infertility. Counseling, reassurance and efficient, timely and appropriate management plan is essential to minimize the distress of infertile couples

Multiple Pregnancy; frequency of maternal and fetal complications

To determine the frequency of maternal and fetal complecation in multiple pregnancy. Observational study. In the department of obstetric and gynecology unit I Allied Hospital Faisalabad. One year from 22-07-2003 to 22-07-2004. Fifty patient included in the study. These patient's were examined throughly and relevant information recorded in a performa giving detailed history, clinical examination, investigations and type of management. Anemia was the most common prenatal complication followed by preterm labour, PIH and preeclampsia PROM in 8 patients, IUGR in one patient. The most common intrapartum complication was postpartum hemorrhage followed by retained placenta cord prolapse and shoulder presentation. About 12 babies required admission and perinatal deaths occurred in 9 twins. Multiple pregnancy are at high risk of antipartum and intrapartum complications. The study also proved that multiple pregnancy associated with increased risk of anemia preterm labour, PIH preeclampsia, IUGR and postpartum hemorrhage and also associated with increased perinatal mortality and morbidity

Congential adrenal hyperplasia

Congenital Adrenal Hyperplasia is the most common cause of female intersex and is an autosomal recessive disorder resulting in enzyme deficiency 21-hydroxylase. The case series describes three such cases that are investigated and managed at Independent University Hospital Faisalabad