OBJECTIVE: Polycystic ovary syndrome, myoma uteri and endometrioma are frequently seen gynecologic problems and all three diseases may cause infertility. Aim of this cross-sectional study was to compare total antioxidant status, ceruloplasmin, total sulfhydryl , total oxidant status, lipid hydroperoxide and oxidative stress index levels in endometrial flushing fluid of patients with Polycystic ovary syndrome (n=20), uterine leiomyoma (n=20), endometrioma (n=19), and healthy women (n=20). STUDY DESIGN: We compare endometrial flushing fluid of patients with polycystic ovary syndrome (n=20), uterine leiomyoma (n=20), endometrioma (n=19) and healthy women (n=20). Endometrial flushing fluid samples were collected during the implantation window of all women. RESULTS: Mean age of groups was 28.90±5.45, 37.25±2.73, 32.84±6.62 and 32.15±5.18 in Polycystic ovary syndrome, myoma uteri, endometrioma and control groups, respectively (p<0.05). Mean total antioxidant status, ceruloplasmin and total sulfhydryl levels indicating antioxidant state were comparable between Polycystic ovary syndrome, myoma uteri, endometrioma and control groups (p=0.806, p=0.156, p=0.328 respectively for markers). Similarly, oxidant state-related markers didn’t differ significantly between 4 groups (p=0.090 for total oxidant status, p=0.087 for lipid hydroperoxide, p=0.312 for oxidative stress index). CONCLUSION: Endometrial flushing fluid total antioxidant status, total oxidant status, lipid hydroperoxide, ceruloplasmin, and total sulfhydryl levels during implantation window didn’t differ between women with Polycystic ovary syndrome, uterine leiomyoma, endometrioma, and healthy controls.
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Objective: To evaluate the current problems and future career plans of obstetrics and gynecology residents in Turkey.Materials and Methods: In this cross-sectional study, a survey was conducted with 143 trainees from 25 cities in different regions of Turkey. The questionnaire, which was sent via e-mail to all available trainees, consisted of four parts: information on hospitals, number and variety of surgical interventions, scientific activities, and current problems. Descriptive statistics were used to analyze participants’ responses.Results: The mean number of trainees in each hospital was 24 in education and research hospitals and 15 in university hospitals (p<0.001). Perinatology, oncology, and infertility clinics were present in about 70% of the hospitals, and there was no difference in this regard between public and university hospitals. Most trainees (68.5%) complained about being alone in an outpatient clinic. Third-year trainees from training and research hospitals performed a significantly higher number of vaginal births than those at universities (p=0.035). Most trainees complained about their workload during their residency in both training and research hospitals (74.4%) and university hospitals (66%). The three most common plans for the future were to attend a subspecialty program in the field of obstetrics and gynecology (28%), to pursue an academic career (23.1%), and to work in a private hospital (21%).Conclusion: Extremely long work hours, excessive workload, many monthly duties, and lack of supervision at outpatient clinics were found to be the major problems of the obstetrics and gynecology residents in Turkey. The most common future plan of the residents was to attend a subspecialty program in the field of obstetrics and gynecology.
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