Vol. XXXVI, no. 2, 2009 ISSN: 0390-6663


CLINICAL AND EXPERIMENTAL
OBSTETRICS & GYNECOLOGY

an International Journal


Editors-in-Chief
A. Onnis
Montréal (CND)
J.H. Check
Camden, NJ (USA)


Associate Editors
M. Marchetti
Montréal (CND)

Assistant Editor
J. Wilson
San Diego - CA (USA)
Editorial Board
Audet-Lapointe P., Montréal (Canada)
Axt-Fliedner R., Lübeck (Germany)
Basta A., Krakow (Poland)
Bender H.J., Dusseldorf (Germany)
Bhattacharya N., Calcutta (India)
Bonilla Musoles F., Valencia (Spain)
Charkviani T., Tbilisi (Georgia)
Dargent D., Lyon (France)
Dexeus S., Barcelona (Spain)
Di Paola G., Buenos Aires (Argentina)
Eskes T.K.A.B.,Nijmegen (The Netherlands)
Franchi M., Verona (Italy)
Friedrich M., Homburg (Germany)
Gomel V., Vancouver (Canada)
Gorins A., Paris (France)
Holub Z., Kladno (Czech Republic)
Jordan J.A., Birmingham, England (UK)
Kaplan B., Petach Tikva (Israel)
Kralj B., Ljubljana (Slovenia)
Lalonde A.B., Ottawa (Canada)
Markowska J., Poznan (Poland)
Marth C., Innsbruck (Austria)
Meden-Vrtovec H., Ljubljana (Slovenia)
Ohara N., Kobe (Japan)
Papadopoulos N., Alexandroupolis (Greece)
Rakar S., Ljubljana (Slovenia)
Sciarra J.J., Chicago, IL (USA)
Stelmachow J., Warsaw (Poland)
Varras M.N., Athens (Greece)
Vîrtej P., Bucharest (Romania)
Winter R., Graz (Austria)

Publishing Organization (M. Morsani):
I.R.O.G. CANADA, Inc. - 4900 Côte St-Luc - Apt # 212 - Montréal, Qué. H3W 2H3 (Canada)
Tel. +514-4893242 - Fax +514-4854513 - E-mail: canlux@mgroup-online.com - http://www.irog.net/

Editorial Office (M. Critelli):
Galleria Storione, 2/A - 35123 Padua (Italy) - Tel. (39) 049 8756900 - Fax (39) 049 8752018

CLINICAL AND EXPERIMENTAL OBSTETRICS AND GYNECOLOGY (ISSN 0390-6663) publishes original work, preferably brief reports, in the fields of Gynecology, Obstetrics, Fetal Medicine, Gynecological Endocrinology and related subjects. (Fertility and Sterility, Menopause, Uro-gynecology, Ultrasound in Obstetrics and Gynecology, Sexually Transmitted Diseases).The Journal is covered by INDEX MEDICUS, MEDLINE, EMBASE/Excerpta Medica.

CLINICAL AND EXPERIMENTAL OBSTETRICS AND GYNECOLOGY is issued every three months in one volume per year by IROG CANADA Inc. Montréal. Printed in Italy by "La Garangola", Tipografia Editrice - Via E. Dalla Costa, 6 -35129 Padova (Italy).

 

Clinical and Experimental Obstetrics and Gynecology
http://www.irog.net/


General Information

CLINICAL AND EXPERIMENTAL OBSTETRICS AND GYNECOLOGY (ISSN 0390-6663) publishes original peer-reviewed work, preferably brief reports, in the fields of Gynecology, Obstetrics, Fetal Medicine, Gynecological Endocrinology, Fertility and Sterility, Menopause, Uro-gynecology, Ultrasound diagnosis in Obstetrics and Gynecology, Sexually transmitted diseases and related topics. It is indexed in INDEX MEDICUS, MEDLINE, EMBASE/ Excerpta Medica.

AIMS AND SCOPE
Since its inception, the CLINICAL AND EXPERIMENTAL OBSTETRICS AND GYNECOLOGY Journal has had the primary aim to assemble and diffuse scientific researches, particularly original researches, contributions, reviews, and proceedings of meetings in every field of the Discipline.
Today its large diffusion all over the world allows us to collect high quality papers and clinical reports on many interesting studies from every country, even from developing countries. This is the target goal of the Journal – aiming at the diffusion of knowledge and advances in female genital diseases.
This publication tries to cover all aspects of obstetrics and gynecology in an interdisciplinary approach among gynecologists, epidemiologists, pathologists, oncologists, radiologists, microbiologists, surgeons, urologists, neonatologists, genetists and so on.
The first target goal of the Journal is to publish high quality papers in the shortest time possible. Research papers, editorial reviews, case reports, technical notes, book reviews and letters to the Editor are published.

ANNOUNCEMENTS regarding meetings, postgraduate courses and symposia will be accepted 6 months before publication and will be published free of charge.
BOOK SAMPLES for review should be sent to the Editorial offices in Montréal or in Padova.
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The Journal is issued every three months (January, April, July and October); one volume per year. Subscriptions start from January and are automatically renewed if not cancelled by the end of September.
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Instructions to Authors

SUBMISSION OF MANUSCRIPTS
Papers should be submitted to A. ONNIS Editor-in-Chief of the EUROPEAN JOURNAL OF GYNAECOLOGICAL ONCOLOGY, 4900 Côte St. Luc, Apt. 212 MONTREAL, QUÉBEC H3W 2H3 (Canada) - Tel. +514-4893242 - Fax +514-4854513, or Galleria Sto-rione 2/A - 35123 PADOVA (Italy) - Fax +39-049-8752018.

Editorial articles for publication in the "Distinguished Expert Series" should be submitted to P. Bösze, Editor-in-Chief of this section, Department of Gynecology, Saint Stephan Hospital, 1096 Budapest, Nagyvárad tér 1, Telephone (36-1) 275 2172, Fax (36-1)
275 2172, E-mail: bosze@axelero.hu

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The Journal follows the "Uniform requirements for manuscripts submitted to biomedical journals" published in the New England Journal of Medicine 1991, 324, 424-8 and in the British Medical Journal 1991, 302.

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© By I.R.O.G. CANADA INC. - Publisher - Editorial office 4900 Côte St. Luc - Apt. 212 - Montréal Québec H3W 2H3 (Canada) - Tel. (514) 4893242-4893640 -Fax (514) 4854513 - Printed in Italy by "La Garangola" - Via E. Dalla Costa, 6 - 35129 Padua (Italy) - Responsible Director: Prof. Antonio Onnis M.D. - Authorization of Padua's Court n. 633 - 28-6-1979
 
Clinical and Experimental Obstetrics & Gynecology - Vol. XXXVI, n. 3, 2009
ORIGINAL ARTICLES  
Reproductive Biology Section  
Failure to have menses following progesterone withdrawal in a normal estrogenic woman with polycystic ovarian syndrome who menstruates with oral contraceptives 141
J.H. Check, J. Mitchell-Williams - Camden, NJ (USA)
Very high-bound testosterone levels despite normal free testosterone levels may have competed with estrogen and thus inhibited endometrial development resulting in failure to menstruate after progesterone withdrawal in a normal estrogenic woman with polycystic ovarian syndrome.
 
Donor-recipient pairs to evaluate the effect of day 3 embryos having at least six blastomeres on pregnancy outcome 143
J.H. Check, C. Dietterich, B. Katsoff, J.K. Choe, J. Amui - Camden, NJ (USA)
By evaluating donor egg recipient pairs the importance of an embryo having at least six blastomeres to improve the chance of implanting was confirmed.
 
Effects of endometrial thickness and echogenic pattern on assisted reproductive treatment outcome 145
A. Çorbacıoglu, B. Baysal - Istanbul, TURKEY
The effects of endometrial thickness and echogenic pattern on pregnancy and implantation rates in ART cycles were investigated.
 
The effect of cetrorelix vs ganirelix on pregnancy outcome using minimal gonadotropin stimulation in women with elevated day 3 serum follicle stimulating hormone levels 148
J.H. Check, D. Brasile, J.K. Choe, J. Amui, C. Wilson - Camden, NJ (USA)
A trend for lower pregnancy rates following embryo transfer was seen when ganirelix was used as the GnRH antagonist compared to cetrorelix in women with diminished egg reserve.
 
Conventional oocyte insemination may result in a better pregnancy outcome than intracytoplasmic sperm injection (ICSI) for unexplained infertility 150
J.H. Check, A. Bollendorf, D. Summers-Chase, D. Horwath, W. Hourani - Camden, NJ (USA)
For couples with unexplained infertility, despite theoretical advantages of in vitro fertilization with intracytoplasmic sperm injection (ICSI), conventional oocyte insemination results in significantly higher pregnancy rates.
 
Comparison of the efficacy of selecting sperm with normal nuclei by high magnification for intracytoplasmic sperm injection (ICSI) according to age in refractory in vitro fertilization (IVF) cases 152
J.H. Check, D. Horwath, L. Sansoucie, D. Summers-Chase, W. Yuan - Camden, NJ (USA)
The isolation of sperm based on nuclear characteristics followed by intracytoplasmic sperm injection resulted in encouraging pregnancy rates in women with several previous in vitro fertilization failures.
 
Successful pregnancy with frozen embryo transfer into a gestational carrier from eggs obtained from a woman in premature menopause 154
J.H. Check, M. Srivastava, D. Brasile, J. Amui, J.K. Choe, E. Dix - Camden, NJ (USA)
The first successful delivery is reported from a frozen embryo transfer derived from an egg developed in a woman with premature menopause.
 
General Section  
Patient compliance with colposcopy information leaflets 158
T. O’Gorman, S. Sivarajan, T. Hollingworth - London, UK
Patient satisfaction and understanding of information in leaflets does not result in compliance irrespective of language and modification of leaflets.
 
Analysis of federal process of care data reported from hospitals in rural westernmost North Carolina 160
E.S. Sills, B.A. Lotto, W.S. Bremer, A.J. Bacchi, A.P.H. Walsh - New York, NY (USA)
Data are analysed from three rural hospitals to determine performance with respect to state and national reference groups.
 
Role of a non-hormonal oral anti-fibrinolytic hemostatic agent (tranexamic acid) for management of patients with dysfunctional uterine bleeding 163
M. Gultekin, K. Diribas, E. Buru, M.A. Gökçeoglu - Çankiri, TURKEY
Oral tranexamic acid is a reasonable treatment option for patients with excessive dysfunctional perimenopausal bleeding with a 66% response rate.
 
Disturbed sleep and preterm birth: A potential relationship? 166
L.B. Strange, K.P. Parker, M.L. Moor, O.L. Strickland, D.L. Bliwise - Atlanta, GA (USA)
In a study exploring the relationship between disturbed sleep and preterm birth, sleep latency was significantly associated with preterm delivery.
 
Albumin/creatinine ratio for prediction of 24-hour albumin excretion of ≥ 2 g in manifest preeclampsia 169

R.A. Al, B. Borekci, O. Yapca, S. Keles, S. Kadanali - Erzurum, TURKEY
Random urine or 8-hour urine albumin-creatinine ratios are poor predictors for 24-hour albumin excretion of ≥ 2 in patients with preeclampsia.

 
Mid-trimester maternal serum hCG levels in predicting adverse pregnancy outcome 173
G. Androutsopoulos, P. Gkogkos, P. Vassilakos, G. Panayiotakis, G. Decavalas - Rion, GREECE
Mid-trimester maternal serum hCG levels in predicting adverse pregnancy outcome.
 
An objective method to determine corneal changes during menopause 176
N. Keskin, S. Cantürk, S. Aydin, H. Saygili, C. Özgün - Kutahya, TURKEY
Central corneal thickness (CCT) differences between women in the premenopausal and postmenopausal period were evaluated. The data suggest that menopause causes corneal changes which can be documented by CCT measurement.
 
Effectiveness of transvaginal colporrhaphy with porcine acellular collagen matrix in the treatment of moderate to severe cystoceles 179
G. Koutsougeras, P. Nicolaou, D. Karamanidis, G. Chimonis, A. Byros, E. Hatzopoulos - Alexandroupolis, GREECE
Ninety-five patients with cystocele underwent anterior colporrhaphy using porcine dermal. After 12 months of postoperative follow-up, the overall failure rate was 8.4%.
 
Uterine myoma in pregnancy: report of 19 patients 182
E. Ozturk, M.G. Ugur, H. Kalayci, O. Balat - Gaziantep, TURKEY
Neither enlargement of myomas nor serious perinatal complications were observed in a prospective evaluation of 19 pregnant women with uterine myoma.
 
Perceived pain and anxiety before and after amniocentesis among pregnant Turkish women 184
R.A. Al, S. Yalvac, O.Y. Altar, I. Dolen - Erzurum, TURKEY
Perceived pain and anxiety were significantly and positively correlated to each other, and both decreased after the amniocentesis procedure.
 
 
CASE REPORTS  
Ectopic pelvic spleen. Presentation of two cases 187
A. Liapis, K. Bakalianou, N. Salakos, C. Iavazzo, G. Paltoglou, A. Kondi-Pafiti - Athens, GREECE
Two cases of ectopic pelvic spleen accurring in young nulliparous women are described.
 
Sympathomimetic amine therapy may markedly improve treatment resistant headaches related to a vascular permeability defect common in women - presentation of two cases 189
J.H. Check, D. Check, R. Cohen - Camden, NJ (USA)
Women with treatment refractory headaches should be evaluated for the condition of idiopathic edema by water load testing because they may dramatically respond to treatment with dextroamphetamine sulfate.
 
Extrauterine pregnancy resulting from late spontaneous rupture of an unscarred gravid uterus: case report 192
N. Thomakos, K. Kallianidis, Z. Voulgaris, P. Drakakis, N. Arefetz, A. Antsaklis - Athens, GREECE
Extrauterine abdominal pregnancy is a rare entity associated with high maternal and perinatal mortality.